Cognitive evaluation and associated factors of expected impact of HIV infection among men who have sex with men
WANG Yi1, LI Liu-lin1, FAN Jing2, ZHAO Xi-he1, WANG Xiao-li3, DU Chan-juan4, LIU Jiang5, YANG Gan-jin6, LI Wei7, JIA Xiu-wei8, WANG Hong-ming9, REN Yan-fei10, LIAO Ping11
1. Mianyang Municipal Center for Disease Control and Prevention, Mianyang, Sichuan 621000, China; 2. Mianyang Gay Love Group, Mianyang, Sichuan 621000, China; 3. Fucheng District Center for Disease Control and Prevention, Mianyang, Sichuan 621000, China; 4. Youxian District Center for Disease Control and Prevention, Mianyang, Sichuan 621000, China; 5. Jiangyou Municipal Center for Disease Control and Prevention, Jiangyou, Sichuan 621700, China; 6. Santai County Center for Disease Control and Prevention, Santai, Sichuan 621100, China; 7. Anzhou District Center for Disease Control and Prevention, Mianyang, Sichuan 622650, China; 8. Beichuan Qiang Autonomous County Center for Disease Control and Prevention, Beichuan, Sichuan 622750, China; 9. Zitong County Center for Disease Control and Prevention, Zitong, Sichuan 622150, China; 10. Yanting County Center for Disease Control and Prevention, Yanting, Sichuan 621600, China; 11. Pingwu County Center for Disease Control and Prevention, Pingwu, Sichuan 622500, China
Abstract：Objective To investigate the self-cognitive evaluation of expected impact of HIV infection among men who have sex with men (MSM), and to analyze its related factors. Methods The snowball sampling method was used to recruit MSM in Mianyang City, Sichuan Province from February to November in 2016. A self-filled anonymous questionnaire survey on behavioral science was conducted, and then HIV and syphilis detection was performed. Results A total of 1,170 available questionnaires were gathered, and the cognitive evaluation of expected impact of HIV infection was as follows: 7.6% worried about the impact on the future, 33.5% the hurt to the family, 57.5% damage to health, and 1.4% others. The cognitive evaluation was affected by different infection expectation, and HIV-positive rates of MSM with different infection expectation, including worrying about the impact on the future, the hurt to the family, damage to health and others, were 1.1%, 9.2%, 5.3% and 6.3% respectively, showing statistically significant differences (χ2=10.553, P=0.014). Multi-factor logistic analysis showed that factors associated with HIV infection expectation affected cognitive evaluation. The proportions of worrying about the impact on the future in MSM aged <20 years, aged 20-<30 years, without HIV/AIDS-related knowledge, considering physiological need as the first need, with two or more sexual partners, with high frequency anal sex and with protective anal sex in the last six months were higher than those of worrying about damage to health, while the proportion of worrying about the impact on the future in MSM seeking sexual partners on the Internet was lower than that of worrying about damage to health. The proportions of worrying about the hurt to the family in MSM aged < 20 years, with educational background of senior high school and below, being married and being divorced/widowed, having less than five community friends, receiving preventive services, considering physiological need as the first need, with two or more sexual partners, and with high frequency anal sex were higher than those of worrying about damage to health, while the proportions of worrying about the impact on the future in MSM with protective anal sex in the last six months and seeking sexual partners on the Internet were lower than those of worrying about damage to health. The proportion of worrying about the hurt to the family in MSM having less than five community friends was higher than that of worrying about the impact on the future, while the proportions of worrying about the hurt to the family in MSM being unmarried, without HIV/AIDS-related knowledge, considering physiological need as the first need, and with protective anal sex in the last six months were lower than those of worrying about the impact on the future (all P<0.05). Conclusions The self-cognitive evaluation of expected impact of HIV infection shows that most of the MSM worry about the damage to health and the hurt to the family. Cognitive evaluation of HIV infection expectation is correlated with the characteristics of demography and sexual behavior and the risk of HIV infection, and MSM worrying about the hurt to the family are more risky.
王毅, 李六林, 樊静, 赵西和, 王晓丽, 杜婵娟, 刘江, 杨干金, 李伟, 贾秀伟, 王洪明, 任延飞, 廖平. 男男性行为者对HIV感染预期影响的认知评价及关联因素[J]. 实用预防医学, 2019, 26(2): 141-145.
WANG Yi, LI Liu-lin, FAN Jing, ZHAO Xi-he, WANG Xiao-li, DU Chan-juan, LIU Jiang, YANG Gan-jin, LI Wei, JIA Xiu-wei, WANG Hong-ming, REN Yan-fei, LIAO Ping. Cognitive evaluation and associated factors of expected impact of HIV infection among men who have sex with men. , 2019, 26(2): 141-145.
2019, Vol. 26 
