Changing tendency of HIV-related behavior and influencing factors of condom use among MSM in Honghe Prefecture, 2010-2014 DING Li, WANG Wei-jia, YAO En-long, ZHANG Wei-yi, BAI Xiang-lian Honghe Prefecture Center for Disease Control and Prevention, Mengzi, Yunnan 661100, China Corresponding author: WANG Wei-jia, E-mail:1754592564@qq.com
Abstract：Objective To analyze the changing trend of HIV-related behavior and the factors influencing condom use among men who have sex with men (MSM) in Honghe Prefecture from 2010 to 2014 so as to provide references for formulatng HIV prevention and control strategies and conducting behavior intervention. Methods Repeated cross-sectional survey method was used to obtain demographic characteristics, behavior characteristics, serological information and HIV-related prevention and treatment information of MSM in the sentinel points in Honghe Prefecture from 2010 to 2014. Results The proportion of MSM who had anal sex with men in the past six months remained stable in Honghe Prefecture during 2010-2014, with the average rate of 89%. The rate of condom use in the last homosexual behavior (χ2=48.686, P=0.000), the proportion of persistent condom use in the past six months (χ2=108.923, P=0.000) and the proportion of having had HIV testing in the past year (χ2=88.252, P=0.000) showed a gradually increasing tendency, while the proportion of commercial homosexual behavior displayed a decreasing tendency year by year (χ2=42.271, P=0.000). Although the factors influencing persistent condom use in different years were various, multivariate logistic regression analysis indicated that the main risk factors for incontinuous condom use in MSM were low awareness of HIV/AIDS-related knowledge (OR=13.961, 95%CI:3.71-52.61, P=0.000), receiving no HIV/AIDS detection (OR=4.513, 95%CI:2.73-7.46, P=0.000), the unmarried or divorced (OR=2.642, 95%CI:1.33-5.24, P=0.005), the education level of junior middle school or below (OR=4.138, 95%CI:1.36-12.55, P=0.012) and the monitored MSM recruited by the snowball sampling method (OR=0.217, 95%CI:0.09-0.53, P=0.001). Conclusions It is necessary to enhance interventions and promote condom use among MSM with the education level of junior middle school or below, the unmarried or divorced MSM and the monitored MSM recruited by the snowball sampling method and so as to decline the transmission of HIV among MSM group.
丁力,王维佳,姚恩龙,张维义,白香莲. 红河州2010-2014年MSM人群艾滋病相关行为变化趋势及安全套使用影响因素分析[J]. 实用预防医学, 2017, 24(4): 437-441.
DING Li, WANG Wei-jia, YAO En-long, ZHANG Wei-yi, BAI Xiang-lian. Changing tendency of HIV-related behavior and influencing factors of condom use among MSM in Honghe Prefecture, 2010-2014. , 2017, 24(4): 437-441.
2017, Vol. 24 
