【摘要】 目的探讨太原市男男性行为人群(MSM)的认知态度对安全套使用行为和意向的影响。方法采用横断面研究设计,于2008年5至7月,对太原市城区范围内139名MSM的认知态度、安全套使用行为和意向进行问卷调查和分析。结果139名调查对象中,69.8%过去6个月有多个同性性伴,45.3%曾与异性发生性行为,21.6%有多个异性性伴;过去6个月与同性发生肛交性行为时坚持使用安全套的比例为50%,与异性发生性行为时该比例为31.7%;48.9%有坚持使用安全套意向。多因素Logistic回归分析结果显示,过去6个月与同性发生肛交性行为时坚持使用安全套有关的因素是,感知的安全套使用障碍(OR0.709,95%CI0.521-0.965);与坚持使用安全套意向有关的因素是,感知的艾滋病易感性(OR2.259,95%CI1.303-3.918)和安全套使用自我效能(OR5.128,95%CI2.989-8.798)。结论调查对象多性伴和非保护性行为较为普遍,认知态度是安全套使用行为和意向的影响因素。更多还原

【Abstract】 Objective To explore the impact of personal beliefs on condom using behavior and intention among men who have sex with men(MSM)in Taiyuan city.Methods A cross-sectional survey was conducted to assess personal beliefs and condom using behavior and intention among 139 MSM recruited in downtown area of Taiyuan city,Shanxi province from May to July,2008.Results Among 139 interviewees,69.8% reported more than 1 male sex partner during the past 6 months,45.3% had female sex partners and 21.6% had multiple female partners;50% reported consistent condom use when having anal sex with men during the past 6 months and 31.7% with women for those who had female sex partners;48.9% had intention to use condom consistently.Data from multivariate logistic regression analysis showed that the main factor related to consistent condom using when having anal sex with men during the past 6 months was perceived condom using barriers(OR 0.709,95%CI 0.521-0.965),and factors related to the intention of condom use were perceived HIV susceptibility(OR 2.259,95%CI 1.303-3.918)and condom use related self-efficacy(OR 5.128,95%CI 2.989-8.798).Conclusion HIV risk behaviors were commonly existing among MSM interviewed while personal beliefs had impact on condom using behavior and intention.更多还原