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山东大学学报 (医学版) ›› 2021, Vol. 59 ›› Issue (3): 113-119.doi: 10.6040/j.issn.1671-7554.0.2020.1586

• 公共卫生与管理学 • 上一篇    下一篇

男男性行为人群性取向告知与艾滋病病毒检测:社会规范与自我效能的链式中介作用

林玉玺,李传玺,王霖,马伟   

  1. 山东大学齐鲁医学院公共卫生学院流行病学系, 山东 济南 250012
  • 发布日期:2021-04-06
  • 通讯作者: 马伟. E-mail:weima@sdu.edu.cn
  • 基金资助:
    政府间国际科技创新合作重点专项(2017YFE0103800);国家科技重大专项(2018ZX10721102-003-004)

Sexual orientation disclosure and HIV testing uptake among men who have sex with men: chain mediating effect of HIV testing social norms and self-efficacy

LIN Yuxi, LI Chuanxi, WANG Lin, MA Wei   

  1. Department of Epidemiology, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan 250012, Shandong, China
  • Published:2021-04-06

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摘要： 目的 分析男男性行为人群(MSM)中性取向告知、艾滋病病毒(HIV)检测社会规范、HIV检测自我效能和HIV检测的关系。 方法 2019年8月至12月在山东省11个城市招募MSM并开展网络匿名调查,采用偏差校正的非参数百分位Bootstrap法进行链式中介效应分析。 结果 在调查的924名MSM中,37.1%(343/924)将自己的性取向告知医务工作者,83.8%(774/924)进行过HIV检测。Spearman秩相关分析表明,性取向告知、HIV检测社会规范、HIV检测自我效能和HIV检测之间两两呈正相关(P<0.05)。Bootstrap链式中介效应检验表明,性取向告知与HIV检测的关系中,HIV检测自我效能的中介作用大小为0.163(95%CI:0.075~0.283),HIV检测社会规范和自我效能的链式中介作用大小为0.022(95%CI:0.006~0.052)。 结论 艾滋病防治工作需要开展MSM人群性取向告知干预措施,并提高HIV检测社会规范和自我效能,以提高我国MSM人群HIV检测率。

关键词: 性取向告知, 艾滋病病毒检测社会规范, 艾滋病病毒检测自我效能, 艾滋病病毒检测, 男男性行为人群

Abstract: Objective To explore the relationship among sexual orientation disclosure, social norms, self-efficacy and uptake of human immunodeficiency virus(HIV)testing among men who have sex with men(MSM). Methods Participants were recruited in 11 cities of Shandong Province during Aug. and Dec., 2019, and were investigated with an anonymous online survey. The chain mediating effect was analyzed with non-parametric bootstrap method with bias correction. Results Among 924 participants, 37.1%(343/924)disclosed their sexual orientation to health professionals and 83.8%(774/924)had received HIV testing. Spearman correlation analysis showed that there was significantly positive correlation between sexual orientation disclosure, HIV testing social norms, HIV testing self-efficacy and HIV testing uptake(P<0.05). Bootstrap test showed that between sexual orientation disclosure and HIV testing uptake, the mediating effect of HIV testing self-efficacy was 0.163(95%CI: 0.075-0.283), and the chain mediating effect of HIV testing social norms and self-efficacy was 0.022(95%CI: 0.006-0.052). Conclusion It is necessary to carry out MSM sexual orientation disclosure intervention and improve HIV testing social norms and self-efficacy to promote HIV testing uptake among MSM in China.

Key words: Sexual orientation disclosure, HIV testing social norms, HIV testing self-efficacy, HIV testing, Men who have sex with men

中图分类号: 

  • R181.3
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