[西藏自治区女性性工作者和男男性行为者丙型肝炎防治知识及相关因素分析]

Q1 Medicine
Dorji Wangmo, X Y Zhao, J Sun, J Peng, S R Li, N Pang, X D Wu, H Q Gong, Y Li, Y Yang
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引用次数: 0

摘要

目的:了解西藏自治区(西藏)女性性工作者(FSW)和男男性行为者(MSM)两类人群的丙型肝炎防治知识及其相关因素,为后续丙型肝炎宣传教育策略的制定提供依据。方法:于2021年8 - 9月对西藏省4个地区5个区(县)的1244名FSW和234名MSM进行专项调查。采用一对一面对面问卷调查,采用χ 2检验和logistic回归分析FSW和MSM对丙型肝炎防治意识的相关因素。结果:FSW和MSM对丙型肝炎防治知识的知知率分别为35.0%(436/1 244)和11.1%(26/234)。多因素logistic回归分析显示,女性女性对丙型肝炎防治知识知知度的正相关因素为高中、中专以上学历(aOR=4.72, 95%CI: 3.30 ~ 6.74)、大专及以上学历(aOR=2.24, 95%CI: 1.58 ~ 3.18)、自我感知有丙型肝炎感染风险(aOR=1.87, 95%CI: 1.43 ~ 2.45)、已婚或同居(aOR=0.58, 95%CI: 1.45)。0.35-0.95),离婚或无窗(aOR=0.44, 95%CI: 0.27-0.72),在最近的商业性活动中未使用安全套(aOR=0.54, 95%CI: 0.43-0.69)。MSM对丙型肝炎防治知识知知度的阳性相关因素为年龄≥40岁(aOR=8.65, 95%CI: 3.19 ~ 23.42)、有自我认知的HCV感染风险(aOR=6.25, 95%CI: 2.50 ~ 15.61)。结论:2021年西藏省FSW和MSM人群对丙型肝炎防治的知晓率较低,亟待提高。应根据这两类人群的特点,制定有针对性的宣传策略,加大宣传力度,扩大知识宣传覆盖面,普及丙型肝炎临床表现、治疗方案、传播途径等要点,并开展必要的警示教育。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Analysis of knowledge and related factors regarding hepatitis C prevention and treatment among female sex workers and men who have sex with men in the Xizang Autonomous Region].

Objective: To investigate the knowledge of hepatitis C prevention and treatment and related factors among two groups of female sex workers (FSW) and men who have sex with men (MSM) in the Xizang Autonomous Region (Xizang) to provide a basis for the subsequent development of Hepatitis C publicity and education strategies. Methods: From August to September 2021, a special survey was conducted among 1 244 FSW and 234 MSM in 5 districts (counties) of 4 regions in Xizang. A one-on-one face-to-face questionnaire survey was adopted, and the χ² test and logistic regression were used to analyze the related factors of awareness of hepatitis C prevention and treatment among FSW and MSM. Results: The awareness rates of hepatitis C prevention and treatment knowledge among FSW and MSM were 35.0% (436/1 244) and 11.1% (26/234), respectively. Multivariate logistic regression analysis revealed that the positive related factors of FSW' awareness of hepatitis C prevention and treatment knowledge among those who had high school or technical secondary school education (aOR=4.72, 95%CI: 3.30-6.74) and college education or above (aOR=2.24, 95%CI: 1.58-3.18), those who experienced self-perceived risk of HCV infection (aOR=1.87, 95%CI: 1.43-2.45), negative related factors included married or cohabiting (aOR=0.58, 95%CI: 0.35-0.95), divorce or windowless (aOR=0.44, 95%CI: 0.27-0.72), no condom was used in the most recent commercial sexual activity (aOR=0.54, 95%CI: 0.43-0.69). The positive related factors of MSM's awareness of hepatitis C prevention and treatment knowledge were over 40 years old (aOR=8.65, 95%CI: 3.19-23.42) and having a self-perceived risk of HCV infection (aOR=6.25, 95%CI: 2.50-15.61). Conclusions: The awareness rate of hepatitis C prevention and treatment among FSW and MSM was relatively low in Xizang in 2021 and urgently needs to be improved. It is necessary to formulate targeted publicity strategies based on the characteristics of these two groups of people, increase publicity efforts, and expand the coverage of knowledge publicity to popularize key points about the clinical manifestations, treatment options, and transmission routes of hepatitis C, and carry out necessary warnings and education.

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来源期刊
中华流行病学杂志
中华流行病学杂志 Medicine-Medicine (all)
CiteScore
5.60
自引率
0.00%
发文量
8981
期刊介绍: Chinese Journal of Epidemiology, established in 1981, is an advanced academic periodical in epidemiology and related disciplines in China, which, according to the principle of integrating theory with practice, mainly reports the major progress in epidemiological research. The columns of the journal include commentary, expert forum, original article, field investigation, disease surveillance, laboratory research, clinical epidemiology, basic theory or method and review, etc.  The journal is included by more than ten major biomedical databases and index systems worldwide, such as been indexed in Scopus, PubMed/MEDLINE, PubMed Central (PMC), Europe PubMed Central, Embase, Chemical Abstract, Chinese Science and Technology Paper and Citation Database (CSTPCD), Chinese core journal essentials overview, Chinese Science Citation Database (CSCD) core database, Chinese Biological Medical Disc (CBMdisc), and Chinese Medical Citation Index (CMCI), etc. It is one of the core academic journals and carefully selected core journals in preventive and basic medicine in China.
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