乌鲁木齐市HIV阴性男男性行为人群自费人乳头瘤病毒疫苗接种意愿分析

田恬; 桑国耀; 张发东; 蔡爱杰; 黄冰雪; 阿比旦·艾尼瓦尔; 王辉; 戴江红

doi:10.11847/zgggws1115544

乌鲁木齐市HIV阴性男男性行为人群自费人乳头瘤病毒疫苗接种意愿分析

Willingness to receive human papiilomavirus vaccination and its related factors among HIV-negative men who have sex with men

摘要

摘要:
目的了解乌鲁木齐市男男性行为人群（MSM））人乳头瘤病毒（HPV）疫苗接种意愿及影响因素。
方法 2016年3 — 9月，在乌鲁木齐市采用滚雪球的非概率抽样方法，招募500名HIV阴性的MSM，对其进行问卷调查，收集其人口学和性行为特征资料、HPV疫苗接种意愿。
结果 500名MSM中，95.2 %的人愿意接种免费的HPV疫苗，68.6 %的人愿意自费购买HPV疫苗，免费疫苗与自费疫苗接受率间差异有统计学意义（x² = 31.556，P < 0.01）。多因素logistic回归分析显示，文化程度为高中及以下的MSM相对于文化程度为本科及以上的MSM更不愿意接种自费HPV疫苗（OR = 0.375，95 % CI = 0.229～0.616）；曾被诊断为性病的MSM相对未曾被医生诊断为性病的MSM更愿意接受自费HPV疫苗（OR = 2.067，95 % CI = 1.949～4.919）。
结论男男性行为人群有较高的自费HPV疫苗接种意愿，可在该人群中推广有偿HPV疫苗。

Abstract:
Objective To investigate the willingness to receive human papilloma virus (HPV) vaccination and its influencing factors among men who have sex with men (MSM) in Urumqi city.
Methods Totally 500 MSM aged 18 years or older were recruited with snowballing sampling in Urumqi city between March and May, 2016. A questionnaire survey was conducted among the participants to collect information on demographics, sexual behavior, and the willingness to receive HPV vaccination.
Results Of the participants, 95.2 % reported the willingness to receive HPV vaccine free of charge and 68.6 % were willing to have a self-paid HPV vaccine, with a significant difference between the two ratios (P < 0.01, χ² = 31.556). Multivariate logistic regression analyses indicated that the major risk factors for the willingness to receive self-paid HPV vaccine were education level (senior high school and lower vs. college and higher: odds ratio OR = 0.375, 95 % confidence interval 95 % CI: 0.229 – 0.616) and history of sexually transmitted infections STIs (yes vs. no: OR = 2.067, 95 % CI: 1.949 – 4.919).
Conclusion The MSM in Urumqi city have a high willingness to receive self-paid HPV vaccine and charged HPV vaccination could be carried out in the population.

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