| Abstrakt: |
Objective To understand the HIV infection risk perception bias and its related influencing factors among young men who have sex with men (MSM) in Shandong Province, so as to provide reference for making feasible HIV health education plans. Methods From April to July, 2022, young MSM were recruited in six cities in Shandong province, and a questionnaire survey was conducted and blood samples were collected to collect demographic characteristics, HIV risk perception and risk behavior of MSM. Logistic regression model was used to analyze the influencing factors of HIV infection risk perception bias among young MSM. Results A total of 978 MSM were investigated, of which 85%(831/978) were over 20 years old, 97.6%(955/978) were unmarried/divorced or widowed, 61.1%(598/978) were college educated, 2.6% (25/978) were positive for HIV antibody and 3.6%(35/978) for syphilis antibody. 47.1%(461/978) had HIV infection risk perception bias, of which 54.0%(249/461) underestimate the risk and 46.0%(212/461) overestimate the risk. Logistic regression analysis showed that unmarried/divorced/widowed (OR = 11.693, 95%CI: 1.546-88.407) and having no or low risk of new drugs (OR = 2.041, 95%CI: 1.477-2.825) were the risk factors for underestimating the risk. Household registration in Shandong province (OR = 2.618, 95%CI: 1.397-4.902), college education or above (OR = 1.728, 95%CI: 1.206-2.475), homosexuality (OR = 2.532, 95%CI: 1.093-5.845), having general or high risk of new drugs(OR = 8.323, 95%CI: 4.602-15.052), who had not received AIDS intervention (OR = 2.288, 95%CI: 1.224-4.292) and had not taken preventive drugs before exposure (OR = 11.905, 95%CI: 3.663-38.462) were the risk factors for overestimating the risk. Conclusion HIV infection risk perception bias among young MSM in Shandong Province is high, and HIV risk behaviors are widespread. It is necessary to strengthen the education of MSM who have low self-rated HIV infection risk but have high-risk behaviors, improve risk awareness and reduce the occurrence of dangerous behaviors. [ABSTRACT FROM AUTHOR] |
