Objective: To understand the knowledge awareness and service acceptance of HIV non-occupational post-exposure prophylaxis (nPEP) men who have sex with men (MSM) among college students in three cities of China. Methods: Male college students in 10 universities of Beijing, Shenzhen and Kunming aged 18 and above who had sex with men in the last 3 months were recruited as research objects by cluster stratified sampling from March 15, 2019 to April 14, 2019.Basic information, sexual behavior characteristics, knowledge, and service acceptance of nPEP were collected through online questionnaire survey. Multivariate dichotomy and unconditioned logistic regression model was used to explore related factors about knowledge awareness and service acceptance of nPEP. Results: A total of 293 MSM were surveyed. The average age was (21.0±0.2) years old, and 91.1% (267) were undergraduates. In the last 3 months before the survey, 54.3%(159) used condom each time of sex; 4.4%(13) had intercourse with the HIV infected men, and 9.2% (27)suffered STDs in the past 6 months. The 29.4% (86) had not received HIV testing in the past year. The nPEP knowledge awareness rate was 47.8% (140). The 21.2% (62) counseled nPEP services, and 9.9% (29) received nPEP services. After multiple logistic regression analysis, compared with those who not received HIV testing in the past year, OR (95%CI) value of those who received HIV testing for more than twice in the past year to aware the nPEP knowledge was 3.15 (1.01-9.86). Compared with those who not received HIV testing in the past year, OR (95%CI) value of those who received HIV testing for more than twice in the past year to counsel the nPEP services was 5.29 (1.51-18.51). Compared with those who never used rush in the last 3 months, OR(95%CI) value of those who ever used rush in the last 3 months to receive the nPEP services was 3.86 (0.99-14.98). Compared with those who not sexed with HIV infected in the last 3 months, OR (95%CI) value of those who sexed with HIV infected in the last 3 months to receive the nPEP services was 14.30 (3.35-61.03). Conclusion: The proportions of awareness of nPEP knowledge and acceptance of nPEP services are low. MSM among college students need further health education of the nPEP knowledge to improve the accessibility of services.
目的： 了解我国三城市青年学生男男性行为人群（MSM）对艾滋病暴露后药物预防（nPEP）知识知晓和接受服务情况及其相关因素。 方法： 于2019年3月15日至4月14日，在北京、深圳、昆明3个城市，采用整群分层抽样方法选择10所大学，招募其中年龄在18周岁及以上，近3个月有过男男性行为者为研究对象。采用网上问卷调查方式收集基本情况、性行为特征、nPEP知识知晓和接受服务情况。采用多因素二分类非条件logistic回归模型分析nPEP知识知晓和接受服务的相关影响因素。 结果： 293名研究对象年龄为（21.0±0.2）岁，本科占91.1%（267名）。研究对象近3个月，每次性行为都使用安全套的占54.3%（159名），与感染HIV的男性发生性行为的占4.4%（13名），近6个月患性病的占9.2%（27名），近1年内未进行过HIV检测占29.4%（86名）。nPEP知识知晓比例为47.8% （140名），21.2%（62名）求询过nPEP，9.9%（29名）接受过nPEP。与近1年内未检测HIV相比，HIV检测次数超过2次的nPEP知识知晓的OR（95%CI）值为3.15（1.01~9.86），HIV检测次数超过2次的求询nPEP的OR（95%CI）值为5.29（1.51~18.51）；与近3个月男男性行为中未使用rush的相比，使用rush者接受nPEP服务的OR（95%CI）值为3.86（0.99~14.98）；与和未感染HIV的男性发生性行为相比，和感染HIV的男性发生性行为者接受nPEP服务的OR（95%CI）值为14.30（3.35~61.03）。 结论： 青年学生MSM对nPEP知识知晓和接受nPEP服务的比例较低。在青年学生MSM中应开展nPEP知识教育和服务信息的宣传，提高服务的可及性。.
Keywords: College student; Cross-sectional studies; HIV; Men who have sex with men.