摘要
目的:了解广陵区男男性行为人群(MSM)的艾滋病/性传播疾病的感染状况与主要危险行为。方法:2008年5月至2009年6月通过志愿者招募和网络招募,对符合要求的愿意接受调查的男男性行为人群开展面对面的问卷调查和HIV抗体、梅毒抗体检测,数据用SPSS13.0软件进行分析。结果:共调查750例对象,平均年龄33.47岁;婚姻状况以已婚/同居占52.80%;以外地户籍流入本地者为多,占62.07%;艾滋病防治知识知晓率达84.2%;主要通过浴室和互联网途径寻找男性性伴,占64.53%;平均首次性行为年龄为21.56±5.40岁、首次男性性行为年龄为26.50±8.87岁;有50.55%的调查对象自述半年内与男性肛交时未坚持使用安全套,有31.64%的调查对象自述最近一次与男性肛交时未使用安全套;最近半年与女性有性接触者占53.96%,其中仅有20.94%的人坚持使用安全套,最近一次性行为中安全套使用率仅有29.66%;抗-HIV阳性率为9.33%,梅毒抗体阳性率为22.80%;其中梅毒抗体阳性者的HIV感染率高于阴性者(2χ=19.39,P<0.005);年龄>30岁、近半年男性性伴≥2个者,HIV感染率高于年龄≤30岁、近半年男性性伴≤1个者(2χ=5.61,P<0.05,χ2=3.84,P<0.05)。结论:广陵区男男性行为人群HIV及梅毒感染率较高,需进一步在该人群中开展高危行为干预工作,同时要积极发挥同伴宣传教育的作用,让MSM把健康作为自身重要需求之一,自觉改变自己的高危行为。
Objective：To know the HIV/STD epidemic among MSM in Guanglin, Yangzhou, and analysis the risk factors relate to HIV/STD. Method： The target population was recruited by volunteers and online from May 2008 to June 2009, and then the MSM who met the needs of the recruitment accepted the face to face interview, also, the HIV and syphilis were test- ed. Software SPSS13. 0 was used to analyze the date. Results： A total of 750 MSM attended the survey, with an average age of 33.47 years; the MSM who had married or living with account for 52.80% ; the result shows that most of the MSM are imported from the other places except Yangzhou. The HIV related knowledge covered 84.2% in MSM; most MSM looking for sexual partners in bathhouse and on Internet. The average ages for first time had sex behavior are 21.56± 5.40, for the first time had sex with men is 26.50 ±8.87. About 50. 55% of MSM stated that they did not insist on using condom when they had sex with men in the past 6 months. 53. 96% of MSM stated that they once had intercourse with women in the past 6 months, among them, only 20. 94% of MSM insisted on using condom when they had intercourse with women. The prevalence of HIV among MSM is 9.33% in Yangzhou, with the prevalence of syphilis is 22.80%. The prevalence of HIV among syphilis positive MSM is higher than syphilis negative MSM （χ2=19.39, P〈0. 005）. HIV infection rate in MSM who had ≥2 partners in recent 6 months with ages 〉30 years, is higher than those MSM who had 41 partner in recent 6 months with ages 430 years （χ2= 5.61, P〈0. 05, χ2=3. 84, P〈0. 05）. Conclusion： The prevalence of HIV and syphilis among MSM in Guangling is higher, and more intervention should be conducted among those population; beside this, we should let the peer education playing more important role in the future, and let the MSM to understand that the health is a critical need to them, and let them tochange their high-risk behaviors by themselves.
出处
《江苏预防医学》
CAS
2010年第2期4-7,共4页
Jiangsu Journal of Preventive Medicine
基金
江苏省预防医学基金项目(Y200712)
