沈阳市男同性恋者性病艾滋病相关KABP分析*
Survey of knowledge, attitude, behavior and practice related to STI/HIV among male homosexuality in Shenyang
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摘要:目的 掌握沈阳市男同性恋人群性病艾滋病相关知识、态度及行为等现状, 为制定有针对性的干预措施提供依据。方法 采用横断面调查和追踪调查相结合的方式, 对342名出入酒吧的男同性恋者进行问卷调查及自愿检测。结果 调查对象年龄较轻, 文化程度普遍较高, 但艾滋病相关知识较缺乏, 知识来源主要为电视、报纸及互联网, 59.1%的人进行了HIV及梅毒检测, 其中抗HIV阳性率为1%, 梅毒(TPPA)阳性率为20.8%, 11.7%认为自己很可能被感染HIV, 47.1%觉得有50%的可能性。首次性行为年龄中位数为18岁, 性伴数较多, 平均为4.4个, 且近半年36.3%的人有过女性性伴。91.5%近半年内有过肛交史, 每次均使用安全套者只占11.1%, 不用的原因是不喜欢或没必要。结论 本次调查的男同性恋者感染及传播艾滋病的危险行为普遍存在, 相关知识知晓率低, 安全套使用率低, 该人群中已经具备了艾滋病流行的条件, 应立即采取有效的措施加以控制, 扭转其流行态势。Abstract:Objective To investigate the KABP related to STI/HIV and describe the high risk behaviors that can cause AIDS epidemic among men who have sex with men in Shenyang.Methods 342 male homosexuality were surveyed in the bars using copies of a questionnaire and conducted voluntary test.Results Most of the participants were well educated, but had poor knowledge of STI/HIV, and they obtained the knowledge by watching TV or reading newspapers or through internet.59.1% were tested for HIV antibody and syphilis, 2 MSM were reported HIV antibody positive(1%)syphilis infected rate were 20.8%.11.7% participants considered themselves had high criticality, and 47.1% reckoned maybe had half possibility of infection.The median age of the first sex was 18 years, average number of male sex partners was 4.4, and 36.3% of the participants had female in the past six months.91.5% had unprotected anal intercourse with male partners within the nearest six months.Only 11.1% of them reported consistent condom use with their male sex partners.The main reasons of not using condom were unlike or unnecessary.Conclusion High-risk sexual behaviors were ubiquitous among MSM, poor knowledge of STI/HIV and low rate of condom using made it feasible occurring potential HIV epidemic in this population.It was imperative to carry out targeted interventions for MSM to turne the tide.
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