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男男性行为人群艾滋病知识、行为及HIV和梅毒感染调查

Prevalence of HIV/syphilis infection and knowledge,behaviors of STD/AIDS among men who have sex with men in Xuchang city

  • 摘要: 目的了解河南省许昌市男男性行为人群(MSM)艾滋病知识、行为及艾滋病/梅毒感染状况,为针对性地开展MSM人群艾滋病防治工作提供依据。方法采用滚雪球方法,对436名MSM人群进行匿名问卷调查,并进行艾滋病/梅毒的血清学检测。结果许昌市MSM人群艾滋病知识知晓率为80.50%(351/436);调查对象最近6个月同性性行为的性伴数平均为2.46个,保持1个同性性伴者所占的比例仅29.32%(107/365),最近6个月同性肛交每次均用安全套的频率为22.47%(82/365)、最近一次同性肛交的安全套使用率为52.05%(190/365);艾滋病知识知晓者和非知晓者在安全套使用率、性伴数差异均无统计学意义;HIV抗体和梅毒阳性检出率分别为6.19%、11.24%。结论许昌市MSM人群多性伴、低安全套使用率、知识-行为分离现象普遍,艾滋病和梅毒感染率高。

     

    Abstract: ObjectiveTo examine the prevalene of and high risk behavior related to human immunodeficency virus/syphilis infection among men who have sex with men(MSM),and to provide scientific evidence for prevention and control of AIDS in MSM.MethodsThe MSM were recruited with snowball method.An anonymous questionnaire survey was conducted and blood samples were collected for HIV/syphilis tests among the MSM.ResultsThe overall awareness rate of human immunodeficiency virus was 80.50%(351/436);the average number of home-sex sexual partner was 2.46 in the latest six months and only 29.32%(107/365)of the MSM had one homosexual partner.The condom use rate was 22.47%(82/365)for the MSM with homosexual anal sex in the latest months and the rate was 50.05%(190/365)in the latest homosexual anal sex among the MSM.The positive rate for HIV antibody and syphilis rapid plasma regain was 6.19% and 11.24%,respectively.ConclusionThe high-risk behaviors of more homosexual partners and low condom use were common and the prevalences of HIV/syphilis infection were high among MSM in Xuchang city.

     

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