陈树昶, 罗艳, 程洁, 丁建明, 戴耀忠, 许珂, 陈康凯, 陈卫永, 施世锋. 杭州市男男性接触者艾滋病风险监测结果分析[J]. 疾病监测, 2007, 22(3): 175-177. DOI: 10.3784/j.issn.1003-9961.2007.3.175
引用本文: 陈树昶, 罗艳, 程洁, 丁建明, 戴耀忠, 许珂, 陈康凯, 陈卫永, 施世锋. 杭州市男男性接触者艾滋病风险监测结果分析[J]. 疾病监测, 2007, 22(3): 175-177. DOI: 10.3784/j.issn.1003-9961.2007.3.175
CHEN Shu-chang, LUO Yan, CHENG Jie, DING Jian-ming , . Analysis on results of MSM behavioral surveillance on HIV/AIDS[J]. Disease Surveillance, 2007, 22(3): 175-177. DOI: 10.3784/j.issn.1003-9961.2007.3.175
Citation: CHEN Shu-chang, LUO Yan, CHENG Jie, DING Jian-ming , . Analysis on results of MSM behavioral surveillance on HIV/AIDS[J]. Disease Surveillance, 2007, 22(3): 175-177. DOI: 10.3784/j.issn.1003-9961.2007.3.175

杭州市男男性接触者艾滋病风险监测结果分析

Analysis on results of MSM behavioral surveillance on HIV/AIDS

  • 摘要: 目的 了解男男性接触者(MSM)艾滋病防治知识的知晓率和高危行为的发生率,为疫情预测和干预工作提供依据.方法 采用国家统一的行为监测问卷,通过多种方法进行匿名监测,包括直接到同性恋酒吧、桑拿浴池、公园等同性恋聚集地进行调查,以及通过滚雪球的方法和网络宣传吸引人群到自愿咨询检测点进行调查.结果 (1)25.55%的监测对象认为自己有感染艾滋病的风险,不同来源的监测对象自认为有感染风险的比例不同(2=40.45,P<0.0001);基本知识完全答对率为40.82%,不同来源的监测对象答对率差异有统计学意义(2=15.71,P=0.0013);65.75%的监测对象知道做艾滋病检测的地方,不同来源的监测对象间亦有统计学差异(2=8.01,P=0.0458).(2)67.40%的监测对象在半年内有过同性性伴,性伴数的中位数为3人;最近6个月有同性性行为的监测对象中,3.09%承认通过付钱的方式得到过男性提供的性服务,1.54%承认为了得到钱,为男性提供过性服务;11.51%的监测对象在半年内有女性伴侣.(3)84.89%的监测对象为防艾滋病愿意使用安全套.最近6个月肛交行为中,11.20%的人从未使用安全套,每次都使用的占45.56%;最近一次肛交时,使用安全套的比例为56.76%,未用安全套的比例为29.34%.结论 MSM群体对感染艾滋病的风险认识不足,感染艾滋病的危险行为还广泛存在,应该加强对浴室和公园等场所MSM人群的干预.

     

    Abstract: Objective This analysis was made to investigate the awareness rate of HIV/AIDS preventive knowledge and the rate of high risk behaviors among men who have sex with men (MSM), so as to provide early warning and make proper interventions to these groups. Methods With questionnaire provided by Chinese CDC, we investigated MSM anonymously, by going to venues like homosexual bars, sauna rooms or parks where they usually aggregate, or through snowball sampling and inviting them to voluntary counseling and testing services by distributing information on the Internet. Results Of all the subjects, 25.55% recognized that they were in the risk of contracting HIV, the difference among different groups had a statistical significance(x2=40.45, 0.0001). The complete correct rate of awareness of HIV/AIDS preventive knowledge was 40.82%, and with different rate among four groups (x2=15.71, =0.0013); 65.75% knew where to test the HIV infection, and the rates of four groups had statistical significance(x2=8.01, =0.0458). 67.40% had male partners in the past half year, with a medium number of 3. Of all those who had male partners, 3.09% admitted to pay for male sex, 1.54% admitted to sell sex to male; 11.51% had female partners in the past half year. 84.89% would like to use condom in order to prevent HIV infection. In the past half year. Those who have never used condom during anal intercourse with male partners accounted for 11.20%, and 45.56% used condom every time. During the latest anal intercourse with male partners, the percentage for using condom was 56.76%, and the percentage for not using condom was 29.34%.Conclusion MSM haven't fully recognized that they are in the risk of contracting HIV, and there are extensive risk behaviors among them. Interventions should be strengthened on the MSM in sauna rooms and parks.

     

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