浙江省台州地区男男性行为人群艾滋病病毒感染及艾滋病相关危险行为横断面调查
Cross-sectional investigation on HIV prevalence and HIV related risk behavior among men who have sex with men in Taizhou, Zhejiang
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摘要: 目的 了解浙江省台州地区男男性行为人群中艾滋病相关危险行为状况及艾滋病病毒(HIV)感染状况。 方法 于2012年1月至2012年8月31日对台州地区到浴室、浴池、酒吧或通过网络招募的男男性行为者(MSM),以面对面访问的方式开展艾滋病相关行为横断面调查。 结果 共312名MSM人群参与此次调查,其中已婚143人,占45.8%,本省户籍205人,占65.7%,312名MSM中艾滋病相关知识知晓率为89.1%。312名MSM者中,最近6个月与同性发生过肛交性行为的253人,占81.1%;最近一次性行为使用安全套的155人,占61.3%;每次都用的7人,仅占2.77%。最近6个月与女性发生过性行为的106人,占33.97%,最近一次性行为使用安全套的38人,占35.9%。发生商业性行为时每次使用18.9%(20/106)。312名MSM接受了血清学检测,其中HIV阳性50例,阳性检出率为16.0%,梅毒阳性42例,阳性检出率为13.5%,丙肝阳性1例,阳性检出率为0.3%。 结论 尽管MSM人群艾滋病防治知识知晓率较高,但艾滋病相关危险行为普遍存在,并存在通过与女性的性接触而传递到女性及相关人群的危险。Abstract: Objective To understand the HIV infection status and related risk behaviors among men who have sex with men (MSM) in Taizhou, Zhejiang province. Methods The questionnaire survey about HIV related risk behaviors and serological detection were conducted among the MSM in Taizhou from January to August 2012. Results Totally 312 MSM received the questionnaire survey and serological detection, among them 143 (45.8%) were married and 205 (65.7%) were local residents. The awareness rate of knowledge about HIV/AIDS among the MSM was 89.1%. Among the 312 MSM, 253 (81.1%) reported having sex with males, 155 (61.3%) used condom at the latest sex and only 7 (2.77%) used condom at each sex. In addition, 106 MSM (33.97%) reported having sex with females, 38 of them (35.9%) used condom at the latest sex and 26 (18.9%) used condom at each commercial sex. Among the 312 MSM receiving HIV, syphilis and HCV test, 50 (16.0%), 42 (13.5%) and 1 (0.3%) were positive respectively. Conclusion The awareness rate of knowledge about HIV/AIDS among the MSM was high, but HIV related behaviors were prevalent among them, indicating HIV transmission potential, even to female sexual partners.
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