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目的了解男男性行为人群艾滋病感染状况,分析其影响因素,为开展男男性行为人群艾滋病防治工作提供依据。方法使用同伴推动抽样法招募研究对象,由经过专门培训的人员进行问卷调查,使用酶联免疫吸附试验进行艾滋病病毒抗体筛查,使用蛋白印迹试验进行艾滋病病毒确证,使用Epi Data3.2建立数据库,采用SPSS17.0进行统计分析。结果调查对象艾滋病防治知识知晓率为81.86%;63.93%男男性行为人群通过网络寻找性伴;最近6个月发生过肛交性行为的占81.57%,通过付钱的方式得到过男性提供的性服务的占3.48%,为了得到钱为男性提供过性服务的占6.53%,与女性发生过性关系的占27.36%,有过吸毒行为的占0.73%;最近1年出现过性病相关症状的占6.75%;艾滋病、梅毒和丙肝的感染率分别为2.18%、6.75%和1.23%。结论男男性行为人群普遍存在高危行为;艾滋病感染率呈逐年上升的趋势;多性伴等不安全性行为是性病、艾滋病感染的主要影响因素。
Objective To understand the status of HIV / AIDS among men who have sex with men (MSM) and analyze its influencing factors so as to provide basis for HIV / AIDS prevention and control among MSM. Methods Using peer-driven sampling method, the subjects were enrolled. Questionnaires were conducted by specially trained personnel, HIV antibody screening by enzyme-linked immunosorbent assay (ELISA), HIV confirmation by Western blotting, database construction by Epi Data3.2, Using SPSS17.0 for statistical analysis. Results The awareness rate of AIDS prevention and control among the surveyed subjects was 81.86%. 63.93% of men who had masculine gender were searching for partners through internet. 81.57% of them had anal sex in the past 6 months. They also received men’s sexual services through paying money Accounted for 3.48%, in order to get money for men to have sex services accounted for 6.53%, had sex with women accounted for 27.36%, had drug abuse behavior accounted for 0.73%; the last 1 years had sexually transmitted diseases-related symptoms accounted for 6.75 %; AIDS, syphilis and hepatitis C infection rates were 2.18%, 6.75% and 1.23%. Conclusions The prevalence of MSM is at high risk. The prevalence of HIV infection is increasing year by year. The unsafe sex behaviors such as multiple sexual partners are the main influencing factors of STD and HIV infection.