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目的探讨石家庄市男男性接触者同性固定性伴的维持时间及影响因素,为科学制定艾滋病预防控制措施提供依据。方法通过“滚雪球”、网络发布信息、艾滋病自愿咨询检测门诊招募MSM对象,采用面对面调查方式收集信息。结果 434例MSM进行有效问卷调查,其中HIV阳性49例,阳性检出率为11.29%。294例(67.74%)曾经有过同性固定性伴。拥有同性固定性伴数最多的为15个,最少的为1个,中位数为1个(25%分位数为1个,75%分位数为2个)。与同一名同性固定性伴保持时间最长的为168个月,最短的为3个月,中位数为13.5个月(25%分位数为6.75个月,75%分位数为24个月)。多因素结果显示,是否与网友见面、首次同性性行为至今时间、性角色、是否接受过艾滋病咨询检测是固定性伴保持时间的影响因素(P<0.05)。结论 MSM固定性伴保持时间较短,尽早开展对MSM的艾滋病宣传教育,特别是上网者的宣传教育,对于增强MSM固定性伴关系的稳定,降低HIV感染有积极作用。
Objective To investigate the maintenance time and influential factors of same sex partners in men who have sex with men (MSM) in Shijiazhuang and to provide basis for scientifically formulating AIDS prevention and control measures. Methods The MSM object was recruited through Snowball, web publishing and AIDS voluntary counseling and testing clinic, and the information was collected by face-to-face investigation. Results A total of 434 cases of MSM were investigated by questionnaire, of which 49 cases were HIV positive, the positive rate was 11.29%. 294 cases (67.74%) had same sex partners. The number of same-sex fixed partners is 15, with a minimum of 1 and a median of 1 (25% quantile, 75% quantile, 2). The longest stay with the same same-sex fix was 168 months, the shortest was 3 months and the median was 13.5 months (25% quantile was 6.75 months, 75% quantile was 24 month). Multivariate results showed that whether or not to meet with friends, the first time since the same sex behavior, sexual roles, whether AIDS counseling and testing is fixed sexual partner retention time (P <0.05). Conclusion MSM immobility has a short holding time, so it is of great importance to carry out MSM HIV / AIDS publicity and education as soon as possible, especially for those who have internet users. It has a positive effect on enhancing MSM sexual partners stability and reducing HIV infection.