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目的监测和评价保山市男男性行为(MSM)人群AIDS相关知识、行为及HIV流行状况,为行为干预提供参考。方法对保山市2012—2014年MSM人群进行问卷调查,采集血清标本进行HIV抗体检测,对调查和检测结果进行分析。结果 2012—2014年保山市MSM人群AIDS知识知晓率分别为97.0%、98.0%和70.0%。安全套使用率:过去6个月,与同性发生肛交性行为时使用率66.3%,与异性发生性行为时为66.4%;异性性行为以“在婚”者占比最高60.0%(66/110)。最近1年接受过同伴教育的比例63.3%;HIV感染率平均为6.7%,重阳率75.0%。结论 2012—2014年保山市MSM人群AIDS知识知晓率不稳定,知晓与行为有差距;坚持使用安全套占比和最近1年接受过同伴教育占比总体不高,需加大干预力度,提升干预效果,促进行为改变。
Objective To monitor and evaluate AIDS-related knowledge, behavior and HIV prevalence among men who have sex with men (MSM) in Baoshan, and to provide a reference for behavior intervention. Methods A questionnaire survey of MSM population from 2012 to 2014 in Baoshan City was conducted. Serum samples were collected for HIV antibody detection, and the results of investigation and test were analyzed. Results The awareness rate of AIDS among MSM population in Baoshan City from 2012 to 2014 was 97.0%, 98.0% and 70.0% respectively. Condom use rate: In the past 6 months, 66.3% had sex with same-sex anal sex and 66.4% with heterosexual sex. Heterosexual behavior accounted for the highest proportion of “married” 60.0% (66 / 110). 63.3% of them have received peer education in the recent year; the average HIV infection rate is 6.7% and the rate of heavy yang is 75.0%. Conclusion The awareness rate of AIDS knowledge among MSM population in Baoshan from 2012 to 2014 is unstable and there is a gap between knowledge and behavior. Insisting on the proportion of condom use and the share of companion education received in the last year is generally not high, intervention efforts need to be intensified to improve the intervention effect , To promote behavioral change.