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目的了解福建省男男性行为人群(MSM)艾滋病病毒(HIV)抗体阳性者的高危行为特征。方法对2013年7月至2014年6月在福建省福州、泉州、厦门市新发现的、经男男同性性传播、可随访到的HIV阳性者进行流行病学问卷调查,调查内容包括性行为特征、既往检测史和性病史等。结果共调查277人,平均年龄29.5岁,未婚居多(79.1%),≥大专学历占46.6%,职业多样。88.8%的受访者有多性伴,累计同性性伴数6人(中位数),最近3个月与固定性伴、临时性伴的安全套使用率分别为37.6%、41.1%。32.9%有双性性行为,60.7%之前从未检测过HIV,68.2%首次CD_4~+T淋巴细胞<500个/mm~3。28.9%有性病史。结论 MSM人群中HIV抗体阳性者普遍存在不安全性行为且缺乏主动检测意识,需进一步加强宣传教育和行为干预,争取早发现感染者,以减少HIV传播。
Objective To investigate the high-risk behavior of HIV-positive men who have sex with men who have sex with men (MSM) in Fujian Province. Methods The epidemiological survey of HIV-positive newly discovered, sexually transmitted, and follow-up HIV-positive men and women in Fuzhou, Quanzhou and Xiamen City of Fujian Province from July 2013 to June 2014 was conducted. The survey included sexual behavior Characteristics, past history of detection and venereal disease history. Results A total of 277 people were surveyed, with an average age of 29.5 years old and mostly unmarried (79.1%), with a tertiary education of 46.6% and various occupations. 88.8% of respondents have multiple sex partners, the cumulative number of same sex partners 6 (median), the last 3 months with fixed partners, temporary partners condom use were 37.6%, 41.1%. 32.9% had a bisexual behavior, 60.7% had never tested HIV before, and 68.2% had a first history of CD_4 ~ + T lymphocytes <500 / mm ~ 3.28.9%. Conclusion There is a widespread unsafe sex among HIV-positive MSM patients and the lack of a sense of active detection. Publicity, education and behavior interventions need to be further strengthened to reduce the frequency of HIV transmission.