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目的 掌握沈阳市男同性恋人群性病艾滋病相关知识、态度及行为等现状 ,为制定有针对性的干预措施提供依据。方法 采用横断面调查和追踪调查相结合的方式 ,对 342名出入酒吧的男同性恋者进行问卷调查及自愿检测。结果 调查对象年龄较轻 ,文化程度普遍较高 ,但艾滋病相关知识较缺乏 ,知识来源主要为电视、报纸及互联网 ,5 9.1%的人进行了HIV及梅毒检测 ,其中抗HIV阳性率为 1% ,梅毒 (TPPA)阳性率为 2 0 .8% ,11.7%认为自己很可能被感染HIV ,4 7.1%觉得有 5 0 %的可能性。首次性行为年龄中位数为 18岁 ,性伴数较多 ,平均为 4 .4个 ,且近半年 36 .3%的人有过女性性伴。 91.5 %近半年内有过肛交史 ,每次均使用安全套者只占 11.1% ,不用的原因是不喜欢或没必要。结论 本次调查的男同性恋者感染及传播艾滋病的危险行为普遍存在 ,相关知识知晓率低 ,安全套使用率低 ,该人群中已经具备了艾滋病流行的条件 ,应立即采取有效的措施加以控制 ,扭转其流行态势
Objective To grasp the current status of STD / AIDS related knowledge, attitude and behavior among gay men in Shenyang and to provide the basis for the formulation of targeted interventions. Methods A cross-sectional survey and follow-up survey were conducted to conduct a questionnaire survey and voluntary testing on 342 gay men who were out of the bar. Results The respondents were younger and had a higher level of education. However, AIDS-related knowledge was scarce. The main sources of knowledge were television, newspapers and Internet. HIV and syphilis were detected in 51.9% of the respondents, of which the anti-HIV positive rate was 1% . The positive rate of syphilis (TPPA) was 20.8%, 11.7% thought they were most likely to be infected with HIV, and 7.1% thought it was 50% more likely to be infected. The median age at first sexual intercourse was 18 years old, and the number of sexual partners was large, with an average of 4. 4, and 36.3% of them had female partners in the past six months. 91.5% had a history of anal intercourse within the past six months, only 11.1% of them used condoms each time. The reason for not using them is that they do not like or need it. Conclusions The risk of homosexuals infection and transmission of AIDS in this investigation is widespread. The awareness rate of related knowledge is low and the rate of condom use is low. This population already has the conditions of AIDS epidemic. Effective measures should be taken immediately to control and reverse Its prevailing situation