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目的 对北京部分男男性接触者(men have sex with men,MSM)进行HIV/AIDS的KABP调查,为今后在MSM中开展干预工作奠定基础。方法 培训MSM中的志愿者,由他们到MSM活动场所酒吧、公园、浴池等地,对MSM进行自愿匿名的问卷调查,发放宣传品及安全套并提供自愿匿名的抗-HIV检测。结果MSM中固定性伴比例较低(36.9%),多性伴现象较普遍,一半以上的MSM(53.8%)与女性有过性接触;安全套使用率低;每次都用的进行口交者为6.2%,接受口交者为6.5%,进行肛交者为30.9%,接受肛交者为40.4%。有40.5%的人认为自己不可能感染HIV。有23.8%的人自诉曾出现过性病病症。MSM对艾滋病传播途径认识正确率较高(78.6%以上),但对性病/艾滋病相关知识的认识较差,正确率为36.9%-65.5%。MSM主动进行抗-HIV检测的较少,本次仅为11人(13.84%)。其中1人为抗-HIV阳性。结论MSM的不安全的性行为使他们成为感染STD、HIV的高危人群,并将这一危险扩散到一般人群。
Objective To investigate the KABP of HIV/AIDS among some men with sex with men (MSM) in Beijing, and lay a foundation for future intervention in MSM. Methods Volunteers in MSM were trained to visit MSM’s activity venues, bars, parks, and baths to conduct voluntary anonymous questionnaire surveys, distribute promotional materials and condoms, and provide voluntary anonymous anti-HIV testing. Results The proportion of fixed partners in MSM was relatively low (36.9%), and multiple sexual partners were more common. More than half of MSM (53.8%) had sexual contact with women; the condom use rate was low; each time oral sex was used was In 6.2%, 6.5% received oral sex, 30.9% performed anal sex, and 40.4% received anal sex. 40.5% of people think they can’t get HIV. 23.8% of people complained of sexually transmitted diseases. MSM has a high rate of correct recognition of AIDS transmission routes (78.6% or more), but has poor knowledge of STD/AIDS related knowledge and the correct rate is 36.9%-65.5%. The number of active anti-HIV tests carried out by MSM is relatively small, this time only 11 (13.84%). One of them was anti-HIV positive. Conclusion The unsafe sexual behavior of MSM makes them a high-risk group infected with STD and HIV, and spreads this risk to the general population.