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目的了解西宁市男男性接触人群(men have sex with men,MSM)HIV感染的危险因素。方法采用滚雪球法抽取西宁市MSM人群,并对MSM进行面对面的问卷调查和HIV血清学检测。结果本次共调查MSM 403人,70%以上为20～30岁组的青壮年,94.04%的人在本地居住时间大于6个月,54.09%的MSM来自浴池/桑拿。不同文化程度、不同年龄组MSM近半年最近一次发生性行为时使用安全套差异有显著性。患有性病、未婚、低年龄组均为MSM感染艾滋病的危险因素。结论使用综合干预模式可以提高MSM人群艾滋病知识知晓率和安全套使用率。应加强MSM人群性病监测及防治知识的宣传教育、提倡安全性行为,减少婚外性行为的发生。
Objective To understand the risk factors of HIV infection in men have sex with men (MSM). Methods The snowball method was used to extract the MSM population in Xining and to conduct a face-to-face questionnaire and HIV serology test on MSM. Results A total of 403 MSM were investigated, over 70% were young adults aged 20-30 years, 94.04% lived longer than 6 months and 54.09% came from bath / sauna. There were significant differences in the use of condoms when the most recent sexual activity occurred in different age groups and MSM in the past six months. Patients with STD, unmarried and low age group were all risk factors for MSM infection. Conclusion The comprehensive intervention model can improve awareness of HIV / AIDS and condom use among MSM population. MSM should be strengthened monitoring of sexually transmitted diseases and prevention and treatment of publicity and education to promote safe sex practices to reduce the incidence of extramarital sex.