目的分析丽水市2008-2015年男男性行为人群(MSM)艾滋病的疫情特征,为制定防治策略提供科学依据。方法对丽水市报告的MSMHIV/AIDS病例的时间、地区和人群分布进行描述性分析;比较全市艾滋病自愿咨询检测系统中历年MSM的HIV抗体阳性检出率。结果丽水市报告MSMHIV/AIDS病例数逐年快速上升,县区分布差异大,MSM病例以青壮年为主(15~29岁占51.59%);文化程度较高(高中及以上文化程度占58.60%);未婚为主(65.61%);商业服务、家政餐饮服务员、干部教师医生离退人员、学生占较高比例,分别占32.48%、17.2%、10.83%、6.37%;检测咨询、专题调查检出比例较高,分别占32.48%、11.46%。MSM的HIV抗体阳性检出率为4.19%,既往HIV抗体检测率为63.04%。结论丽水市MSM人群艾滋病疫情上升迅速,急需开展较为系统的MSM人群的监测和干预工作,采取有针对性的预防干预措施控制疫情的进一步扩散。 Objective To analyze the epidemic characteristics of HIV / AIDS among men who have sex with men (MSM) in Lishui City from 2008 to 2015, and provide a scientific basis for making prevention and treatment strategies. Methods Descriptive analysis of the time, region and population distribution of MSMHIV / AIDS cases reported in Lishui City was conducted. The prevalence of HIV antibody positive in MSM over the years in the voluntary HIV counseling and testing system was compared. Results The number of cases of MSMHIV / AIDS in Lishui City reported a rapid increase year by year with large differences in county distribution. The majority of MSM cases were young and middle aged (51.59% aged 15- 29 years); the higher the level of education (58.60% of senior high school education or above) ; Unmarried (65.61%); commercial services, home economics catering attendants, cadres teachers doctors retirees, students accounted for a high proportion, accounting for 32.48%, 17.2%, 10.83% 6.37%; detection consulting, thematic surveys detected a higher proportion, accounting for 32.48%, respectively, 11.46%. The detection rate of HIV antibody in MSM was 4.19%, the detection rate of previous HIV antibody was 63.04%. Conclusion The epidemic situation of MSM in Lishui City is rising rapidly. It is urgent to carry out the monitoring and intervention of more systematic MSM population and to take targeted preventive interventions to control the further spread of the epidemic.