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目的深入了解郴州市男男性接触者(MSM)的特点,探索一条适合中小城市该人群预防艾滋病综合干预模式。方法招募同性恋志愿者,组建高危人群干预工作队开展干预活动,对参加活动的人员采用一对一匿名问卷调查方式随机分别进行了2次150人的调查。结果男男性接触者对象职业分布广,文化程度差别大,交友以朋友推荐和网络联系为主,对性病艾滋病防治知识认识有明显偏差,心理压力大。通过健康教育,MSM人群艾滋病防治知识知晓率由实施前29.33%上升为78.67%;最近六个月与男性发生肛交性行为时每次安全套使用率由12%上升为36.67%(P<0.01)。结论 MSM人群干预后艾滋病防治知识明显提高,安全套使用率有所提高,干预工作产生明显效果。重视同伴教育员作用,提高目标人群的认识水平,加强心理疏导及社会生存环境的维护,合理利用网络等,是防治工作取得成效的关键。
Objective To understand the characteristics of MSM in Chenzhou City and to explore a comprehensive HIV prevention intervention model for this population in small and medium-sized cities. Methods Homosexual volunteers were recruited to establish intervention groups for intervention groups of high-risk groups. One-on-one anonymous questionnaire survey was conducted among those participating in the survey. Results There was a wide range of occupational distribution among men who had sex with men (MSM), a large difference in their educational level, and their friends were mainly friends and networked. Their knowledge of STD and AIDS prevention and treatment was significantly deviant and psychological pressure was high. Through health education, the awareness rate of HIV / AIDS prevention and treatment among MSM population increased from 29.33% to 78.67% before implementation; and the rate of condom use increased from 12% to 36.67% (P <0.01) in the last six months for anal intercourse with men. Conclusion MSM population after AIDS intervention significantly increased knowledge, condom use rate has increased, the intervention has a significant effect. Pay attention to the role of peer educators, improve the level of awareness of the target population, strengthen psychological counseling and maintenance of social living environment, rational use of the network, is the key to prevention and control work.