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[目的]了解深圳市男男性行为者(MSM)性行为特点、艾滋病知识水平及艾滋病、梅毒和丙肝感染状况,为在该人群中开展有针对性的健康教育和行为干预提供依据。[方法]采用同伴推动抽样方法对MSM进行匿名问卷调查,同时抽取血样进行HIV、梅毒和丙肝的检测。[结果]调查的161例MSM中,同性恋占46.0%,双性恋为46.0%。MSM艾滋病的知识知晓率为81.4%。最近6个月与男性商业性伴(MB)性行为占7.5%,为了得到钱与男性发生性行为占13%,有女性性接触占26.1%。在最近6个月内MSM与确立关系的男朋友、约会的情人、嫖客、一夜情、MB肛交时每次都使用安全套的比例分别为49.3%、53.5%、61.9%、60.9%、58.3%。HIV抗体阳性率为5.0%,梅毒阳性率为13.0%,丙肝阳性率为2.5%。[结论]深圳市MSM人群中存在艾滋病流行,应进一步加强该人群艾滋病防治相关知识的宣传教育和安全套推广使用工作,大力开展安全性行为促进活动,减少艾滋病感染的风险。
[Objective] To understand the characteristics of sexual behavior, HIV / AIDS and AIDS, syphilis and hepatitis C infection among MSM in Shenzhen and provide the basis for targeted health education and behavioral intervention in this population. [Methods] The peer-driven sampling method was used to conduct anonymous questionnaire survey on MSM. At the same time, blood samples were collected for HIV, syphilis and hepatitis C testing. [Results] Of the 161 MSM cases surveyed, 46.0% were homosexual and 46.0% were bisexual. Knowledge of MSM AIDS awareness rate was 81.4%. The last 6 months accounted for 7.5% of men’s business partners (MB), 13% of men and 12% of men and 26.1% of women. In the last 6 months, MSM used 49.3%, 53.5%, 61.9%, 60.9% and 58.3% of condoms each time they established relationships with their boyfriends, dating lovers, clients, one-night stand and MB anal sex. HIV antibody positive rate was 5.0%, syphilis positive rate was 13.0%, hepatitis C positive rate was 2.5%. [Conclusion] There is a HIV / AIDS prevalence among MSM population in Shenzhen. Publicity and education on condom knowledge and condom promotion and use should be further strengthened in this population. Vigorous safety behavior promotion activities should be carried out to reduce the risk of HIV infection.