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目的了解南平市男男性行为(MSM)人群HIV感染状况及危险因素,为制定干预措施提供依据。方法对南平市2013年MSM人群监测数据进行分析,包括问卷调查及HIV、梅毒、丙肝抗体血清学检测。结果共调查115人,平均年龄(30.6±9.1)岁,未婚占62.6%,本地居住超过2年者占73.9%,高中或中专以上学历占76.5%,本省户籍占95.7%;艾滋病防治知识知晓率89.6%,HIV检出率7.8%,梅毒19.1%。同性性行为时每次使用安全套的占53.9%,异性性行为时每次使用安全套占43.5%。感染梅毒、近1年未接受安全套宣传和发放/艾滋病咨询与检测、近1年未做过AIDS检测是HIV感染的危险因素。结论南平市MSM人群HIV、梅毒感染严重,应进一步扩大宣传、咨询和检测覆盖面,提高安全套使用率。
Objective To understand the status and risk factors of HIV infection among MSM in Nanping and to provide evidence for the development of interventions. Methods The monitoring data of MSM in Nanping city in 2013 were analyzed, including questionnaires and serological tests of HIV, syphilis and hepatitis C antibody. Results A total of 115 people were surveyed, with an average age of 30.6 ± 9.1 years, 62.6% of whom were unmarried, 73.9% of whom lived in Hong Kong for more than two years, 76.5% of them had high school education or secondary school education, and 95.7% of their permanent residents registered in the province. The rate of 89.6%, HIV detection rate of 7.8%, syphilis 19.1%. 53.9% of condoms were used for same-sex sex and 43.5% of condoms used for heterosexual sex. Syphilis infection, nearly 1 year did not receive condom promotion and counseling and testing / AIDS counseling, nearly 1 year did not do AIDS testing is a risk factor for HIV infection. Conclusion HIV and syphilis infection among MSM population in Nanping City is serious. Publicity, counseling and testing coverage should be further expanded to increase condom use rate.