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[目的]系统评价健康教育对中国男男性行为者(male who have sex with male)人群预防艾滋病高危行为的效果。[方法]全面检索相关文献,并按照定义的纳入和排除标准剔除不符合要求的文献,对纳入文献采用Meta分析方法进行综合定量分析。[结果]干预后,“艾滋病患者或HIV携带者是否可以肉眼识别”的知晓率提高了0.118(95%CI:0.070～0.165);“正确使用安全套可预防艾滋病”的知晓率提高了0.149(95%CI:0.070～0.228);“最后一次性行为使用安全套率”提高了0.155(95%CI:0.089～0.222)。分层分析结果表明,大多分组仍然存在异质性。3个指标均呈现如下特点:基线率越低,干预效果越好;同伴教育的干预效果好于一般健康教育;已婚构成比越高,干预效果越差;初中及以下文化构成比对干预效果的影响不确定。[结论]中国对MSM人群开展的艾滋病健康教育干预措施具有较好的效果。知晓的基线率、是否采取同伴教育、婚姻状况可能是干预效果的影响因素。
[Objective] To systematically evaluate the effect of health education on the prevention of AIDS-related high-risk behaviors among Chinese men who have sex with male. [Methods] A comprehensive search of the relevant literature, and in accordance with the definition of inclusion and exclusion criteria excluding non-compliant documents, the inclusion of the literature using Meta analysis of quantitative analysis. [Results] After the intervention, the awareness rate of whether “AIDS patients or HIV carriers can be visually identified” was improved by 0.118 (95% CI: 0.070 ~ 0.165); the awareness rate of “proper use of condoms to prevent AIDS” 0.149 (95% CI: 0.070-0.228); “The rate of condom use for the last sexual activity” increased by 0.155 (95% CI: 0.089-0.222). Hierarchical analysis showed that most subgroups still have heterogeneity. The three indicators showed the following characteristics: the lower the baseline rate, the better the intervention effect; the intervention effect of companion education is better than that of general health education; the higher the married constituent ratio is, the worse the intervention effect is; The impact of uncertainty. [Conclusion] China has good effect on AIDS health education interventions for MSM population. Knowledge of the baseline rate, whether to take peer education, marital status may be the influencing factors of intervention effect.