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目的探讨未婚男男性行为者(MSM)中与女性经常性交亚人群艾滋病高危性行为状况。方法采用滚雪球方法,对济南市1259名未婚的MSM进行匿名问卷调查,并采血进行HIV和梅毒抗体检测。比较近6个月内与女性经常性交的MSM(A组)和未与女性性交者(B组)两亚人群的高危性行为发生状况。结果 A组最近6个月的男性性伴数明显高于B组。A组最近6个月有86.9%的人与女性性交,且与女性性交时27.38%用过安全套、23.81%未用过、仅48.81%每次都用;最近一次与女性性交时,63.69%用过安全套。结论未婚MSM中与女性经常性交的亚人群具有较多的感染和传播艾滋病的风险。对该人群应根据其特点采取有针对性的干预措施,以阻断艾滋病通过其桥梁作用向女性及其他人群传播。
Objective To explore the high-risk behaviors of HIV / AIDS among the non-married men who have sex with men (MSM). Methods A snowball method was used to conduct anonymous questionnaire survey on 1,259 unmarried MSMs in Jinan City. Blood samples were collected for HIV and syphilis antibody testing. The incidence of high-risk sexual behaviors among MSM (group A) and non-female (group B) sub-populations who had regular sexual intercourse with women in the recent 6 months was compared. Results The number of male partners in group A in the recent 6 months was significantly higher than that in group B. 86.9% of people in Group A had sexual intercourse with females in the last 6 months, 27.38% used condoms during intercourse with females, 23.81% never used and only 48.81% used them each time. The most recent sexual intercourse with females was 63.69% Have a condom. Conclusions The sub-population of unmarried MSM who have frequent sexual intercourse with women has a higher risk of contracting and transmitting AIDS. Targeted interventions should be taken for this group according to their characteristics in order to stop the spread of AIDS through their bridging role to women and other groups.