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目的了解长春市男男性行为者艾滋病知识及相关高危行为,为艾滋病综合防治、制定干预策略提供依据。方法采用分类滚雪球抽样招募调查人群,根据全国哨点监测统一方案要求进行问卷调查和血清HIV、梅毒和丙肝抗体检测。结果共招募400人MSM,平均(30.2±9.6)岁;未婚占71.5%,在婚22.0%;大专及以上占57.5%,高中及中专占25.5%。艾滋病知识知晓率96.0%。最近6个月与男性发生肛交性行为时每次都使用安全套者占81.3%。HIV抗体阳性率6.0%,梅毒抗体阳性率11.8%,丙肝抗体阳性率0.2%。结论长春市MSM人群学历较高,非在婚比例达78.0%,年龄跨度从15岁至73岁,存在艾滋病掌握知识与行为背离现象。应继续加强干预力度,提高防范艾滋病意识,控制艾滋病的传播。
Objective To understand the HIV / AIDS knowledge and related high-risk behavior of MSM in Changchun and to provide a basis for comprehensive AIDS prevention and control and intervention strategies. Methods A sample of snowballs was recruited to investigate the population, and questionnaires and serum HIV, syphilis and hepatitis C antibody were tested according to the national unified program of sentinel surveillance. Results A total of 400 MSM were recruited, with an average of (30.2 ± 9.6) years old; unmarried 71.5%, married 22.0%; college and above 57.5%, high school and secondary school 25.5%. AIDS awareness rate of 96.0%. In the last 6 months, 81.3% of the patients used condoms each time they had anal sex with men. HIV antibody positive rate of 6.0%, syphilis antibody positive rate of 11.8%, hepatitis C antibody positive rate of 0.2%. Conclusion The MSM population in Changchun has a relatively high educational level, with a non-married ratio of 78.0% and a span of 15 to 73 years. There is a gap between AIDS-related knowledge and behavior. Should continue to strengthen intervention efforts to raise awareness of AIDS prevention and control of AIDS transmission.