论文部分内容阅读
目的了解江苏省常州市不同活动场所男男性行为人群(MSM)高危行为特征,为对其进行艾滋病、性病干预工作提供依据。方法通过问卷调查收集MSM人口学、行为学和相关健康服务等信息,并采集血液和尿液标本进行艾滋病病毒(HIV)抗体、梅毒、淋球菌和生殖道沙眼衣原体检测;来源于酒吧、浴室、互联网以及其他场所组分别有165、230、198人。结果不同活动场所来源个体在年龄、文化程度、婚姻状况、居住状况、职业、性取向分布上差异均有统计学意义(P<0.001);互联网组MSM仅与男性发生性行为的比例为48.7%(56/115),明显高于酒吧、浴室组(χ2=50.376,P<0.001);酒吧组发生商业性行为的比例最高,为20.2%(33/163);最近1次与男性发生肛交行为安全套使用率,浴室组为60.3%(91/151),明显低于其他2组(χ2=11.147,P=0.004);最近6个月与女性发生性行为比例最高为浴室组,为60.0%(138/230),明显高于其他2组(χ2=35.833,P<0.001);酒吧、浴室、互联网组HIV感染率分别为10.9%(18/165)、16.1%(37/230)、11.3%(13/115),差异无统计学意义,梅毒感染率分别为32.1%(53/165)、37.4%(86/230)、20.9%(24/115),差异有统计学意义(χ2=9.627,P=0.008)。结论常州市不同场所MSM人群普遍存在高危行为,HIV/性传播疾病(STD)感染(患病)率较高,应采取较宣传教育更为有效的干预措施,控制HIV/STD由高危人群向普通人群发展。
Objective To understand the high-risk behaviors of MSM in different places of activity in Changzhou City, Jiangsu Province, and to provide basis for its intervention in AIDS and STDs. Methods The MSM demography, behavioral and related health services were collected through questionnaire survey. Blood and urine samples were collected for the detection of HIV, syphilis, Neisseria gonorrhoeae and genital tract Chlamydia trachomatis. Candidates from pubs, bathrooms, There were 165,230,198 people in the Internet and other places respectively. Results There were significant differences in age, education level, marital status, living status, occupation and sexual orientation among individuals from different places of activity (P <0.001). The proportion of MSM with male in internet group was 48.7% (Χ2 = 50.376, P <0.001). The bar group had the highest proportion of commercial sexual behaviors (20.2% (33/163)). The most recent anal sex with men Condom use rate was 60.3% (91/151) in the bathroom group, significantly lower than the other two groups (χ2 = 11.147, P = 0.004). The highest proportion of sexual activity with women in the last 6 months was in the bathroom group, 60.0% 138/230) were significantly higher than those in the other two groups (χ2 = 35.833, P <0.001). HIV infection rates were 10.9% (18/165), 16.1% (37/230) and 11.3% (13/115). The infection rates of syphilis were 32.1% (53/165), 37.4% (86/230) and 20.9% (24/115), respectively, with significant difference (χ2 = 9.627 , P = 0.008). Conclusions MSM population in different places in Changzhou City is characterized by high-risk behaviors and high rates of HIV / STD infection. More effective interventions should be taken to control HIV / STD from high-risk groups to normal Crowd development.