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目的分析北京市朝阳区男性性工作者(MSW)的艾滋病病毒(HIV)感染水平及其影响因素,为做好该人群干预工作提供依据。方法通过男男性行为者(MSM)志愿者,用滚雪球方法招募MSW,进行问卷调查,并对其开展HIV血液快检和确证检测。结果共招募MSW 121名,21~27岁占41.3%(50名);未婚72.7%(88名),外省或国外户籍占86.8%(105名);高中及以下文化者占66.9%(81名);艾滋病基本知识知晓率为86.8%(105名);第一次接女客的平均年龄为21.7岁(M=21.7);近一次接女客时安全套使用率为67.6%(25/37);第一次发生同性性行为的平均年龄为21.8岁(M=21.8),近6个月与男客肛交的人数占78.5%(95名),近一次与男客肛交时安全套的使用率是82.6%(100名)。此次检测HIV的感染率为9.1%(11名)。经统计学分析,首次同性性行为时年龄低、近一周与男客肛交以及近一年有性病(STD)诊断史均可增加HIV感染风险。结论 MSW的HIV感染率高,危险行为普遍,需重点干预。
Objective To analyze the level of HIV infection and its influencing factors in male sex workers (MSW) in Chaoyang District, Beijing, and to provide a basis for the intervention of this population. METHODS: MSW volunteers were enrolled in a snowballing method to conduct a questionnaire survey and HIV blood tests and confirmation tests were conducted. Results A total of 121 MSW were enrolled, 41.3% (21) aged 21-27, 72.7% (88) unmarried, 86.8% (105) from other provinces or overseas, and 66.9% (81) ). The awareness rate of basic knowledge of AIDS was 86.8% (105). The average age of the first pick-up was 21.7 years old (M = 21.7). The condom use rate was 67.6% (25/37) ; The average age of first-time same-sex sexual behavior was 21.8 years old (M = 21.8), the number of anal intercourse with men was 78.5% (95) in the recent 6 months. The condom use rate was 82.6% (100). The HIV infection rate was 9.1% (11). According to statistical analysis, the age at the time of first homosexuality was low, the anal intercourse with men and women in recent one week, and the history of STD diagnosis in the past year all could increase the risk of HIV infection. Conclusion The HIV infection rate of MSW is high and the risk behaviors are common.