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目的了解庆阳市男男性行为人群(MSM)的人口学特征、艾滋病知识水平、行为特征和艾滋病病毒(HIV)和梅毒感染情况,为制定防治策略提供依据。方法利用MSM同伴教育员和网络招募的MSM志愿者对MSM人群进行问卷调查,采集血液进行HIV和梅毒检测。结果共检测了244名MSM,平均年龄(26.80±9.10)岁,高中及以上文化程度者居多,本省籍占91.80%。艾滋病知识平均知晓率为96.72%。在最近6个月中与男性发生过肛交行为、与同性发生过商业性行为、与异性发生过性行为的分别占87.71%,17.29%和41.81%;与上述三类人发生性行为时每次都坚持使用安全套的比例分别为29.44%,27.03%和12.75%。HIV感染率为5.33%,梅毒感染率为11.89%。结论庆阳市MSM人群中艾滋病知识知晓率较高,但是安全套使用率较低,出现行为和知识分离的现象。HIV和梅毒感染率较高,艾滋病和梅毒有通过MSM向普通人群扩散的危险。应加大干预力度,改变危险行为,减少或消除艾滋病传播的隐患。
Objective To understand the demographic characteristics, AIDS knowledge, behavior characteristics and HIV and syphilis infection among men who have sex with men (MSM) in Qingyang, so as to provide basis for the prevention and treatment strategies. Methods MSM volunteers recruited by MSM peer educators and Internet recruits were used to conduct questionnaire survey on MSM population. Blood samples were collected for HIV and syphilis testing. Results A total of 244 MSMs were detected, with a mean age of (26.80 ± 9.10) years. Most of them were of high school education and above, with 91.80% of the province. The average awareness rate of AIDS knowledge was 96.72%. In the last 6 months, there were 87.71%, 17.29% and 41.81% of them having had anal intercourse with men, having sex with same sex, and having sex with heterosexuals, respectively. Each time they had sexual intercourse with these three kinds of people, All insist on the use of condoms were 29.44%, 27.03% and 12.75% respectively. HIV infection rate was 5.33%, syphilis infection rate was 11.89%. Conclusions There is a high awareness of HIV / AIDS among MSM population in Qingyang City, but there is a low rate of condom use, resulting in the separation of behavior and knowledge. HIV and syphilis infections are high, and AIDS and syphilis are at risk of spreading to the general population through MSM. Should intensify intervention efforts to change dangerous behaviors, reduce or eliminate the hidden dangers of AIDS transmission.