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目的了解台州市男男性行为(MSM)人群AIDS知识知晓和危险性行为情况,为干预工作提供依据。方法采用横断面调查方法,通过匿名式一对一访谈,收集MSM人群的社会人口学特征、AIDS知识知晓情况及AIDS危险性行为情况,并检测HIV感染状况。结果本次调查487名MSM,AIDS相关知识总体知晓率为86.24%,随着文化程度的提高知晓率呈增高趋势(P<0.01)。不同年龄组MSM AIDS知识知晓率差异有统计学意义(P<0.01)。20岁~组最高,为93.88%;60岁~组最低,为65.79%。检出HIV抗体阳性73人,阳性率为14.99%,各年龄组间阳性率差异无统计学意义(P>0.05)。在最近6个月性行为时每次使用安全套者HIV抗体阳性率为10.43%,明显低于偶尔或从未使用安全套的17.28%(P<0.05)。结论台州市MSM人群AIDS相关知识总体知晓率较高,但安全套使用率不高,应重视低文化程度和老年MSM的AIDS防控健康教育。
Objective To understand the knowledge and risk behaviors of AIDS among men who have sex with men (MSM) in Taizhou and provide the basis for the intervention. Methods By means of cross-sectional survey, through anonymous one-on-one interviews, the socio-demographic characteristics, AIDS awareness and AIDS risk behaviors of MSM population were collected and HIV status was tested. Results The overall awareness rate of 487 MSM and AIDS-related knowledge was 86.24%. With the improvement of education, the awareness rate showed an increasing trend (P <0.01). There was significant difference in knowledge of MSM AIDS between different age groups (P <0.01). 20-year-old group was the highest, 93.88%; 60-year-old group was the lowest, 65.79%. There were 73 HIV-positive cases, the positive rate was 14.99%. There was no significant difference in the positive rates among all age groups (P> 0.05). The positive rate of HIV antibody in every condom use was 10.43% in the last 6 months of sexual intercourse, which was significantly lower than that of the condom (17.28%) (P <0.05). Conclusion There is a high overall awareness rate of AIDS-related knowledge among MSM population in Taizhou, but the utilization rate of condoms is not high, and AIDS prevention and control health education should be emphasized with low education and MSM in elderly.