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目的了解红河州男男性行为者(MSM)艾滋病相关行为特征及艾滋病流行状况,为实施有效干预措施和防治对策提供依据。方法对2011~2012年红河州监测哨点的MSM进行问卷调查及血清学检测。结果调查MSM 911人,艾滋病知识知晓率为91.66%;最近6个月与同性发生过肛交性行为比例为96.82%,与同性发生过商业性行为比例为13.83%,与异性发生过性行为的17.01%;最近6个月与同性发生过肛交性行为每次使用安全套比例为54.88%,与同性发生商业性行为时每次使用安全套比例为46.03%,与异性发生过性行为每次安全套使用比例为25.16%。HIV、HCV、梅毒抗体阳性率抗分别为2.41%、3.40%和1.43%。不同年龄梅毒阳性率、不同文化程度HCV阳性率差异均有统计学意义(P<0.01)。结论红河州MSM危险行为普遍存在,安全套使用率较低,尤其是文化程度低,年龄大的MSM。
Objective To understand the HIV / AIDS-related behavioral characteristics and HIV / AIDS prevalence in MSM in Honghe Prefecture and provide evidence for effective interventions and prevention and treatment measures. Methods Questionnaires and serological tests were performed on MSM of sentinel surveillance in Honghe Prefecture from 2011 to 2012. Results There were 91.66% people who knew MSM in HIV / AIDS survey, 96.82% had homosexuality with homosexuality in the recent 6 months, 13.83% had sex with same sex, 17.01% had heterosexual sex %. In the past 6 months, the proportion of each condom used for same-sex anal sex was 54.88%, that of condom used for same-sex sexual activity was 46.03%, and that of heterosexual sex used per condom 25.16%. HIV, HCV, syphilis antibody positive rates were 2.41%, 3.40% and 1.43%. The positive rate of syphilis at different ages, the different degrees of culture of HCV positive rate differences were statistically significant (P <0.01). Conclusions Dangerous behaviors of MSM in Honghe Prefecture are common, and condom use rate is low, especially for those with low education level and older age.