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目的了解近5年来江西省男男性行为者(MSM)艾滋病疫情的特征、艾滋病知识知晓率及行为特征变化,为有针对性地开展该人群艾滋病综合防治提供依据。方法从艾滋病综合防治信息系统下载2011-2015年江西省新报告艾滋病病例数和MSM哨点监测数据;采用半结构式访谈提纲,对87名艾滋病病毒(HIV)阳性MSM进行深入访谈,结合三者数据综合分析。结果 2011-2015年江西省新报告的艾滋病病例7460例,其中MSM感染者1343例,占18.00%。报告MSM的HIV感染病例数分别为136、210、200、326和471,HIV筛查阳性率分别为2.50%、1.74%、1.07%、2.43%和2.51%。艾滋病知识知晓率为98.01%,最近6个月发生肛交每次使用安全套比例为59.27%,最近一年做过HIV检测比例为40.64%。结论江西省MSM艾滋病疫情呈上升趋势,坚持每次使用安全套比例较低,主动检测意识不够;需加强MSM艾滋病警示教育。
Objective To understand the characteristics of AIDS epidemic, HIV awareness and behavioral changes in MSM in Jiangxi Province in the recent 5 years, and provide a basis for the targeted prevention and treatment of AIDS. Methods A total of 87 cases of HIV-positive MSM were interviewed by means of semi-structured interviews and HIV-positive MSM from 2011 to 2015 in Jiangxi Province. Comprehensive analysis. Results A total of 7460 AIDS cases were newly reported in Jiangxi Province during 2011-2015, of which 1343 were MSM infections, accounting for 18.00%. The number of HIV-infected cases reporting MSM was 136, 210, 200, 326 and 471, respectively. The positive rates of HIV screening were 2.50%, 1.74%, 1.07%, 2.43% and 2.51%, respectively. AIDS awareness rate was 98.01%. In the last 6 months, the rate of condom use in each anal intercourse was 59.27%. In the recent year, the rate of HIV testing was 40.64%. Conclusion The epidemic situation of MSM in Jiangxi Province is on the rise. Insisting that the proportion of condom use in each time is low, the awareness of active detection is not enough. It is necessary to strengthen MSM AIDS warning education.