济南市部分男男性接触者艾滋病相关知识、危险行为与感染状况调查

Investigation on AIDS Related Knowledge Risk Behavior and HIV Infection in MSM in Ji'nan City

[目的]了解男男性接触者（MSM）有关艾滋病的预防知识、高危行为情况，为在该人群中开展有针对性的干预工作提供依据。[方法]2006年3～7月，对到济南市疾病预防控制中心自愿接受艾滋病咨询的400名MSM进行调查，并对其中282人进行抗-HIV和梅毒抗体检测。[结果]调查400人，各项艾滋病防治知识的知晓率均在70％以上，60％以上的相关知识通过报纸、杂志、电视、广播获取；首次性行为的年龄为（19．93±2．87）岁，34．75％的调查对象同时与女性有性行为，16．00％的与11～50个同性发生过性行为；近6个月与女性进行阴道交、肛交时每次使用安全套的占27．50％（22／80）和16．67%（2／12），与男性进行肛交或接受肛交时每次使用安全套的占30．94％（116／375）和33．79％（99／293）。检测28Z名MSM，HIV感染率为1．06％，梅毒感染率为9．57％。[结论]济南市MSM中存在着艾滋病流行，并有向普通人群扩散的潜在危险。

[Objective]To understand AIDS related preventive knowledge and high risk behavior in MSM, provide scientific basis for intervention to target persons. [Methods]Questionnaire was conducted in 400 MSM who sought advice from CDC on a voluntary basis from March to July in 2006. HIV antibody and syphilis antibody were tested for 282 of them. [Results]The knowledge rate on AIDS related knowledge in 400 MSM investigated was over 70 % ,more than 60 % knowledge was obtained through newspaper,magazine,TV and broadcast. The average age of initial sexual behavior was （19.93±2.87） ,34.75% of the MSM had sexual behavior with female. 16.00% of the MSM had 11-50 male partners. 27.50% （22/80） and 16.67% （2/12） of them used condom during vaginal and anal intercourses with female in past 6 months. 30. 94% （116/375） and 33.79% （99/293） used condom during active and passive anal intercourses with male. Of 282 tested, 1.06 % of them was infected with HIV. 9.57 % of them was infected with syphilis. [Conclusion]There is AIDS epidemic in MSM in and potential risk to spread to general population.