承德市男男性接触者艾滋病感染情况及性行为方式的研究

HIV epidemic spread between male homosexuals in the city of Chengde

目的:调查承德市男男性接触者(MSM)艾滋病感染和高危行为情况,为采取干预措施提供依据。方法:以滚雪球方法选取82名MSM为研究对象,采用一对一的匿名问卷调查方式开展调查。结果:MSM高中以上文化程度占89%;在最近6个月内性伴数超过3个为34%;肛交和口交率分别为80%(66/82)和91%(75/82);肛交时安全套使用率低,口交时没有人使用安全套;73%(60/82)的人未婚;22%(18/82)与女性发生过性行为;感染过性病的占28%(23/82),抗-H IV检测阳性3人,感染率为3.66%(3/82)。结论:我市部分MSM在性方面十分活跃,H IV极易在此类人群中高水平流行并通过性途径扩散到普通人群。

Objective：To study HIV epidemic spread between male homosexuals in the city of Chengde to provide positive basis by adopting interference measure. Methods：A total of 82 MSM individuals were investigated by questionnaires. Results：Among the 88 MSMs members, 89% of whom had completed secondary education. 34% of them have had more than 3 sexual partners in the most recent 6 months. 80% and 91% of them were engaged in anal sex and oral sex. 33% of them used condoms during anal sex. None used a condom during oral sex. Out of the 73% who were currently single, 91% wished to marry people from the opposite gender. 22% have had sexual relationships with women. 28% have been previously infected with STDs, Through the testing and studies done to the 82 MSM members, we have found 3 of whom were HIV positive. The infection rate was 3.66%, Conclusion：Because some male homosexuals are active in sex, HIV can spread very easily in this centralized group and rapidly spread to the rest of the population by sexual channel.