某同性恋浴室男男性接触者HIV/梅毒感染状况的研究

Study on infection rate of HIV/SYPHILIS among men who have sex with men in a balneary

目的:了解经常在浴室活动的男男性接触人群(MSMs)HIV/梅毒相关知识、态度、行为及其感染状况,为制定有效的防治措施提供信息和依据。方法:在某MSMs聚集的浴室对目标人群进行匿名问卷调查,并采集静脉血进行HIV/梅毒检测。结果:该人群艾滋病知识总知晓率为75.3%。只有21.6%的男男性接触者(MSM)在每次肛交时坚持使用安全套,而从未使用、有时使用安全套者占78.4%。近3个月与异性发生过阴道交行为的MSM有117人,仅19.7%每次使用安全套。HIV阳性率为4.7%,TPPA阳性率为39.9%,RPR阳性率为27.0%。年龄、近3个月性伴数、婚姻状况、文化程度、安全套使用情况、籍贯等因素与HIV/梅毒感染率之间无统计学联系。结论:经常出入浴室的MSMs中高危性行为普遍存在,HIV/梅毒感染率高,应尽快采取针对性的行为干预措施。

Objective：To understand knowledge,attitudes,high risk behavior related to HIV/SYPHILIS and the infection rate of HIV/SYPHILIS among men have sex with men （MSMs）, and to provide the effective information and evidence for prevention intervention, nethods：A anonymous investigation was applied in target object in the balneary where MSM massed, and their blood were gathered to take HIV/SYPHILIS tests. Results：Their integrated awareness rate of HIV was 75.3%. Only 21.6% MSM used condom when they had anal sex with same sex, 78.4% MSM never used or sometimes used. 117 MSMs who had sex behavior with female partners within recent 3 months, and rate of using condom was only 19.7%. The infection of HIV,TPPA,RPR,was 4.7%, 39.9% ,27.0%. The correlation between HIV/SYPHILIS infection and age, number of anal sex partners within 3 months,marriage status,education,using of condom,native place was insignificant. Conclusion：The high risk sexual behaviors are common seem among the MSMs in balneary, and the infection of HIV/SYPHILIS in MSMs were quite high. Safe sex involved behavior intervention programs should be effectively carried out as well as strengthened health education programs to MSMs in order to control the rapid spead of HIV/STDs.