南宁市男男性接触者艾滋病相关知识及危险行为调查

Investigation of HIV Knowledge and High-risk Behavior Among Men Who Have Sex With Men in Nanning

目的了解男男性接触者人群艾滋病相关知识知晓率和高危险行为,为制定有效的干预措施提供科学依据。方法采用滚雪球抽样法和方便抽样法选择对象,用自行设计的问卷采用匿名问卷形式进行调查,共调查230名MSM。结果MSM人群艾滋病传播途径相关知识的知晓率达85.24%。93.48%有过肛交,92.17%有过口交,83.49%有过互相手淫,首次性行为年龄最小11岁,平均年龄20.88岁。首次性行为对象为男性占73.5%,女性占26.5%,目前完全同性为51.3%,双性为47.4%。过去1年平均男性伴数6.56个,最近1个月平均男性伴数1.58个。最近1次肛交和口交时安全套使用率分别为72.44%、13.47%,最近6个月肛交、口交安全套使用率分别为42.86%、3.62%,肛交、口交从不使用安全套率分别为11.22%、62.18%。结论南宁市MSM人群普遍存在多性伴和安全套使用率低危险性行为,应加强对MSM人群的健康教育、行为干预。

Objective To study the HIV knowledge and related hight risk behavior among men having sex with men（MSM） , and to provide the scientific evidence for effective intervention measure. Methods Convenience sampling and snowball sampling were used to select respondents. A total of 230 MSM completed the investigation by anonymous question naire. Results The awareness rate of knowledge of HIV transmitting among MSM was 85.24%. 93.48% has had the anal-intercourse, 92. 17% has had the mouth-intercourse, and 83.49% has had mutually the masturbation. The age for the first sexual intercourse was 11 years old, and the average age was 20. 88. 73.5% of MSM had first sex with men and 26.5% with women. 51.3% of MSM were homosexual, 47.4% were bisexual, and the average of sex partners was 6.56 in the past year and 1.58 in recent month. The percentages of persistent in using condom when having sex with partners in anal-intercourse , mouth-intercourse were 72.44% , 13.47% respectively during the last sex episode but they were 42. 86% and 3.62% in the previous six months. 11.22%. never used condoms when they had sex with partners in anal-intercourse and 62. 18% in mouth-intercourse. Conclusion MSM generally have more sex partners and low condom use rate. It is very urgent to strenghen health education and behavior intervention.