贵阳市男男性工作者HIV感染状况调查及相关危险行为分析

Investigation on HIV Infection among Many Boy(MB) and Analysis of Related Risk Behaviors

[目的]掌握贵阳市男男性工作者（Money Boy，MB）艾滋病病毒（HIV）等感染状况，了解这一人群感染艾滋病、性病的危险行为因素。为采取相应的行为干预提供科学的依据。[方法]通过制定实施方案、召开项目启动会、绘制场所分布图，将MB活动场所的业主、老板列为调查者成员，招募MB志愿者，利用老板组织或志愿者动员等“滚雪球”方式．抽血检测贵阳市MB人群HIV等感染率，并在抽取血样时进行艾滋病知识、态度、信念及行为（KABP）问卷调查,了解该人群有关预防艾滋病性病中存在问题。[结果]共调查120名MB．发现HIV感染者5例，HIV抗体阳性率为4．17％,乙肝表面抗原（HBVAg）、丙肝（HCV）抗体、梅毒抗体RPR、TPPA阳性率分别为4．17％、5．83％、11．67％、16．67％。该人群年龄以20-24岁组为最多。占55．00％，其次为15～19岁组，占36．67％。文化程度以高中／中专为多，占40．83％，其次为初中．占30．83％。性取向男男同性恋占47．86％，异性恋占7．69％。双性恋占28．21％，未确定占16．24％；有关艾滋病性病知识回答正确率为31．67％～89．17％，有10个以上性伴的占60．68％。在高危性行为时每次都用安全套率只有43．59％。[结论]贵阳市MB人群HIV感染率较高，该人群年龄偏小．预防艾滋病性病知识缺乏．性伴多，同时有异性性行为．高危性行为普遍存在，安全套使用率低。极易造成艾滋病性病的传播与流行。应及时采取相应的防控措施。

[Objective]To understand HIV infection status and risk behaviors among MB, provide scientific basis for intervention measures. [Methods] HIV infection rate was tested among MB people and at the same time questionnaire on AIDS knowledge, attitude, perception and behavior was conducted to know the presented problems thorough making the implementation program,draw the distribution map,inviting the owners and MB volunteers into the investigation group, the snowball method. [Results]Of the 120 MB investigated, 5 of them were infected with HIV, the positive rate of HIV was 4. 17 %. The positive rate of HBsAg, HCV, syphilis antibody RPR,TPPA was 4. 17 %, 5.83%, 11.67% and 16.67 respectively. MB population aged from 20 to 24 accounted for 5 5.00%, while aged from 1 5 to 1 9 accounted for 36. 67%. MB population at the education level of middle school or secondary school,junior high school accounted for 40.83 % and 30. 8 3 %. MSM accounted for 4 7. 8 6%, homosexuality accounted for 7. 6 9% and bisexuality accounted for 2 8. 2 1%. 16. 24% of them were not known. The correct rate of AIDS knowledge was from 31.67% to 89.17%. 60.68% of them had more than 10 partners. The condom use rate was only 43. 59%. [Conclusion]HIV infection rate among MB population was higher in Guiyang city. The risk factors to cause the transmission and prevalence of AIDS were lack of AIDS related prevention and control knowledge, more partners, heterosexual behavior,low condom use rate among young MB population,preventive and control measures must be taken.