成都市男男性行为人群HIV感染者卫生服务利用现况调查

A survey on the utilization of AIDS/STD related health services in HIV carriers of MSM,Chengdu city

目的了解成都市男男性行为人群(MSM)艾滋病病毒(HIV)感染者对随访咨询、CD4检测、性伴告知和检测等艾滋病相关卫生服务利用现况,为制定干预措施提供可用信息。方法研究对象招募采用滚雪球方法,调查问卷采用面对面方式,对社会人口学特征、艾滋病预防干预和相关医疗服务利用情况等信息进行统计描述。采用SAS9.13统计软件进行统计学处理。结果共调查MSM人群HIV感染者202人,其中约30%的人未接受过安全套、润滑剂发放和同伴教育等预防干预服务;35.2%的人在出现性病症状后未到正规医疗机构的规范诊疗服务;11.4%的人未检测过CD4;41.4%的人未将自己的感染状态告知他人,包括性伴;76.9%的人从未介绍过自己的性伴去检测HIV。结论预防干预、性病诊疗、CD4检测以及促进性伴告知和检测等艾滋病性病相关医疗服务在MSM人群HIV感染者中的利用率均较低,需制定针对性干预措施,提高相关服务覆盖面和服务质量。

Objective To investigate the utilization of AIDS/sexually transmitted diseases（STD）-related health services in terms of the disease intervention. Methods Two hundred and two HIV carriers were enrolled in the study through snowball sampling technique from men who having sex with men（MSM）.An interviewer-administrated questionnaire was used to collect data on demographic characteristics,utilization of AIDS/STD related intervention measures and health services including medical treatment,CD4 and HIV testing.Results In the past year,about 30% of the participants were not covered by any form of intervention measures,which included condom promotion and partner education.35.2% of the participants who reported STD symptoms were not treated by government-approved medical providers.11.4%（23/202）of the participants did not receive CD4 testing,which should be routinely tested for people living with HIV based on national guidelines.41.4%（77/186）of the participants had never disclosed their sero-status to others and 76.9% of them had never referred their sex partners to have an HIV test.Conclusion The utilization of AIDS/STD related health services was low among HIV carriers of MSM.Urgent intervention measures should be developed and implemented.