深圳市458例男男性行为者艾滋病知识与性行为调查

Knowledge of HIV/AIDS and characteristics of heterosexual intercourse among men who have sex with men in Shenzhen

目的了解男男性行为者艾滋病知识知晓率及异性性行为特征,为有针对性地制定干预措施提供参考依据。方法成立彩虹工作组,开展外展服务,在知情同意原则下,填写调查问卷。结果共调查458例,双性恋占42.6%;艾滋病知识知晓率低,风险感知认识薄弱;最近一年曾经和女性发生性行为的比例达26.6%,和自己的配偶或固定女友发生性行为时,从来不用安全套的比例分别为40.6%和35.0%;与之相反,和不固定非商业性女性发生性行为时,每次用或多数用安全套的比例分别为40.0%和16.7%。结论相当比例的男男性行为者具有双性性行为,起着HIV传播的桥梁作用,应加强健康教育和行为干预。

Aim To understand the HIV/AIDS knowledge and characteristics of heterosexual intercourse among men who have sex with men （MSM） in Shenzhen. Methods A rainbow workgroup was set up for outreach in the venues and questionnaire survey were conducted among MSM with informed consent. Results A total of 458 cases were surveyed and 42.6% were bisexuals. The level of HIV/AIDS knowledge among MSM was low and HIV risk perceptions were weak, There 26.6% of them had sex with females in recent one year was. The rate of never using condom was higher when having sex with spouse or fixed female friend. On the contrary, the rate of using condom every time or always using condom was higher when having sex with prostitutes or non-commercial females. Conclusion A few MSM had sex with both males and females and acted as a bridge to transmit HIV and emphasis should be put on health education and behavioral intervention.