性病门诊男男同性恋者艾滋病知识知晓率和性行为调查

A survey on AIDS knowledge rate and sexual behavior among men who have sex with men population at sexually transmited disease clinic

目的:对性病门诊就诊的男男同性恋的性行为方式、安全套使用情况、艾滋病相关知识掌握情况等进行问卷调查,以了解该人群的行为特征,为制定相应的健康教育及行为干预提供科学的依据。方法:2009年1月至12月在多家综合医院性病门诊采用自行设计调查问卷对200名就诊MSM(men who have sex with men,男男同性恋)的人口学特征、性行为方式、安全套使用情况、HIV相关知识的掌握程度等进行匿名式问卷调查。结果:被调查者年龄(26.7±8.9)岁,近1年来有121人(62.6%)被确诊过性病。近6个月来,同性性伴侣数为(9.2±4.8)人,102人有异性性伴侣(52.8%)。与同性性交时,123人有肛交行为(63.7%),117人有口交行为(60.6%)。与异性性交时,92人有阴道交(90.2%),37人有肛交行为(36.2%),59人有口交行为(57.8%)。经卡方检验,同性性行为和异性性行为的行构成有统计学差异(P<0.01)。不同性行为方式安全套使用频率有统计学差异(χ2=188.396,P<0.001)。而人免疫缺陷病毒(human immunodeficiency virus,HIV)相关知识与安全套使用情况分析发现除异性肛交安全套使用与HIV知识得分有线性关系外,其他性行为方式的安全套使用与HIV知识得分间无线性相关关系。结论:被调查对象艾滋病知识知晓率较高,能够主动通过多种途径获得艾滋病知识,但其HIV相关知识掌握程度与安全套使用频率无明显相关性。MSM在与异性性交时无保护性行为比例高。如何对性病门诊的MSM采取更为有效的方式进行干预以减少其高危性行为值得思考。

Objective To survey on men who have sex with men（MSM） population＇s sexual behaviors,condom-service condition,HIV related knowledge and other issues among MSM population at sexually transmitted disease（STD） clinics to understand the characteristics of behaviors and offer suggestions for effective health education and behavior intervention.Methods From January to December,2009,we used anonymous questionnairres which involved in their mastery of demographic characteristics,sexual behavior,condom-service condition,HIV related knowledge,and so one,to investigate 200 MSM at 3 STD clinics of comprehensive hospital.Results The average age of informant was（26.7± 8.9） years and 121 individules（62.6%） had confirmed with STD in recent one year.In the recent 6 months,the average number of homosexual partners was 9.2± 4.8 and 102（52.8%） had heterosexual partners.In the sexual intercourse with homosexual,123 individules had anal intercourse（63.7 %） and 117 had oral intercourse（60.6%）.In the sexual intercourse with heterosexual,92（90.2%） individules had vaginal intercourse,37（36.2%） had anal intercourse,and 59（57.8%） had oral sex behavior.There were a statistical difference between heterosexual and homosexual sex behaviors（P0.01）.The condom-using frequency had statistic difference in different sexual behaviors（χ2=188.396,P0.001）.There was no linear correlation between HIV related knowledge and condom-using condition in sexual behaviors except the heterosexual anal intercourse.Conclusion High AIDS knowledge mastery rate is found in our survey.The respondents get HIV/AIDS knowledge through various ways actively.There is no obvious relation between the mastery of HIV related knowledge and condom-using frequency.The ratio of non-protected sexual behaviors is high in heterosexuals.How to adopt effective methods for behavior intervention to MSM at STD clinic needs to be further studied.