MSM人群感染性病/艾滋病的脆弱性构成及预防控制研究

Study on vulnerability to STD/HIV infections and prevention/control among MSM in Kunshan City.Jiangsu Province

目的了解昆山市男男性行为(MSM)人群感染性病/艾滋病病毒(STD/HIV)危险和脆弱性的特定因素,为制定有效的干预策略提供依据。方法使用同伴推动抽样法(RDS)在昆山对MSM人群进行问卷调查,并进行HIV、HCV和梅毒血清学检测。结果共征募MSM300人,艾滋病防治知识知晓率为73.33%,其中艾滋病传播途径的知晓率为82.33%,非传播途径知识的知晓率为62.00%(P<0.01)。HIV、梅毒和HCV的感染率分别为5.33%、25.00%、6.00%。影响MSM人群感染性病/艾滋病脆弱性的主要因素为艾滋病防治知识的知晓率低、家庭的经济压力大、自身做出合理决定的能力或付诸于行动的能力差、不善于利用卫生服务机构和用品等。结论预防艾滋病知识知晓率情况,医疗卫生机构和卫生服务设施的利用情况,做出合理决定的能力,维护自身权利情况以及家庭的经济压力是MSM人群感染STD/HIV的脆弱性的主要原因。

Aim To find out the risk factors of vulnerability to STD/HIV among MSM in Kunshan City.Methods A questionnaire survey was conducted by respondent-driven sampling（RDS）among MSM in Kunshan City Jaingsu Province,and meanwhile serological survey of HIV,HCV and syphilis was conducted.Results Among 300 MSM,The awareness rate of HIV/AIDS knowledge was 73.33%,of which the awareness rates of transmissiion route and non-transmission route were 82.33%and 62.00%respectively（P0.01）.Among them,5.33%were HIV-positive,25.00%were syphilis-positive,and 6.00%were HCV-positive.The main factors of vulnerability to STD/HIV infections among MSM were lower awareness rates of HIV/AIDS knowledge,household economic pressure,poorer of skills to make rational decisions or to carry them out,failing to access to health services and facilities,etc.Conclusion The main factors influencing vulnerability to STD/HIV infections among MSM were the status of awareness rate of AIDS prevention and control knowledge,visiting Access to health facilities,skills to make rational decisions or to carry them out,the ability to safeguard their rights and household economic pressure.