许昌市男男性接触者艾滋病和梅毒感染状况调查

Survey on Infection Status of HIV and Syphilis among MSMs in Xuchang City

目的了解许昌市男男性接触者(MSM)艾滋病高危行为及艾滋病、梅毒感染状况,为有针对性地开展MSM艾滋病防治工作提供科学依据。方法采用滚雪球的方法,对目标人群进行匿名问卷调查,并采血进行艾滋病梅毒的血清学检测。结果许昌市MSM大众艾滋病知识知晓率为80.73%(176/218),MSM最近6个月同性性行为的性伴数平均为2.3个,保持1个性伴者所占的比例为25.86%。最近6个月同性肛交每次都用安全套的频率为16.39%,最近1次同性肛交的安全套使用率为44.26%,人类免疫缺陷病毒(HIV)抗体和梅毒RPR阳性率分别为3.67%、10.09%。结论许昌市MSM多性伴、低安全套使用率现象普遍,高危行为干预服务获得率低,艾滋病和梅毒感染率高,加大高危行为干预力度,促进该人群"知—信—行"的改变刻不容缓。

[Objective]To understand the high risk behavior and related infection status of HIV and syphilis among men who have sex with men（MSM）,and provide scientific evidence for targeted prevention and control of AIDS among MSM. [Methods]A anonymous investigation was applied in target objects with the snowball method,and their blood samples were gathered to take serological detection of HIV and syphilis. [Results]The awareness rate of HIV among MSM group was 80.73%（176/218）,the number of homosexual partners in MSM group in recent 6 months was 2.3 in average,25.86% of them maintained 1 sexual partner.Only 16.39% used condom for homosexual buggery each time in recent 6 months,44.26% used condom in the last sexual behavior.The positive rate of HIV antibody and syphilis RPR was 3.67% and 10.09% respectively. [Conclusion]The high-risk behaviors of more sexual partners,low condom use are common among MSM group in Xuchang City,Only a little of intervention services were obtained,The infection rates of HIV and syphilis are high.The strengthening of high-risk behavior intervention efforts and promotion of＂ knowledge-information-behavior＂ among this group needs to be implemented urgently.