上海市松江区男男性行为人群相关高危险性行为及态度调查

Survey on the High Risk Sexual Behavior and Attitude among MSM in Songjiang District of Shanghai

[目的]调查男男性行为人群(men who have sex with men,MSM)多性伴和高危险性行为的相关情况,为今后在该人群中开展有效的行为干预提供依据。[方法]采用"滚雪球"法对松江区150名MSM开展横断面匿名问卷调查,使用SPSS 18.0进行资料统计分析。[结果]调查对象平均年龄为(29.3±9.2)岁,首次同性性行为时平均年龄为(21.7±4.9)岁,过去6个月的平均性伴数为(3.0±4.1)人。近6个月内寻找同性性伴的主要途径为:网络占80.2%,同志酒吧占20.8%,浴室、桑拿占14.6%等。54.7%的对象目前有固定男性伴,安全套使用率较低。75.3%的对象接受过HIV检测,2年内平均检测次数为(2.8±3.0)次。[结论]HIV在该人群高度流行并向一般人群传播的可能性极大,在MSM人群中开展艾滋病干预工作是一项迫在眉睫的工作。

[Objective] To surey the situation of keeping multi sexual partners and having high risk sexual behaviors among men who have sex with men（MSM）,and to provide evidence for effective intervention among them.[Methods] A cross sectional anonymous questionnaire survey was conducted in Songjiang District for 150 MSM who were enrolled by snowball sampling method.Data were analyzed by SPSS 18.0.[Results] The average age of the subjects was（29.3±9.2） years.The average age of first sexual intercourse with a man was（21.7±4.9） years.The average number of sexual partners in past 6 months was 3.0±4.1,and the main places for MSM to find them were internet（80.2%）,gay bars（20.8%）,bathhouses/sauna centers（14.6%） and so on.Among the MSM studied,54.7% had regular male sexual partners and the condom use rate was low;75.3% ever had an anti-HIV test with an average frequency of（2.8±3.0） times in past 2 years.[Conclusion] There is a great possibility to get HIV infection highly prevailing among MSM and cause spreading in general population,thus enhancing the intervention for AIDS control and prevention among MSM is an urgent requirement.