男男性行为人群健康及行为方式差异性研究

Differences of Health and Behaviors among Men Who Have Sex with Men

[目的]了解上海市男男性行为者(MSM)人群中HIV感染者与非感染者的行为方式差异,提出有针对性的干预措施。[方法]通过自愿咨询检测门诊(VCT)、网络及相关组织动员招募16岁以上对象,分为感染者组和非感染者组,采用匿名问卷调查MSM人群中艾滋病相关健康及行为差异。[结果]30名HIV感染者和124名非HIV感染者之间的人口学特征无统计学差异。非HIV感染者与女性结婚和生育的可能性明显大于HIV感染者;非感染者组的健康状况自我评估为良好的比例高于感染者组。关于对待"患了艾滋病可以有性行为"的态度,感染者组赞同率高达93.4%。近6个月内性行为方式方面,非感染者组与非固定性伴的口交率和射精率明显高于感染者组。[结论]MSM人群中HIV感染者与非感染者的婚育和性行为存在差异,急需加强有针对性的健康教育行为干预。

[Objective] To analyze differences of health and behavior between HIV positive and negative in men who have sex with men（MSM）,and to explore suitable behavior intervention programs.[Methods] The MSM participants aged above 16 years were approached through voluntary counseling and testing（VCT）,internet and relevant organizations.They were categorized into HIV positive and negative groups.The differences of their AIDS-related health and behavior were collected by anonymous interview.[Results] A total of 154 subjects were recruited（30 HIV positive and 124 HIV negative）,and there was no statistical difference in demographic characteristics between two groups.Compared with the HIV positive group,the HIV negative＇s likelihood of getting married and giving birth to a child was significantly higher.The proportion of self-reported health above good in HIV negative group was significantly higher than that of HIV positive group.The approval rate of the opinion that the HIV positive can have sex reached 93.4% among HIV positives.In the past six months,the rates of insertive oral-genital intercourse and ejaculation with casual sexual partners were found significantly higher in HIV negative group than in HIV positive group.[Conclusion] There are differences in marriage status,childbirth and sexual behavior patterns between MSM HIV positive group and MSM HIV negative group.Relevant health instruction and behavior intervention are urgent to be delivered to them.