2010年绵阳市男男性行为人群艾滋病哨点监测

HIV/AIDS Sentinel Surveillance Among Men Who Have Sex With Men in Mianyang,2010

目的了解男男性行为人群艾滋病相关知识、行为及生物学现状,为开展健康教育和行为干预提供依据。方法在绵阳城区采用活动场所招募、网络招募等方法招募男男性行为者419名,由经过培训的专业人员逐一进行问卷调查,并采血作HIV抗体、HCV抗体和梅毒抗体检测。结果调查男男性行为人群419名,艾滋病相关知识知晓率为94.57%;最近6个月与同性发生过肛交性行为358人(85.44%),每次都使用安全套170人(47.49%);有时使用167人(46.65%);从未使用21人(5.88%)。最近6个月与异性发生过性行为87人(20.76%),每次都使用安全套28人(32.18%);有时使用36人(41.38%);从未使用24人(27.59%)。HIV抗体阳性率6.68%;梅毒抗体阳性率7.42%;HCV抗体检测均为阴性。结论绵阳市男男性行为人群艾滋病相关知识知晓率较高,但坚持用套率仍然较低,安全性行为意识不强,存在知识与行为的分离。

Objective By understanding the current situation of the related knowledge,behavior and biology of HIV among men who have sex with men（MSM） in Mianyang city,to provide scientific evidence for health education and behavior intervention.Methods Totally 419 MSM were recruited from activity locations or by internet in Mianyang city,a face to face questionnaire survey was conducted by trained professional staff one by one;blood samples were collected and detected by HIV,HCV and syphilis antibody.Results A total of 419 MSM were investigated and the awareness rate of knowledge about HIV was 84.01%.There were 358 MSM（85.44%） had anal sex behavior in last 6 months.In which 170 MSM（47.49%） used condom every time;167 MSM（46.65%） used condom sometimes;21 MSM（5.88%） seldom used condom in recent 6 months,There were 87 MSM（20.76%） had sex with homosexuality,in which 28 MSM（32.18%） always used condom;36 MSM（41.38%） used condom sometimes;24 MSM（27.59%） never used condom.The positive rate of HIV,syphilis,HCV antibody was 6.68%,42% and 0 respectively in this study.Conclusions The average rate of HIV/AIDS related knowledge among MSM in Mianyang city is high,but the rate of condom using and their awareness about safe sex was is low;that indicated the separation of knowing and doing.