庆阳市男男性行为人群HIV/梅毒感染情况及其影响因素分析

Investigation on Male Behavior of Qingyang City Crowd HIV /Syphilis Infection Status and Influencing Factors

目的了解庆阳市男男性行为人群(MSM)的人口学特征、艾滋病知识水平、行为特征和艾滋病病毒(HIV)和梅毒感染情况,为制定防治策略提供依据。方法利用MSM同伴教育员和网络招募的MSM志愿者对MSM人群进行问卷调查,采集血液进行HIV和梅毒检测。结果共检测了244名MSM,平均年龄(26.80±9.10)岁,高中及以上文化程度者居多,本省籍占91.80%。艾滋病知识平均知晓率为96.72%。在最近6个月中与男性发生过肛交行为、与同性发生过商业性行为、与异性发生过性行为的分别占87.71%,17.29%和41.81%;与上述三类人发生性行为时每次都坚持使用安全套的比例分别为29.44%,27.03%和12.75%。HIV感染率为5.33%,梅毒感染率为11.89%。结论庆阳市MSM人群中艾滋病知识知晓率较高,但是安全套使用率较低,出现行为和知识分离的现象。HIV和梅毒感染率较高,艾滋病和梅毒有通过MSM向普通人群扩散的危险。应加大干预力度,改变危险行为,减少或消除艾滋病传播的隐患。

Objective Understand male behavior of qingyang city population（ among MSM） demographic characteristics and HIV/AIDS knowledge level, behavior characteristics and the AIDS virus （HIV） and syphilis infection, to provide evidence for prevention and control strategies. Methods use and network recruited among MSM peer education among MSM volunteers on a questionnaire survey was conducted among MSM population and col lect blood for HIV, syphilis detection. Methods Use and network recruited among MSM peer education a mong MSM volunteers on a questionnaire survey was conducted among MSM population and collect blood for HIV, syphilis detection. Results Survey examined a total of 244 among MSM, average age （26.80 ± 9.10）, high school and above culture, socioeconomic status in the majority, 91.80% for the province. Average awareness of HIV/AIDS knowledge was 96.72%. In the last 6 months and had anal sex behavior, and gay men happened commercial behavior, behavior has occurred with the opposite sex accounted for 87.71%, 17.29% and 17.29% respectively; sex with the above three kinds of people insist on using a condom every time the proportion of 29.44%, 27.03% and 12.75% respectively. HIV infection rate was 5.33%, syphilis infection rate was 11.89%. Conclusion Aware of knowledge about HIV/AIDS among MSM crowd of qingy ang city is higher, but low condom usage, appear the phenomenon of separation behavior and knowledge. HIV and syphilis infection rate is higher, AIDS, syphilis is in danger of spread to the general population through among MSM. Should intensify their efforts to intervene and change the risk behavior, to reduce or e liminate the hidden danger of the spread of AIDS.