不同文化程度男男性行为者艾滋病高危行为影响的研究

AIDS-related High Risk Behaviors Among Men Who Have Sex With Men in Shenzhen

目的了解男男性行为者(MSM)的文化程度对性行为特征,艾滋病病毒(HIV)、梅毒、丙肝感染状况及其影响因素,为MSM人群行为干预工作提供依据。方法对深圳市548名MSM进问卷调查和病毒抗体检测。结果 548名MSM按不同文化程度分为3组,其中初中组117人,高中组215人,大学组216人。文化程度越高初次性行为和男男性行为年龄越高,3组MSM最近6个月与男朋友之间的性生活频率各组比较差异有统计学意义(P<0.01),高中组频率最高;文化程度越高跟男友及一夜情男性发生"口交"时每次使用安全套率越高;HIV、梅毒、丙肝抗体阳性率分别是8.8%、12.6%、1.3%。结论文化程度对MSM人群高危行为有一定影响,艾滋病知识健康教育应针对不同人群采取相应措施。

Objective To understand AIDS-related high risk behaviors and HIV infection status among men who have sex with men（MSM）among different education levels.Methods Questionnaire investigation and serological examination were respectively conducted among 548MSMs.Results Higher education level was positively related with earlier age for initial sex and MSM.The frequency of sexual activity showed significant differences among the three groups（junior high school,senior high school and college）in the last 6months（P＆lt;0.01）,with the highest frequency in senior high school group.Higher education level was positively related with frequency of condom usage rate of oral sex.The rates of positive antibody of HIV,syphilis,HCV were respectively 8.8%,12.6%and 1.3%.Conclusion Educational level may have an influence on the AIDS-related high risk behaviors among MSM,and thus health education should be carried out according to the education level of the population.