对北京部分男男性接触者HIV/AIDS的KABP调查

A Survey on Knowledge, Attitude, Belief and Practice related to HIV/AIDS among MSM

目的 对北京部分男男性接触者（men have sex with men,MSM）进行HIV/AIDS的KABP调查,为今后在MSM中开展干预工作奠定基础。方法 培训MSM中的志愿者,由他们到MSM活动场所酒吧、公园、浴池等地,对MSM进行自愿匿名的问卷调查,发放宣传品及安全套并提供自愿匿名的抗-HIV检测。结果MSM中固定性伴比例较低（36.9％）,多性伴现象较普遍,一半以上的MSM（53.8％）与女性有过性接触;安全套使用率低;每次都用的进行口交者为6.2％,接受口交者为6.5％,进行肛交者为30.9％,接受肛交者为40.4％。有40.5％的人认为自己不可能感染HIV。有23.8％的人自诉曾出现过性病病症。MSM对艾滋病传播途径认识正确率较高（78.6％以上）,但对性病/艾滋病相关知识的认识较差,正确率为36.9％-65.5％。MSM主动进行抗-HIV检测的较少,本次仅为11人（13.84％）。其中1人为抗-HIV阳性。结论MSM的不安全的性行为使他们成为感染STD、HIV的高危人群,并将这一危险扩散到一般人群。

Objective To understand the MSM' s(men who have sex with men) knowledge, attitude, belief and practice (KABP) related to HIV/AIDS. Methods MSM volunteers were trained and sent to bars, parks and massage parlors to conduct KABP survey, distribute health education materials and provide anonymous HIV testing. Results Multiple sex partners were common among MSM. 36.9% of MSM had regular partners, while 53.8% had sexual contact with women.The rate of consistent condom use for active oral, passive oral, insertive anal, and receptive anal sexs were 6.2%,6.5%, 30.9% and 40.5 % , respectively. 23.8 % of MSM stated STD symptoms. 40.4 % of MSM did not consider them at the risk of HIV infection; 78.6 % gave right answers about HIV transmission routes, but only 36.9 % to 65.5 % did so about other STD and HIV/ AIDS knowledge. Eleven( 13.84 %) MSM took HIV test with one being positive. Conclusion Multiple sex partners and unprotected sex have put MSM at the risk of STD and HIV/AIDS.