郑州市男男性接触人群无保护性行为影响因素调查

Associated Factors of Unprotected Sexual Behaviors Among Men Who Have Sex with Men(MSM) in Zhengzhou City

目的了解男男性接触人群(MSM)的无保护性行为影响因素,为开展艾滋病防治工作提供依据。方法以郑州市男男性接触人群为调查对象,随机抽取161人进行横断面现场调查。结果低文化程度者无保护性行为发生率高于高文化程度者,差别有统计学意义(P<0.05)。该人群对艾滋病传播途径问题回答正确率超过85%,对非传播途径问题回答正确率较低。HIV相关知识水平低者无保护性行为发生率高于HIV相关知识水平高者,差别有统计学意义(P<0.05)。接受安全套宣传、发放和同伴教育者较不接受安全套宣传、发放和同伴教育者无保护性行为发生率低,差别有统计学意义(P<0.05)。结论郑州市男男性接触人群的艾滋病相关知识掌握较好,但是仍需在MSM人群中有针对性地开展行为干预,提高安全套使用率,促使其改变或减少高危性行为,从而最大限度地阻断艾滋病在MSM中的传播。

Objective To explore the associated factors of unprotected sexual behavior among MSM and to provide scientific basis for prevention and control measures. Methods Based on random sampling,anonymous questionnaire survey were conducted among 161 MSM on spot. Results The respondents with higher education level showed lower level of unprotected sexual behaviors（ P〈0. 05）. The rate of correctly answering on routes of HIV transmission was more than 85%,while the awareness of nontransmission was comparatively low. The respondent with higher knowledge level showed lowerlevel of unprotected sexual behavior（ P〈0. 05）. The respondents who had received condoms and peer education showed lower level of unprotected sexual behavior（P 0.05）. Conclusion The acquisition of HIV/AIDS related knowledge among MSM is comparatively well.Effective intervention strategies,including condom promotion and distribution are still necessary to be enhanced to control HIV among MSM.