2010—2013年桂林市男男性行为者人群艾滋病健康教育及干预效果评价

Evaluation on effect of AIDS-related health education and intervention among MSM in Guilin City from 2010-2013

目的评价4年来桂林市男男性行为者(MSM)艾滋病健康教育及干预效果。方法每年对桂林市的部分MSM进行问卷调查及血清学检测。结果 2010—2013年其对艾滋病相关知识知晓率分别为72.0%、80.1%、82.3%、86.3%,差异有统计学意义(P<0.01);在最近6个月内与男性发生过肛交的人中,最近1次使用安全套的比例分别为31.4%、47.0%、62.0%和90.9%,差异有统计学意义(P<0.05);每次都使用安全套的比例分别为15.7%、18.6%、36.6%和53.5%,差异有统计学意义(P<0.01)。人类免疫缺陷病毒(HIV)抗体平均阳性率为2.57%,丙型肝炎病毒(HCV)抗体平均阳性率为0.92%,梅毒平均阳性率为5.14%。结论对MSM人群持续有效地健康教育及干预,利于他们的相关知识知晓率的提高及性行为的改变。

[Objective]To evaluate the effect of AIDS-related health education and intervention among men who have sex with men（ MSM） in Guilin City in 4 years.[Methods]The questionnaire survey and serological test were performed among some MSM in Guilin City every year.[Results]During 2010-2013,the awareness rate of AIDS-related knowledge was respectively 72. 0%,80. 1%,82. 3%and 86. 3%,and difference was statistically significant（ P 〈0. 01）. Among those who had anal sex with men in recent 6 months,the rate of condom use in the last anal sex activity was respectively 31. 4%,47. 0%,62. 0% and 90. 9%,and difference was statistically significant（ P 〈0. 05）. The rate of consistent condom use during every anal sex activity was respectively15. 7%,18. 6%,36. 6% and 53. 5%,and difference was statistically significant（ P 〈0. 01）. The average positive rate of HIV,HCV and syphilis antibody was 2. 57%,0. 92%and 5. 14%,respectively.[Conclusion]To carry out the AIDS-related health education and intervention constantly and effectively among MSM can improve the awareness rate of AIDS-related knowledge and change their sexual behaviour.