沈阳市不同文化程度男男性行为者艾滋病知识、行为及感染状况

Survey on knowledge and behavior about HIV/AIDS and HIV infection rate among men who have sex with men of different educational level in Shenyang City

目的了解沈阳市不同文化程度男男性接触者(MSM)艾滋病(AIDS)相关知识水平、行为特征及人类免疫缺陷病毒(HIV)和梅毒感染状况,进一步做好MSM的AIDS防治工作。方法采用同伴推动法(RDS)招募900名MSM,由经过专业培训的调查员进行面对面的问卷调查及HIV、梅毒和HCV监测。调查内容主要包括社会人口学特征、AIDS知识知晓水平、性行为状况、接受干预服务情况和HIV和梅毒感染状况。结果 MSM对AIDS知识的知晓率为90.8%。86.2%的调查对象在最近6个月内有同性肛交性行为,在最近6个月与男性发生肛交性行为时每次都使用安全套的比例为58.0%,HIV感染检出率为9.6%,梅毒感染检出率为11.2%。结论不同文化程度的MSM高危性行为发生率、HIV和梅毒感染率均高,成为当前HIV流行的重要人群和重要因素,应积极采取有效的宣传教育和行为干预活动。

[Objective]To understand the knowledge level about HIV/AIDS among men who have sex with men（MSM）of different educational level in Shenyang City,learn their behavior characteristics and infection rate of HIV/syphilis,and improve the AIDS prevention and control among MSM.[Methods]A face-to-face questionnaire interview was conducted among 900 MSM recruited by using Respondent Driven Sampling（RDS） method,and the investigation was carried out by trained interviewers. HIV,syphilis and HCV were monitored. The investigation contents included the social demographic characteristics,the awareness rate of HIV/AIDS knowledge,the sexual behaviour,the status of intervention and the HI/syphilis infection rate.[Results]The awareness rate of HIV/AIDS knowledge among MSM was 90.8%.86.2% of respondents had the homosexual anal sex act in past 6 months,and 58.0% of them used the condom at every anal sex act in past 6 months. The infection rate of HIV and syphilis was 9.6% and11.2% respectively.[Conclusion]The rate of high risk behaviors,and the infection rates of HIV/syphilis are higher among MSM of different educational level,which has become the high risk group and important factor of HIV spread. It is urgent to conduct effective health education and behavioral intervention.