男男同性恋HIV知识与高危行为状况的关系研究

Research on the Relationship of Knowledge and Risk Behavior Conditions of MSM HIV

目的探讨男男同性恋（MSM）人群艾滋病病毒（HIV）感染知识与高危行为的关系。方法2012年6月~2014年6月通过电话邀约、网络及面谈等方式邀请458例自愿参与调查的MSM者,采用全国MSM艾滋病评估统一问卷进行调查,并根据MSM者感染情况分为性传播疾病组及非性传播疾病组。结果 458例MSM首诊为HIV阳性率占9.17%,梅毒、慢性乙型肝炎（HBV）、慢性丙型肝炎（HCV）感染率分别为18.56%、15.72%、11.35%。性传播疾病组安全套使用率显著低于非性传播疾病组,而肛交插入率、肛交被插入率显著高于非性传播疾病组（P〈0.05）。影响MSM人群安全套使用主要原因：认为对方为＂稳定性伴侣及爱人＂、＂会降低性交兴奋性＂、＂影响感情交流＂、＂年轻、看起来没病＂。MSM人群获取HIV相关知识主要途径：电视、广播及网络,而来自医护人员的宣传途径较少。结论本地区MSM人群HIV感染率较高,这可能与当地MSM人群HIV认知水平较低、安全套使用率低及高危性行为较普遍有关。医护人员应加大HIV相关知识的宣传,以提高MSM者HIV疾病传播知识,降低MSM人群HIV感染率。

Objective To investigate the relationship of gay men （MSM） and high-risk behavior knowledge of AIDS vi‐rus （HIV） .Methods 458 cases of MSM were invited voluntarily to participate in the survey by via telephone solicitation , networking and interviews from June 2012 to June 2014 .Patients were survey questionnaire with unified national MSM AIDS and divided according to the situation into the spread of disease infection and non -infection group .And analyze the relationship between knowledge of HIV infection and high risk behaviors .Results In 458 patients first diagnosed as HIV -positive MSM was 9 .17% ,syphilis ,chronic hepatitis B （HBV） ,chronic hepatitis C （HCV） infection rates were 18 .56% , 15 .72 % ,11 .35% .Sexually transmitted disease patients was significantly lower than that of non -condom use for sexually transmitted disease group ,while the rate of anal insertion ,is significantly higher than that of non -sexually transmitted dis‐ease group （P ＆lt;0 .05） .Condom unuse is main reason affected MSM ：they always think that the other side is ＆quot;stable com‐panion and lover＆quot;,＆quot;will reduce the excitability of sexual intercourse ,＆quot;＆quot;influence emotional communication＆quot;,＆quot;young ,does not look sick .＆quot;The main ways were to acquire HIV -related knowledge were ：television ,radio and online ,and less publici‐ty from the medical staff .Conclusion HIV prevalence among MSM in the region is high ,which may be related to lower cog‐nitive level ,low condom use and high-risk sexual behavior .It should increase to propaganda to disseminate HIV -related health care knowledge to improve the knowledge MSM patients with HIV disease ,to reduce HIV infection among MSM .