西藏自治区拉萨市男男性行为者基本特征

Knowledge,attitude and practice about AIDS among MSM in Lhasa of Tibet

目的了解西藏自治区拉萨市男男性行为者(MSM)的艾滋病相关知识及态度行为方式,为拉萨市疾病预防控制中心制定防治方针和进一步开展健康教育提供依据。方法于2012—2013年,采用流行病学横断面调查方法,自填问卷法、面对面访谈方法在同性恋酒吧进行调查;纳入标准为具有男男性行为者并在本地居住≥15 d。应用SPSS 19.0软件对所有数据进行统计分析。结果回收有效问卷共124份。调查对象平均年龄(28.8±7.0)岁。受访者首次性行女性占57%(71/124),最近1次肛交时使用了安全套23.4%(29/124);艾滋病性病知识知晓率均>50%;有性病史7.3%(9/124);有与异性结婚意向87.9%(109/124)。结论男男不安全性行为在拉萨市中也普遍存在,应尽快建立男男性行为者的艾滋病哨点。

Objective To examine the status of knowledge, attitude and practice about human immunodeficiency virus （HIV） and acquired immunodeficiency syndromes（AIDS） among the men who have sex with men（MSM） in Lhasa municipality of Tibet Autonomous Region and to provide evidences for developing prevention strategy and health education program in the MSM. Methods Using cross-sectional design,we recruited MSM living in Lhasa for two weeks or more for a survey with self-administered questionnaire and face-to-face interview at a gay bar from 2012 through 2013. We adopted SPSS 19. 0 in data analyses. Results A total of 124 valid questionnaires were collected. The average age of the respondents was 28.8± 7.0 years. Of the respondents ,57 % （71/124） had their first sexual activity with a female partner and only 23.4% （29/124） used condom in their most recent anal sex activity. The AIDS awareness rate was above 50% for all the respondents ;7.3% （9/124） of the respondents reported history of sexually transmitted diseases and 87.9% （109/124） expressed the intention to marry a female. Conclusion Unsafe sexual behavior is common among MSM in Lhasa city, suggesting sentinel surveillance on AIDS should be established among the MSM.