上海市奉贤区MSM人群艾滋病知识知晓、性行为及感染现况调查

Survey on the Current Situation of AIDS Knowledge Level, Sexual Behavior, and Infection Among MSM Population in Fengxian District of Shanghai

目的通过对221名MSM人群开展艾滋病专项调查,分析了解辖区内MSM人群艾滋病知识知晓程度、相关危险性行为及感染状况,从而针对性地制定实施MSM人群防治性病艾滋病的综合干预措施。方法对招募到的MSM对象进行一对一、面对面问答式或自填式匿名问卷调查;采集对象人群血样,开展相关生物学指标检测。结果有79.64%(176人)找男性性伴的方式主要通过互联网/交友软件,艾滋病相关知识知晓率为74.21%(164/221)。在性取向方面,同性恋有122人(55.20%),双性恋有84人(38.01%),其余不确定。在最近六个月,221人中有162人(73.30%)与同性发生过肛交性行为,其中54.94%的MSM每次都使用安全套,4.32%从未使用安全套;221人中有65人(29.41)与异性发生过性行为,其中35.39%的MSM每次都使用安全套,46.15%从未使用安全套。HIV初筛阳性17例,确证新发阳性14例,HIV阳性率6.33%;梅毒初筛阳性30例,确诊阳性17例,梅毒阳性率7.69%;丙肝筛查阳性1例,确诊1例,丙肝阳性率0.45%。其中,HIV合并梅毒感染3例。结论应开展有针对性的宣传教育,高危干预,动员检测,提高MSM人群的防病意识,从而有效遏制艾滋病病毒的蔓延。

Objective To investigate AIDS knowledge, risk sexual behaviors and infection among 221 MSM population, and to formulate and implement comprehensive intervention measures to prevent and treat STDs and AIDS among MSM population. Methods One-to-one and face-to-face questionnaires or self-filled anonymous questionnaires were conducted by community groups in MSM gathering places (independent rooms) and VCT rooms. Blood samples were collected by CDC staff in the District, and related biological indicators were tested. Results A total of 176 people (79.64%) found male partners mainly through Internet/dating software. The awareness rate of AIDS-related knowledge was 74.21%(164/221). In terms of sexual orientation, there were 122 homosexuals (55.20%) and 84 bisexuals (38.01%), and the rest were uncertain. In the last six months, 162 of 221 people (73.30%) had anal sex with the same sex, of which 54.94% of MSM used condoms every time and 4.32% never used condoms;65 (29.41) had sexual intercourse with the opposite sex, of which 35.39% used condom every time and 46.15% never used condom. There were 17 HIV positive cases in primary screening and 14 confirmed new positive cases, and the positive rate of HIV was 6.33%;there were 30 syphilis positive cases and 17 confirmed positive cases, and the positive rate of syphilis was 7.69%;there were 1 hepatitis C positive case and 1 confirmed case, and the positive rate of hepatitis C was 0.45%;there were 3 cases were infected with HIV and syphilis. Conclusion The propaganda and education, high-risk intervention, mobilization and testing should be carried out to improve the awareness of prevention among MSM population, so as to effectively curb the spread of HIV.