武汉市120名大学生男男性行为者艾滋病知识 行为特征及自我认同度情况调查

A survey of AIDS knowledge, behavioral characteristics and self-identity among 120 MSM students in Wuhan

目的分析大学生男男性行为者(MSM)的艾滋病知识、行为特征以及自我认同度情况,为针对性开展大学生艾滋病防治工作提供科学依据。方法 2018年9-10月,在武汉市15所高校采取滚雪球、同伴推动法招募MSM 120名,采用匿名问卷进行调查分析。结果 120名大学生MSM艾滋病知识知晓率90.8%(109人);MSM在进行同性性行为时,85.3%(93/109)会坚持使用安全套;首次性行为年龄、性伴侣数量对进行同性性行为时安全套使用率有影响,差异有统计学意义(P <0.01)。120名MSM中,95.0%(114人)能接受自己的性向,88.3%(106人)忌讳父母知晓自己的性向。结论武汉市大学生MSM的自我认同度较高,艾滋病知识知晓率未达标,且危险性行为发生率较高,存在艾滋病相关知识知晓与行为相分离的现象。

Objective To know AIDS knowledge, behavioral characteristics, and self-identity among college MSM, and provide scientific basis for college students’ health education. Methods The survey was implemented in Wuhan from September to October, 2018 by using quantitative research, "snowball sampling" and respondent-driven sampling(RDS) methods. 120 MSM were selected randomly from 15 universities, and anonymous questionnaires were conducted. Results The awareness rate of AIDS knowledge of the MSM college students was 90.83%(109). 85.32%(93) used condom consistently when they had homosexual behavior;the age of their first sex and the number of sexual partners had influence on the rate of condom use(P < 0.01). 95.00%(114) MSM accepted their homosexual orientation, 88.33%(106) MSM were unwilling to have their parents know their homosexual orientation. Conclusion MSM students in Wuhan have a high degree of self-identity. Their awareness rate of AIDS knowledge is not up to the standard, and the incidence of risky sexual behavior is high, indicating there is a gap between the awareness of AIDS knowledge and behavior.