唐山市男男性行为人群艾滋病知晓率及性行为特征调查分析

Investigation of AIDS awareness rate and sexual behavior characteristics among men who have sex with men in Tangshan City

目的了解唐山地区男男性行为(men who have sex with men,MSM)人群艾滋病知识知晓率、性伴及性行为特点、接受艾滋病干预服务情况,为唐山市MSM人群艾滋病防控工作提供科学依据。方法对唐山市MSM社会组织及唐山市疾控中心自愿咨询检测门诊招募的MSM人群开展问卷调查。结果唐山市MSM人群艾滋病知识总体知晓率为90.4%,高学历、同居(同性)、干部职员、性取向为同性恋以及近一年内接受过HIV检测的MSM人群知晓率较高。唐山市MSM人群具有2个及以上多性伴者占33.0%,近半年存在肛交性行为者占92.0%;存在商业性行为者占1.9%;存在异性性行为者占15.2%。肛交性行为安全套坚持使用率为42.2%。其中≥40岁MSM人群更易接受安全套和润滑剂,年轻MSM人群更加依赖互联网获取艾滋病知识。结论唐山市MSM人群艾滋病知识知晓率较高,但存在知-信-行分离现象,探索更加有效的行为干预方法是遏制MSM人群艾滋病传播的重要手段。

Objective To understand the awareness rate of HIV among MSM(men who have sex with men)in Tangshan,the characteristics of sexual partners and behavior,and the acceptance of HIV intervention services,in order to provide a sci entific basis for the prevention and control of HIV among MSM in Tangshan.Methods A questionnaire survey was conducted on MSM recruited by the MSM social organization of Tangshan and the voluntary consultation and testing(VCT)clinic of Tangshan CDC.Results The overall awareness rate of HIV related knowledge among MSM population in Tangshan was 90.4%.Higher awareness rate among MSM with high education,cohabitation(same sex),cadres and employees,homosexual orientation and those who have been tested for HIV within the past year.MSM people with two or more sexual partners accounted for 33.0%.In the last half year,92.0%had anal sex,1.9%had commercial sex,15.2%had heterosexual sex.Condom adherence rate for anal sex was 42.2%.Among those aged 40 years MSM were more likely to accept condoms and lubricants,while younger MSM relied more on the internet for HIV knowledge.Conclusion Awareness of HIV among MSM in Tangshan was high,but there was a separation between knowledge,belief and action.Exploring more effective behavioral interventions was an important means to curb HIV transmission among MSM.