福州市娱乐场所与网络招募男男性行为者特征差异比较分析

A comparative analysis of characteristics of men who have sex with men recruited through entertainment venues and online registrations in Fuzhou City

目的分析比较不同招募方式MSM特征及HIV感染状况,为制定MSM艾滋病防治策略提供参考。方法分别通过娱乐场所和网络方式招募MSM,调查并分析比较其人口学、行为学和血清学特征。结果共计调查2425人,娱乐场所和网络招募方式分别招募812人(33.48%)和1613人(66.52%)。调查MSM的HIV感染率2.85%(69人),既往性病感染率为1.65%(40人)。娱乐场所招募MSM 45岁及以上年龄(20.44%)、已婚/同居(36.82%)、初中及以下学历(24.01%)、最近6个月同性肛交比例(88.42%)均高于网络招募MSM。网络招募MSM网络寻找性伴方式(96.47%)、最近6个月发生异性性行为(15.44%)、既往接受干预(87.72%)、既往接受检测比例(22.26%)、艾滋病知识知晓率(95.16%)均高于娱乐场所招募MSM(P均<0.05)。结论娱乐场所与网络招募监测MSM的HIV/性病感染风险高,娱乐场所招募MSM年龄大、学历低、发生同性肛交比例高,HIV知晓率和既往检测比例低,应探索娱乐场所新型干预模式,设置隐蔽便捷的快检方式,提升娱乐场所MSM干预效果。

Objective To analyze and compare the characteristics and HIV infection situation among men who have sex with men(MSM)through different recruitment methods,and to provide references to develop strategies for AIDS control and prevention in MSM.Methods MSM were recruited from entertainment venues and online registrations,respectively.The demographic,behavioral and serological characteristics were investigated and analyzed.Results A total of 2425 people were investigated.Among them,812 respondents(33.48%)were recruited from entertainment venues and 1613(66.52%)were recruited through online registrations.HIV infection rate among MSM was 2.85%(69),while the previous sexually transmitted disease(STD)infection rate was 1.65%(40).The proportion of MSM recruited from entertainment venues in terms of aged 45 years and above(20.44%),married/cohabiting(36.82%),junior high school and below(24.01%),and homosexual anal sex in the last 6 months(88.42%)were higher than those from online recruitment.Compared to those recruited from entertainment venues,the proportions of MSM recruited online were higher in terms of finding sexual partners(96.47%),heterosexual sex in the last 6 months(15.44%),with previous intervention(87.72%),with previous testing(22.26%),and awareness rates of AIDS knowledge(95.16%)(all P<0.05).Conclusions MSM recruited from entertainment venues and online registrations,are both at high risk of HIV/STD infection.MSM recruited from entertainment venues are older and have lower education,and account for a higher proportion of homosexual anal sex,but a lower proportion of HIV awareness and previous testing.It is necessary to explore a new intervention mode in entertainment venues,establish a discreet and convenient method for HIV rapidtesting and improve the intervention effectiveness of MSM in entertainment venues.