对男男性接触者AIDS高危性行为健康干预研究

Study on interventions targeted to AIDS high risk sex behaviors among MSM

目的 评价健康干预措施对男男性接触者 (MSM)艾滋病 (AIDS)高危性行为的影响效果。方法 采用不记名问卷调查方式 ,并用Spss软件进行统计。结果 干预时间超过 1年的MSM ,近 1年肛交性伴侣数和无保护性被动肛交的发生率显著低于 <1年者 (P <0 0 5 ) ;但近 1年性伴侣数、偶遇性伴侣数、外地性伴侣数、外地偶遇性伴侣数、无保护性肛交的偶然性伴侣数、近 1年用过安全套、最近 1次保护性肛交及近 1年无保护性主动肛交的比例 ,近 1年在公共场所寻找偶遇性伴侣、参与性交易及参加群交的比例 ,随着干预时间的延长有不同程度的改变 ,但改变无显著的统计学意义 (P >0 0 5 )。结论 健康干预可减少MSM的AIDS高危性行为 ,但它是一个长期而复杂的工程 。

Objective To evaluate the effectiveness of interventions targeted to AIDS high risk sex behavior among MSM Methods Anonymous questionnaires were adopted to inquire MSM Data were analyzed by Spss soft-wares Results In recent years,the incidence of anal sex and the rate of unprotected sex without a condom among the MSM who received intervention for over l year were less than those among the MSM who received intervention for under l year(P<0 05) The situations which included the number of sex partners,casual partners,non-local sex partners and non-local casual sex parthers the rate of protected and unprotected anal intercourse(P>0 05) and the rate of looking for casual partners in public places and participating in sex trade and group sex activities were improving to certain extent along with timing of interventions,but the differences were statistically insignificant(P>0 05) Conclusion The AIDS-related high risk sex behaviors among MSM might be reduced by health intervention Nevertheless,such intervention program is a long-term and complex work,and need to be persisted over time