MSM人群艾滋病性病防治行为干预效果评价  

Effect Evaluation on Behavior Intervention of AIDS/STI Prevention and Treatment in MSM Group

作　　者：王毅[1] 张洪波[2] 李志军 徐杰[4] 张光贵[1] 斗智 杨宏武[1] 樊静[5] 

机构地区：[1]四川省绵阳市疾病预防控制中心,四川绵阳621000 [2]安徽医科大学 [3]美国CDC全球艾滋病项目中国办事处 [4]中国疾病预防控制中心性病艾滋病控制中心行为干预室 [5]绵阳同志关爱小组

出　　处：《实用预防医学》2009年第3期654-657,共4页Practical Preventive Medicine

基　　金：卫生部艾滋病防治应用性研究项目(课题编号:WA2005-04);中美艾滋病防治合作项目(课题编号:6.3.3.3)

摘　　要：目的探索针对男男性行为者(MSM)人群特征的有效行为干预方法。方法建立疾病预防控制中心(CDC)主导与MSM志愿者骨干实施相结合的MSM人群艾滋病性病防治组织模式,以核心同伴宣传(POL)干预方法为主,结合网络宣传、外展服务等进行MSM行为干预,2006年12月、2007年7月、2008年1月分别采用应答者驱动招募法(RDS)对MSM人群进行基线、中期及期终评估招募调查,对调查结果进行比较分析。结果基线调查201人,中期200人,期终203人。基线、中期、期终调查比较:不同性伴性行为安全套坚持使用率分别为:近6个月31.4%、43.4%、51%,近3次38.1%、58.2%、64.2%,近1次56.8%、72.8%、82.1%,差异均有统计学意义,上升趋势显著(P<0.05);近6个月不同类别性伴数,差异均无统计学意义(P>0.05);固定性伴(BF)性行为方式分别为58.7%、71%、63.1%,差异有统计学意义(χ2=6.782,P<0.05)。结论CDC为主导、MSM志愿者骨干实施的组织模式下,通过为期1年的POL为主,结合网络、外展等干预,有效提高了MSM社群安全性行为意识。Objective To explore the effective approach to behavior intervention among the MSM group （Man who have sex with men）. Methods The prevention and cure organization of AIDS/STI and venereal diseases which was based on CDC- dominant associated with MSM volunteer backbone operation was established for MSM group, which supplied health education and behavior intervention for MSM group with popular opinion leader（POL） - dominant associated with network pro- paganda and outside-exhibition service. Respond driven sampling （RDS） was employed to estimate and investigate base- line, midterm and final stage for MSM group in December 2006, July 2007, and January 2008, respectively. The investigation results were analyzed and compared. Results Totally 201 individuals in baseline, 200 in midterm, and 203 in final stage were investigated respectively. The investigation results of baseline, midterm and final stage were compared. The persistent usage rate of condom of sexual behavior among different sexual partners was 31.4% in baseline, 43.4% in midterm, and 51% in final stage in recent six months, respectively; 38.1% in baseline, 58.2% in midterm, 64.2% in final stage in recent three times; and 56.8% in baseline, 72.8% in midterm, 82.1% in final stage in the time of latest sexual intercourse, respectively; the difference was statistically significant, and escalating trend was remarkable （P〈 0.05）. No statistically significant difference was found in baseline, midterm, and final stage .in recent six months among the different sexual partners （P〉 0.05）. Sexual behavior mode with BF was 58.7% in baseline, 71% in midterm, 63. 1% in final stage, the difference was statistically significant （X2 = 6. 782, P〈 0.05）. Conclusions Through 1 -year intervention of POL- dominant associated with network propaganda and outside - exhibition, under the type of organization of CDC - dominant associated with MSM vol- unteer operation, the awareness of safe sexual behavior among MSM group is effectively increased.

关 键 词：MSM POL 艾滋病性病 行为干预 

分 类 号：R512.91[医药卫生—内科学]