男男性行为者高危行为特征和性病/艾滋病病毒感染状况调查  

Survey on high risk behaviors and HIV/STD infection status among men who have sex with men

作　　者：薛芳辉 孙智霞[1] 林素芳[1] 金镒华 朱海深 温明权 

机构地区：[1]浙江省温州市鹿城区疾病预防控制中心,浙江温州325000

出　　处：《疾病监测》2010年第1期54-56,共3页Disease Surveillance

基　　金：鹿城区科技计划项目(S090108)~~

摘　　要：目的了解浙江省温州市鹿城区男男性行为者(MSM)高危行为特征及性病/艾滋病病毒(STD/HIV)感染状况,为今后实施有效的干预措施和制定预防控制对策提供参考。方法在知情同意的前提下,由经过培训的调查员和志愿者对MSM人群进行匿名问卷调查及抽血检测。结果调查MSM人群358人,以青壮年为主,平均年龄(26.96±6.46)岁,67.60%的调查对象未婚;87.71%的调查对象最近半年与男性发生过性行为,性伴数平均(4.32±6.71)人,2名以上性伴的达到64.80%,39.11%既有同性性伴又有异性性伴;27.71%曾提供过有偿性服务;近半年56.05%的调查对象与男性发生肛交性行为时每次都使用安全套,47.86%与女性发生性行为时每次使用安全套;HIV抗体、乙肝病毒表面抗原(HBsAg)、梅毒抗体检测阳性率分别为3.45%、5.42%、10.84%,梅毒抗体阳性伴HBsAg阳性率为0.99%,梅毒抗体阳性伴HIV抗体阳性率为1.48%。结论MSM人群普遍存在多性伴、无保护的高危性行为,存在STD/HIV流行的潜在危险,也是STD/HIV传播的桥梁人群,应全面深入针对MSM人群加强宣传教育及行为干预工作的力度。Objective To understand the characteristics of high risk behaviors and HIV/STD infection status among men who have sex with men （MSM） in Lucheng district of Wenzhou, and provide evidence for the effective intervention and prevention/control strategy. Methods With informed consent, the anonymous questionnaire was conducted among MSM and blood samples were taken from them by well trained investigators and volunteers. Results A total of 358 MSM were interviewed and the majority were young adults with the average age of 26.96 ± 6.46 years, 67.60% of them were unmarried. In the past half years, 87.71% of them had anal intercourse with males and 64.80% had more than two sexual partners （ averagely 4.32 ± 6.71 ）, 39.11% had both male and female sex partners, 27.71% provide commercial sex for others. During the past half year, 56.05% of them used condom at each sex with males and 47.86% used condom at each sex with females, The positive rate of H1V, HBsAg and syphilis was 3.45%, 5.42% and 10.84% respectively. The infection rate of syphilis with HBsAg positive was 0.99% and that of syphilis with HIV positive was 1.48%. Conclusion High risk sexual behaviors are prevalent among MSM in Lucheng district, which could facilitate HIV/STD transmission, so the prevention programs and behavior intervention should be further strengthened.

关 键 词：男男性行为者 艾滋病 高危性行为 感染 

分 类 号：R512.91[医药卫生—内科学]