绵阳市和宜宾市男男性行为人群艾滋病高危因素状况的对比分析  

Survey on HIV related risk factors among MSM in Mianyang and Yibin

作　　者：段毓雯[1] 张洪波[1] 王晓冬 王毅[3] 蒋洪云 王君[1] 

机构地区：[1]安徽医科大学公共卫生学院,安徽合肥230032 [2]成都同乐咨询中心,四川成都610041 [3]绵阳市疾病预防控制中心性艾科,四川绵阳621100 [4]宜宾市疾病预防控制中心性艾科,四川宜宾644000

出　　处：《中华疾病控制杂志》2010年第12期1189-1192,共4页Chinese Journal of Disease Control & Prevention

基　　金：卫生部艾滋病防治应用研究项目(WA2005-04)

摘　　要：目的了解绵阳市和宜宾市男男性行为人群与艾滋病有关的危险因素状况,为开展该人群的健康教育和行为干预提供依据。方法采用限量同伴推荐同伴的方法,分别在绵阳市和宜宾市招募在过去12个月内有过男男性行为且年龄在18周岁及以上的男性为调查对象,每城市招募200名,以匿名的方式进行问卷调查。结果除宜宾市有1所男同性恋酒吧外,绵阳市和宜宾市的MSM社会活动场所多为与大众共用场所,两市都有同志网站,宜宾市和绵阳市的调查对象中分别有92.0%和75.0%的调查对象在过去6个月中到过MSM活动场所;艾滋病性病知识平均得分绵阳市为(12.4±3.2),宜宾市为(11.6±3.6);绵阳市17.5%调查对象报告曾进行过HIV检测,宜宾市为21.5%;宜宾市和绵阳市分别有19.5%和9.0%的调查对象在过去6个月中同时拥有男性和女性性伴;过去6个月中拥有男性商业性伴和男性固定性伴的报告率,宜宾市为19.0%,绵阳市为8.5%;另外,两市的调查对象中均有静脉吸毒者。结论绵阳市和宜宾市MSM艾滋病传播的危险因素广泛存在,在进行绵阳市MSM艾滋病高危行为干预设计时,应以MSM同伴网络为主,同时兼顾MSM活动场所干预,干预内容应以安全性行为倡导和督促HIV检测为重点。Objective To describe the prevalence of HIV related risky behavior among men who have sex with men（MSM） both in Mianyang and Yibin,Sichuan Province and to provide evidence for study on health education and behavior intervention model among MSM.Methods Totally,400 MSM who were male,aged 18 years and above,and having had oral or anal sexual intercourse with men were recruited to participate in baseline survey via peer referral chain in Mianyang and Yibin,200 participants in each,Sichuan Province.The questionnaires were completed anonymously.Results There was a Gay Bar in Yibin and Tongzhi Websites both in Yibin and Mianyang and there were some MSM venues in the corner of the public sites.Of participants,92.0% in Yibin and 75.0% in Mianyang were involved in social activities of MSM.Mean of HIV/AIDS knowledge scores was（12.4±3.2）,which was higher than in Yibin（11.6±3.6）.17.5% of participants in Mianyang received HIVtest and 21.5% in Yinbin before the survey.9.0% of all participants reported both having male and female sexual partners and 8.5% of them reported both having commercial and regular sexual partners in six months prior to survey in Mianyang,the rates were 19.5% and 19.0% in Yibin accordingly.In addition,there were injection drug users among participants.Conclusions Based on the results of baseline,both MSM peer-social network and MSM venues could be the ways of HIV/AIDS related healthy education and behavioral intervention.The intervention should focus on condom usage advocacy and HIV-test promotion among MSM.

关 键 词：HIV 危险因素 男男性接触者 

分 类 号：R181[医药卫生—流行病学] R512.91[医药卫生—公共卫生与预防医学]