2009年大连市男男性行为者艾滋病危险行为与HIV感染及影响因素调查  

Survey on HIV Infection and Related Factors and High Risk Behaviors among Men who Have Sex with Men in Dalian City,2009

作　　者：李瑞[1] 佟伟[1] 赵志杰[1] 

机构地区：[1]大连市疾病预防控制中心,辽宁大连116021

出　　处：《预防医学论坛》2010年第12期1127-1129,共3页Preventive Medicine Tribune

摘　　要：[目的]了解大连市男男性行为者（MSM）的性行为特征、艾滋病病毒（HIV）感染状况及其影响因素,为MSM人群行为干预工作提供依据。[方法]2009年4-6月,在大连市采用定向抽样方法,对402名MSM进问卷调查和HIV抗体检测。[结果]调查402人,最近半年发生同性肛交的357人,占88.81%。这357人中,同性肛交时安全套从未使用的占9.52%,有时使用的占35.29%,每次都用的占55.18%;付钱寻找男男性服务的占2.24%,平均2.38个性伴;提供商业男男性服务的占21.01%,平均服务17人。调查的402人中,最近半年发生异性性行为的136人,占33.83%。这136人中,安全套从未使用的占41.91%,有时使用的占21.32%,每次都用的占36.76%。检测402人,HIV抗体阳性检出率为4.48%,梅毒感染率为13.93%,有4名同时感染HIV和梅毒。多因素非条件Logistic回归分析结果,年龄大、未接受过艾滋病干预服务者是促进HIV感染的因素。[结论]MSM人群存在感染HIV的危险行为,艾滋病干预服务措施有效,中老年MSM是艾滋病预防控制工作的重点人群。[Objective] To study the characteristics of sexual behavior and HIV infections among men who have sex with men（MSM） in Dalian city,so as to provide basis for intervention.[Methods]＂Snowball＂sampling was used from April to June,2009,a questionnaire investigation and serological examination were conducted among 402 MSM.[Results]Of the 402 MSM investigated,357（88.81%）of them had homosexual in recent half year.9.52% of 357 MSM never used condom at homosexual,the rate of occasional use and insistence on use was 35.29% and 55.18%;2.24% of them paid for sex and 21.01% sold sex,an average number of partners was 2.38 and 17.Among 402 MSM,136（33.83%） participants had female sexual partners in the half year,41.91% of them never used condom and the rate of occasional use was 21.32%,the rate of insistence on use condom was 36.76%.The prevalence rate of HIV and syphilis was 4.48% and 13.93% among 402 participants and 4 MSM got infected with both.Multivariate logistic regression analyses demonstrated that being old and no acceptance of preventive interventions intensified HIV infections.[Conclusion]High risk behaviors of HIV exist in MSM,preventive interventions are effective,the middle aged and the old are the key populations for HIV prevention and control.

关 键 词：男男性行为者 艾滋病病毒 感染 行为 

分 类 号：R512.91[医药卫生—内科学]