深圳市675例男男性行为者高危行为及HIV/梅毒感染调查  

Investigation on high risk behavior and HIV/syphilis infection among 675 men having sex with men (MSM) in Shenzhen City

作　　者：潘鹏[1] 蔡于茂[1] 洪福昌[1] 冯铁建[1] 蒋宁[2] 陈祥生[2] 

机构地区：[1]广东省深圳市慢性病防治中心,广东深圳518020 [2]中国疾病预防控制中心性病控制中心

出　　处：《公共卫生与预防医学》2012年第3期21-23,共3页Journal of Public Health and Preventive Medicine

基　　金：十一.五课题"艾滋病和病毒性肝炎等重大传染病防治"科技重大专项防治性病对预防艾滋病的作用研究(编号:2008ZX10001-005)

摘　　要：目的了解深圳地区男男性行为者(MSM)高危行为及HIV/梅毒感染状况,为进一步实施干预提供依据。方法知情同意原则下,进行匿名问卷调查,收集社会人口学、性行为和安全套使用等资料,抽血检测HIV/梅毒,进行统计分析。结果共调查675例。58.5%自认为同性恋但能和女性发生性行为,32.9%自认为绝对的同性恋,8.6%自认为异性恋但能和男性发生性行为;最近六个月,94.4%与男性发生过肛交性行为,其中68.3%最近一次肛交时使用了安全套;最近六个月,31.1%与女性发生过性行为,其中52.4%最近一次和女性发生性行为时使用了安全套;26.2%曾经参加过性交易活动,17.5%最近一次性交易时未使用安全套;48.0%通过互联网联系找寻性伴,20.7%到浴池、桑拿等场所找寻性伴;梅毒ELISA阳性率和HIV阳性率分别为41.2%和8.0%。结论有必要在该人群中加强健康教育和行为干预等针对措施,以有效阻断HIV传播和蔓延。Objective To understand the characteristics of high risk behavior and HIV/syphilis infection status among men having sex with men （MSM） in Shenzhen city and provide information for further intervention. Methods With informed consent, the anonymous questionnaires were conducted among MSM, and blood samples were taken for HIV and syphilis examination. Data of demographic, sexual behavior, condom-use were collected and analyzed. Results A total of 675 MSM were recruited. 58.5% believed themselves as bi-sexuality who reported ever having sex with both male and female. 32.9% believed themselves as homosexual and only had sex with men. 8.6% believed themselves as heterosexual having sex with men sometimes. In the past 6 months 94.4% reported having anal sex with male, and 68.3% used condom at the last anal intercourse. 31.1% reported having female sex partners in the last 6 months and 52.4% used condom at the last vaginal intercourse. 26.2% reported ever having commercial sex and 17.5% reported not using condom at the last commercial intercourse. 48.0% reported seeking sexual partners via the internet, and 20.7% preferred via public baths for sexual partners. The rate of syphilis positive by ELISA and HIV infection was 41.2% and 7.8%, respectively. Conclusion It is necessary to carry out health education and behavioral intervention targeting on MSM to prevent HIV transmission effectively.

关 键 词：男男性行为者 艾滋病 梅毒 感染 

分 类 号：R512.91[医药卫生—内科学] R759[医药卫生—临床医学]