云南省2010年13州（市）男男性行为者艾滋病综合监测  

A comprehensive surveillance on HIV among 1237 men who have sex with men in thirteen cities of Yunnan

作　　者：罗红兵[1] 梅静远[1] 宋丽军[1] 卢冉[1] 陆继云[1] 付丽茹[1] 李雪华[1] 贾曼红[1] 陆林[1] 

机构地区：[1]云南省疾病预防控制中心,昆明650022

出　　处：《中华流行病学杂志》2012年第7期706-709,共4页Chinese Journal of Epidemiology

摘　　要：目的了解云南省男男性行为者（MSM）的艾滋病知识水平、行为特征和艾滋病病毒（HIV）感染率。方法2010年首次在云南省13个州（市）通过“滚雪球”抽样法对可接触到的MSM进行面对面行为学问卷调查，并采集血液样本进行HIV和梅毒抗体检测。结果在云南省13个州（市）共调查1237名MSM，艾滋病基本知识知晓率为93．2％，81．1％最近6个月与男性发生过肛交性行为，最近6个月与男性发生肛交性行为时49．7％坚持使用安全套，29．0％最近6个月与女性发生过性行为。HIV感染率为8．2％，梅毒感染率为3．9％，不坚持使用安全套和梅毒阳性是MSM感染HIV的主要危险因素。结论云南省MSM危险行为比例较高，HIV感染率高，该人群艾滋病预防控制问题值得高度关注。Objective To understand the knowledge, risk behaviors and HIV prevalence in men who have sex with men （MSM） in thirteen cities. Methods Target samples were chosen using the snowball-rolling method, with transverse KABP and HIV-antibody testing developed for those MSM in thirteen cities of Yunnan. Results A total of 1237 valid questionnaires and 1129 blood samples were collected. Basic knowledge on HIV and the rate of the response was 93.2%. 81.1% of the respondents had anal sex with male partners in the last six months, of them 49.7% could persistently using condoms in each anal sex episode. 29.0% of the respondents had sex with female partners in the last six months. The HIV prevalence among the studied MSM was 8.2% and the prevalence of syphilis among them was 3.9%. Most risky factors of those MSM infected by HIV would include： not persistently use condom when having sex and co-infection of syphilis. Conclusion Both rates of HIV infection associated risk behaviors and HIV prevalence were high in MSM under study that called for more work on HIV prevention and control MSM in Yunnan.

关 键 词：男男性行为者 艾滋病 危险行为 

分 类 号：R512.91[医药卫生—内科学]