大理州男男性行为人群艾滋病病毒抗体阴性队列调查  

A cohort study on HIV antibody-negative state among MSM in Dali prefecture

作　　者：陈晓明[1] 黄丽花[1] 陈志娟[1] 陆梅泾[1] 

机构地区：[1]云南省大理州疾病预防控制中心,云南大理671000

出　　处：《中国艾滋病性病》2012年第6期402-404,共3页Chinese Journal of Aids & STD

基　　金：国家"十一五"科技重大专项(项目编号:2009zx10004-902-1-004)~~

摘　　要：目的了解大理州男男性行为人群(MSM)艾滋病防治知识、行为及艾滋病病毒(HIV)抗体和梅毒血清学年阳转情况,为制定干预措施提供依据。方法采用前瞻性队列研究,招募符合标准的MSM 200人,每6个月随访调查一次,项目期共完成两次随访调查。结果 6个月随访调查180人,保持率90.00%;12个月随访调查179人,保持率89.50%。艾滋病防治知识知晓率从招募时的80.00%提高到100.00%;最近六个月与同性的商业性行为比例,从招募时的9.00%下降到1.12%;最近六个月与同性肛交时每次都使用安全套的比例,从招募时的47.42%上升到83.24%;最近一次与同性肛交时使用安全套的比例,从招募时的89.69%上升到96.09%;异性性行为在50.00%左右,与异性性行为时每次都使用安全套的比例在10.00%～20.00%之间,最近一次与异性性行为使用安全套的比例在40.00%左右。研究期间有1人出现HIV抗体阳转,无梅毒阳转。结论艾滋病知识知晓率提高,危险性行为降低,安全套使用率提高,异性性行为普遍存在,干预措施有效。Objective To understand HIV/AIDS related knowledge,behaviors and HIV antibodies and syphilis seroconversion in MSM of Dali prefecture and to provide scientific basis for the development of interventions. Methods A prospective cohort study was conducted in which 200 MSM were recruited who were followed up once per six months, and two follow-ups were completed during the whole study period. Results A total of 180 MSM were investigated during six-month follow-up period, and the retention rate was 90.00%. ,while 179 were followed up for 12 month and the retention rate was 89.50% ; the awareness rate of HIV/AIDS knowledge was increasing from 80.00%（when being recruited） to 100. 00% ; The rate of homosexual commercial sex behavior in the last six months was reducing from 9.00 % （when being recruited） to 1.12 %;The rate of condom use in homosexual sex behavior in the last six months was increasing from 47.42% （when being recruited） to 83.24% ; The rate of condom use in the last homosexual anal sex behavior was increasing from 89.69% （when being recruited） to 96.09%; the proportion of heterosexual sex behavior was around 50.00%, The rate of consistent condom use in heterosexual sex behavior was about 40.00% ; HIV was converted to positive state in one person , no syphilis seroconversion occurred during the project period. Conclusion The rate of HIV/AIDS knowledge and awareness increased , and high risk sexual behavior reduced, condom use rate increased, but the heterosexual sex behavior was common. The interventions provided were effective.

关 键 词：艾滋病 男男性行为人群 阴性队列 

分 类 号：R373.9[医药卫生—病原生物学]