上海地区MSM人群艾滋病相关的需求分析  

Analysis of needs for AIDS related health services among MSM in Shanghai

作　　者：孙乔 许磊 张枭 蔡晓峰 毛军 康来仪[3] Steele S Myers T. 

机构地区：[1]上海浦东新区疾病预防控制中心,上海200136 [2]上海徐汇区疾病预防控制中心,上海200237 [3]上海市疾病预防控制中心,上海200336 [4]多伦多大学,加拿大多伦多M5T3M7

出　　处：《中国艾滋病性病》2012年第11期732-734,共3页Chinese Journal of Aids & STD

基　　金：中国-加拿大艾滋病合作项目(IDRC Grant#103460-045);上海市浦东新区卫生系统重点学科建设资助项目(编号PWZXK2010-09)~~

摘　　要：目的了解上海地区男男性行为人群(Men who have sex with men,MSM)的社会学特征及艾滋病相关的健康需求,分析该人群主动参与艾滋病病毒(Human immunodeficiency virus,HIV)抗体检测的情况,为更好地开展MSM人群艾滋病高危行为干预提供思路。方法采用横断面调查方法,于2010年对上海地区314名符合入选标准的研究对象进行一对一问卷调查,收集一般人口学信息、性取向与性活动情况、既往接受HIV抗体检测及HIV感染情况等资料,进行相关的统计描述与分析。结果被调查的314名MSM中,68.5%(215/314)为外来人员;其性伙伴为仅男性、男性为主、男女各半及女性为主的分别占64.0%(201/314)、21.7%(68/314)、7.0%(22/314)和7.3%(23/314)。其中既往HIV抗体检测率为73.9%(232/314),最近2年检测率为63.4%(199/314),不参与检测的主要原因是不相信自己会感染。被调查者对目前艾滋病防治工作的建议主要为加强宣传教育,多关心、多理解、少歧视,加强免费安全套推广等。结论上海市MSM人群对艾滋病防治相关的健康干预措施有较高的需求,加强反对歧视的宣传,多关心、多理解MSM人群,推广免费优质安全套等措施能有效满足MSM人群的健康和心理需求,对有效开展艾滋病防治工作具有重要意义。Objective To learn the demographic characteristics and needs for AIDS-related health services among MSM in Shanghai, analyze the factors that influence their participation in HIV tests, and provide suggestions for the improvement of the interventions to the high-risk behaviors related with AIDS among MSM. Methods A cross-sec- tional survey was carried out to collect information about demographic characteristics, living conditions, social net works and sexual behaviors, history of HIV tests and HIV infections among selected MSM in Shanghai. A total of 314 eligible MSM with different ages and income levels were face to face surveyed with questionnaires in 2010. Re- sults Among the MSM investigated, 68.5%（215/314）were from other provinces. Only male sex partners, mainly- male sex partners, male and female sex partners each half and mainly-female sex partners accounted for 64.0% （201/ 314）, 21.7%（68/314） ,7.0%（22/314） and 7.3%（23/314） ,respectively. 73.9%（232/314）of the subjects had his- tory of HIV tests and 63.4%（199/314）were tested in the past 2 years. The main reason for not taking HIV tests was that the subjects did not believe in the possibility of getting infected. Their suggestions included being given more health education, more care, more understanding and less discrimination, and providing more free and oualitvcondoms. Conclusion The MSM in Shanghai have greater needs for AIDS related health interventions. Strengthened publicity and education for eliminating discrimination against AIDS, provision of more care and understanding for the MSM population and promo tion of free and quality condoms to meet their health and psychological needs will play an imporant role in pursuing effective prevention＇and ：cdntrol of AIDS transmission.

关 键 词：艾滋病 男男性行为人群 健康需求 

分 类 号：R512.91[医药卫生—内科学]