126例MSM HIV/STD感染状况及高危行为调查  

Survey of HIV/STD infections among 126 MSM and their high-risk behavior

作　　者：李纲[1,2] 韩威[1,2] 

机构地区：[1]铜山区疾病预防控制中心 [2]徐州市疾病预防控制中心,江苏221006

出　　处：《中国艾滋病性病》2012年第11期749-750,共2页Chinese Journal of Aids & STD

摘　　要：目的了解徐州市男男性行为人群(Men who have sex with men,MSM)的特征及行为学特点,分析该地区MSM中艾滋病病毒(Human immunodeficiency virus,HIV)感染影响因素,为该地区艾滋病防治提供线索和依据。方法依托当地同性恋组织,采用同伴或调查对象互相推荐的方法招募调查对象,并对调查对象进行问卷调查和血清学检测。结果共调查MSM 126人,平均年龄(27.19±7.15)岁,大专及以上学历占62.70%,高中或中专占30.16%,初中占6.35%,小学占0.79%。职业以学生和工人为主。寻找性伴方式以互联网为主,占78.5%。艾滋病知识知晓率为73.81%(93/126)。最近6个月,有26.98%与女性发生过性关系,每次都使用安全套的频率仅为29.41%。126份血样检测HIV抗体,阳性8人,HIV感染率6.35%。梅毒螺旋体明胶颗粒凝集试验(Trepo-nema pallidum particle agglutination,TPPA)确认阳性10人,梅毒现症感染率7.94%。结论徐州市MSM危险因素主要与年龄小、互联网推动同性高危性行为的发生及同性性行为安全套使用率低有关。提示工作重点应放在面向MSM网络宣传教育,加强MSM干预和异性性伴HIV检测,以遏制徐州市MSM中HIV的流行。Objective To understand the demographic and behavioral characteristics of the MSM population in Xuzhou City,to analyze HIV infection status and the impact factors among them,and to provide evidence for HIV prevention and treatment in this region.Methods The subjects were recruited through peer groups and self-mutual recommendations by relying on local homosexual organizations.Questionnaire surveys and sero tests were conducted.Results Totally,126 MSM were surveyed,and their average age was（27.19±7.15） years;of them 62.70% were with college education or higher,30.16% were with senior middle schooling or vocational schooling,6.35% were with junior middle schooling,and 0.79% were with primary schooling.The majority of them were school students or blue-collar workers.Those who were seeking sex partners via internet accounted for 78.5%.The rate of AIDS related awareness among the local MSM was 73.81%（93/126）.In the last six months,26.98% had sex with females,the rate of consistent condom use was only 29.41%.One hundred and twenty six blood samples were tested,of which 8 were HIV antibody positive,with an infection rate of 6.35%,and 10 were confirmed syphilis treponema pallidum particle agglutination（TPPA） positive,with an infection rate of 7.94%.Conclusion The main risk factors among MSM in Xuzhou are related with younger age,internet-based high risk homosexuality and low level of condom use.It is suggested that publicity and education via the MSM network should be emphasized,and interventions for the MSM population and tests for their hetero-sex partners be strengthened,so that AIDS epidemic among MSM in Xuzhou City may be contained.

关 键 词：男男性行为人群 高危行为 艾滋病 

分 类 号：R512.91[医药卫生—内科学]