利用QQ开展MSM人群艾滋病高危行为干预效果评估  

Evaluation of QQ-based HIV high-risk behavior interventions for MSM population

作　　者：闫红梅[1] 高聪[1] 李一[1] 佟雪[1] 惠珊[1] 于兰[1] 

机构地区：[1]黑龙江省疾病预防控制中心,哈尔滨150030

出　　处：《中国艾滋病性病》2013年第3期174-176,179,共4页Chinese Journal of Aids & STD

基　　金：中德财政合作项目/中国边境省艾滋病防治项目资金支持~~

摘　　要：目的了解利用QQ开展男男性行为人群(MSM)艾滋病高危行为一对一网络干预服务的效果。方法建立接受规范化一对一QQ网络干预服务的MSM队列,初期网络干预后做首轮在线评估调查,进行6个月的常规干预后,做第2轮相同评估内容的在线调查。结果 400名调查对象经过6个月的干预后,做过HIV抗体检测的比例从57.3%上升到68.3%(P=0.007),与志愿者交流后表示愿意接受HIV抗体检测服务的比例从67.0%上升到77.5%(P=0.001);最近6个月有肛交性行为者,最近1次肛交安全套使用率从66.4%上升到81.5%(P=0.000),安全套坚持使用率从31.1%上升到59.6%(P=0.000),打算下次发生肛交性行为时使用安全套的比例从83.0%上升到89.5%(P=0.018)。结论艾滋病规范化一对一QQ网络干预对改变MSM人群风险性行为和寻求HIV抗体检测行为改变效果明确,值得在MSM人群艾滋病高危行为干预工作中推广使用。Objective To understand the effectiveness of intervention services among a HIV high-risk population through one-to-one QQ-based internet counseling. Methods A MSM cohort was established and subjected to inter- ventions with standardized one-to-one QQ-based internet counseling. The first evaluation survey was conducted on line after the initial internet interventions. After the routine interventions for six months, the second on-line survey was conducted in all cohort members with the same questionnaire. Results Four hundred subjects were recruited. After 6-month QQ-based internet counseling interventions, the rate of taking HIV antibody test increased from 57. 3% to 68.3%（P=0. 007. The rate of expressing willingness to take HIV antibody test increased from 67.0% to 77.5%（P=0. 001）; among the MSM who had anal sex in the last six months, the rate of condom use during the latest anal s＇ex increased from 66.4% to 81.5%（P=0. 000）, the rate of using condoms consistently in the last six months increased from 31.1% to 59.6 % （P=0. 000）, and the rate of expressing willingness to use condom during the next anal sex increased from 83.0% to 89.5%（P=0. 018）. Conclusion One-to-one QQ-based internet interven- tions significantly reduced HIV high-risk sex behaviors and improved HIV antibody test behavior in the MSM popu- lation. The method could be promoted in interventions for HIV high-risk sex behavior in this population.

关 键 词：艾滋病 男男性行为人群 QQ 网络干预 效果评估 

分 类 号：R512.91[医药卫生—内科学]