某市不同类型MSM艾滋病知识态度行为和HIV感染情况  

Investigation and analysis on AIDS-related knowledge,attitude,behaviors and the infection state of HIV among different types of male homosexuals

作　　者：吕金伟[1] 程周祥[1] 杨康生[1] 豆正东[1] 成国明[1] 方艳姣[1] 安洲[1] 范引光[2] 

机构地区：[1]芜湖市疾病预防控制中心,安徽芜湖241000 [2]安徽医科大学公共卫生学院流行病与卫生统计学系,安徽合肥230032

出　　处：《中华疾病控制杂志》2013年第9期774-777,共4页Chinese Journal of Disease Control & Prevention

基　　金：安徽省全球基金艾滋病项目(CHN-304-G03-H-ANHUI-2010)

摘　　要：目的了解芜湖市不同类型男男性行为者(men who have sex with men,MSM)艾滋病知识、态度、性行为学特征和艾滋病病毒(human immunodeficiency virus,HIV)感染情况,为实施MSM艾滋病高危行为干预提供科学依据。方法采用分类滚雪球抽样调查的方法,招募MSM进行问卷调查,并采集静脉血样进行HIV、梅毒、丙型肝炎病毒(hepatitis C virus,HCV)的血清学检测。结果共调查MSM 422名,不同类型MSM年龄、婚姻状况、文化程度等构成比差异均有统计学意义(均有P<0.05),不同类型MSM艾滋病相关知识知晓率差异有统计学意义(Ⅹ2=67.92,P<0.001),其中其他型MSM知晓率高达95.1%。酒吧型MSM获得艾滋病相关服务人数高于网络型、公园型和其他型。422名MSM最近半年均与同性发生过性行为,酒吧型MSM每次都用安全套的率最高,为32.6%;11.6%的MSM与同性存在商业性行为,发生商业性行为时安全套使用率低。30.6%MSM存在异性性行为,HIV抗体阳性率为4.3%;梅毒抗体阳性率为9.0%,HCV抗体阳性率为0.7%;各类型MSM的HIV抗体阳性率差异有统计学意义(Ⅹ2=8.63,P=0.030)。结论不同类型MSM存在艾滋病知识与行为分离的现象;应在不同类型的MSM人群中采取不同的艾滋病相关知识教育形式和高危行为干预措施。Objective To investigate AIDS-related knowledge, attitude and sexual behaviors among different types of men who have sex with men （MSM） in Wuhu, and to provide basis for AIDS high risk behaviors intervention. Methods Data from MSM by classification snowball sampling, we investigated MSM by using questionnaires. Results 422 MSM were investigated, there was significant difference in age, marriage, education background and so on （all P 〈 0. 05 ）. There was statistically significant difference in the rate of the knowledge of AIDS-related service among different types of MSM （ χ2 = 67.92, P 〈 0. 001 ）, that of MSM from other types was 95.1%. The population of getting AIDS service in bar was higher than other types of MSM. All MSM had history of sex with man in the past six months, the condom use rate of MSM who came from bar every time 32. 6% was higher than those who came from park, internet, etc. 30. 6% MSM had sex with men so that they could obtain money, and the using rate of condom was low when MSM served as money boy. 11.6% MSM had sex with female. The positive rate of HIV antibody, syphilis antibody and HCV antibody were 4. 3% , 9. 0% and 0. 7% , respectively. There was significant difference among different types of MSM （ χ2 = 8.63, P = 0. 030 ）. Conclusions The behaviors of MSM were separated from AIDS-related knowledge, it should be addressed that different ways of AIDS-related knowledge education and the different intervention measures in different types of MSM are strengthened to prevent AIDS.

关 键 词：同性恋 男性 HIV 流行病学研究 

分 类 号：R512.91[医药卫生—内科学] R181.2[医药卫生—临床医学]