某移民城市男男性行为人群艾滋病相关高危行为特征分析  

Analysis on Characteristics of AIDS High Risk Behavior among MSM in an Immigrant City

作　　者：李林涛[1] 旷翠萍[1] 齐杰[1] 刘文忠[1] 

机构地区：[1]深圳市罗湖区疾病预防控制中心,广东深圳518020

出　　处：《中国初级卫生保健》2014年第4期68-70,共3页Chinese Primary Health Care

摘　　要：目的了解某移民城市男男性行为者(MSM)一般人口学特征以及高危行为特征,为制定有效的干预措施、防制策略提供科学依据。方法采用同伴推动抽样(RDS)方法获得调查对象,对MSM进行匿名问卷调查,问卷内容包括基本人口学资料、性取向、性行为方式、安全套使用及商业性行为等。结果共调查MSM者589人,未婚占90.49%;外省户籍占72.33%;最近6个月,同性性伴中位数为5个,安全套坚持使用率为74.27%,与固定性伴、多次性伴、偶遇性伴和商业性伴肛交的安全套坚持使用率分别为15.79%、16.85%、15.38%和82.35%;9.78%的肛交性伴中有外籍人士;24.37%的MSM的非商业性伴中有香港人;46.18%的调查对象有同性商业性行为,7.64%的调查对象有异性商业性行为;47.88%的调查对象与女性发生过性行为,安全套坚持使用率为40.59%。结论某移民城市MSM人群流动性大,与香港及外籍人士,多性伴、商业性行为以及异性性行为均普遍存在,除商业性行为外,其他性行为中安全套使用率均较低,应加强健康教育和行为干预力度。OBJECTIVE To understand the characteristics of the HIV high risk sexual behaviors among men who have sex with men （MSM） in an immigrant city and provide scientific evidence for behavioral intervention among them. METHODS An anonymous questionnaire was conducted on MSM who were recruited by respondent-driven sampling（RDS）. The questionnaire contains general population information, sexual orientation, method of sexual behavior, condom use and commercial sexual behaviors, etc. RESULTS Among total 589 cases MSM investigated, 90.49% were unmarried, 72.33% people are from other province. In the past 6 months, the median of homosexual partner number of MSM was 5. Consistent condom use was 74.27%. Condom use of regular sexual partner, multiple sexual partners, occasional sexual partners and commercial sex partners were 15.79%, 16.85%, 15.38% and 82.35%. 9.78% of anal intercourse investigated people from foreign countries; 24.37% of MSM non-commercial sexual partners were from Hongkong; 46.18% of investigated people have commercial sex with men, 7.64% of investigated people have commercial sex with women; 47.88% of investigated people have sex with women, while their condom use was 40.59%. CONCLUSION There is large population mobility in the immigrant city, sexual behavior with people from Hongkong, foreign countries are popular, multiple sexual partners and commercial sexual behaviors is also prevalent. Condom use rate is very low among above behaviors, exceptcommercial sexual behavior. Health education and behavioral intervention should be strengthened.

关 键 词：男男性行为者 艾滋病 高危行为 

分 类 号：R512.91[医药卫生—内科学]