秦皇岛市男男性行为者艾滋病相关知识行为现状及血清学检测结果分析  

AIDS Related Knowledge Behaviors Status of Men Who Have Sex with Men and Serological Test Results Analysis in Qinhuangdao

作　　者：冯艳洁[1] 董俊善[1] 朱小凤[2] 曹宁校[2] 何卫社[3] 范军 

机构地区：[1]秦皇岛市疾病预防控制中心,河北秦皇岛066000 [2]中国医学科学院北京协和医学院皮肤病研究所,江苏南京210042 [3]廊坊市人民医院,河北廊坊065000 [4]北戴河区疾病预防控制中心,河北秦皇岛066100

出　　处：《中国皮肤性病学杂志》2015年第9期930-932,共3页The Chinese Journal of Dermatovenereology

摘　　要：目的了解秦皇岛市男男性行为者(MSM)知识行为及艾滋病/梅毒/丙肝感染状况,为制定该人群有效的干预措施和防治策略提供依据。方法 2009-2012年采用自愿招募和滚雪球的方法,对寻求艾滋病咨询的MSM进行面对面问卷调查和知情同意血清学检测。结果共有1 043例MSM接受调查,其平均年龄(26.9±7.16)岁,未婚占75.65%,高中及以上文化占84.75%,本地居住超过2年者占72.58%。艾滋病知识知晓率为88.11%。近6个月中86.10%有肛交行为,最近一次肛交安全套使用率69.38%,每次坚持使用安全套率为42.76%,从不使用安全套者主要是未婚大中专院校在校年龄段的学生。参与商业性行为者9.02%,29.82%的人有异性性行为。异性性行为中从不使用安全套者,在婚和同居者占69.70%。近1年中,6.81%报告有性病诊断史。检测发现HIV感染率为5.75%,梅毒感染率7.19%,HCV阳性感染率为0.19%。结论秦皇岛市MSM人群需要加强艾滋病全面相关知识的普及,同时要关注梅毒和丙肝防控宣传和及早发现治疗梅毒以有效降低HIV传播。Objective To investigate the prevalence of HIV/Syphilis/HCV infection and the related knowledge and behaviors among men who have sex with men （MSM） in Qinhuangdao for the effective intervention measure and control strategies. Methods Questionnaire with serological testing was conducted by voluntary recruitment and snowball sampling in 2009 -2012. Results The average age was （26.9 ± 7. 160） years-old in 1 043 participants, and the unmarried participants accounted for 75.65%. 84. 75% of the respondents were high school and above of education level, and 72. 58% lived in local city more than two years. The proportion of participants knowing correct HIV/AIDS knowledge was 88.11%. Of all participants studied, 86. 10% of respondents ever had anal sex with male in the last six months, and the proportion of condom using with male partners was 69. 38% in the last time. The proportion of consistent condom using was 42. 76%, and the respondents never used condoms were mainly unmarried college youth. 9.02% of the respondents ever had commercial sexual behavior and 29. 82% reported ever having sex with woman. The respondents never used condoms in Heterosexual sexual behavior, marriage and cohabitation accounted for 69.70% , 6. 81% of the respondents reported a history of sexually transmitted diseases. A total of them were detected in the informed consent,with HIV infection rate of 5.75% and syphilis infection rate of 7.19% and HCV infection rate of 0. 19%. Conclusion HIV/AIDS related knowledge should be promoted among MSM population in Qinhuangdao. At the same time,the prevention and control of syphilis and hepatitis C should be paid attention and early detection and effective treatment for syphilis in order to reduce the spread of HIV.

关 键 词：男男性行为者(MSM) HIV 知识 行为 检测 

分 类 号：R512.91[医药卫生—内科学]