利用男男性行为者活动场所开展AIDS高危行为干预效果评价  

Effect Evaluation of High-risk Behavior Intervention among MSM in Venues of Their Usual Haunt

作　　者：吕翠霞[1] 张晓菲[1] 董蕾[1] 傅继华[1] 

机构地区：[1]山东省疾病预防控制中心,济南250014

出　　处：《中国艾滋病性病》2016年第1期15-17,共3页Chinese Journal of Aids & STD

基　　金：全球基金艾滋病项目社区组织项目~~

摘　　要：目的探讨利用特殊活动场所,对男男性行为者(MSM)开展艾滋病(AIDS)高危行为干预的可行性。方法采用整群抽样方法,对在酒吧、浴池等场所活动的MSM进行AIDS相关行为干预,干预前后进行面对面问卷调查,SPSS软件统计分析。结果干预前调查491人,干预后调查596人。经过1年的干预,AIDS防治知识知晓率从76.8%(377/491)提高到97.7%(582/596)(χ2=112.857,P<0.01);最近一次与同性发生性行为时安全套使用率从60.5%(234/387)提高到87.2%(491/563)(χ2=90.771,P<0.01),最近一次与商业性伴发生性行为时安全套使用率从54.0%(75/139)提高到90.8%(119/131)(χ2=45.361,P<0.01),最近一次与异性性伴发生性行为时安全套使用率从42.1%(64/152)提高到60.1%(98/163)(χ2=10.222,P<0.01)。梅毒检测比例从25.7%(126/491)上升到59.2%(353/596),丙型肝炎病毒检测比例从10.6%(52/491)上升到46.3%(276/596),艾滋病病毒检测比例从23.2%(114/491)上升到79.4%(473/596),干预前后检测比例差异均有统计学意义(P<0.01)。结论在MSM活动场所内开展MSM行为干预有实际意义,可以利用社区小组优势在活动场所内开展针对性的艾滋病相关行为干预活动,促进主动检测,降低艾滋病病毒的传播。Objective To explore the feasibility of behavioral intervention among men who have sex with men（MSM）in the venues they frequently visited.Methods Cluster sampling method was used and behavior intervention was conducted among MSM in the bars,and bathrooms.Face-to-face questionnaire before and after the intervention was used to collect the data,and statistical analysis was performed with SPSS 21.0.Results 491 MSM participated in the first survey and 596 MSM in the second.After intervention,the awareness of AIDS knowledge increased from 76.8%（377/491）to 97.7%（582/596,χ2=112.857,P0.01）,the rate of condom use with the last homosexual partner increased from 60.5%（234/387）to 87.2%（491/563,χ2=90.771,P0.01）,the rateof condom use with the last commercial partner increased from 54.0%（75/139）to 90.8%（119/131,χ2=45.361,P0.01）,the rate of condom use with the last heterosexual partner increased from 42.1%（64/152）to 60.1%（98/163,χ2=10.222,P0.01）.Syphilis detection rate rose from 25.7%（126/491）to 59.2%（353/596）,HCV detection ratio rose from 10.6%（52/491）to 46.3%（276/596）,HIV testing ratio rose from 23.2%（114/491）to 79.4%（473/596）,detection ratio before and after the intervention were statistically significant（P0.01）.Conclusion It is effective to conduct behavior intervention among MSM in the venues of their usual haunt.We can make use of MSM community groups to carry out behavior intervention and promote HIV testing to reduce the spread of AIDS.

关 键 词：男男性行为者 艾滋病 行为干预 效果评价 

分 类 号：R512.91[医药卫生—内科学]