吉林市青年学生MSM人群艾滋病行为干预效果评价  

Evaluation of Intervention on AIDS High-risk Sexual Behavior among Young Students in Jilin MSM Population

作　　者：蔡勇[1] 乔建国[1] 孙殿伟[1] 

机构地区：[1]吉林省吉林市疾病预防控制中心,吉林132001

出　　处：《华中科技大学学报（医学版）》2017年第3期346-351,367,共7页Acta Medicinae Universitatis Scientiae et Technologiae Huazhong

基　　金：吉林省卫生计生委科研基金资助项目(No.2014ZC012)

摘　　要：目的评价吉林市青年学生男男性行为(males who have sex with males,MSM)人群艾滋病行为的干预效果,为制定适合该人群的综合行为干预策略提供依据。方法采用"分类滚雪球"方法对青年学生MSM人群开展横断面调查。综合干预措施包括利用新媒体开展宣传教育、行为干预、自愿咨询检测、同伴教育、安全套推广及性病门诊规范化服务等。对干预前后各300名青年学生MSM人群采取面对面匿名的方式对人口学特征、艾滋病防治知识了解情况、高危行为及干预服务措施等影响因素进行调查和分析。结果艾滋病相关知识知晓率,干预前后分别为67.67%和94.33%。干预前最近1次和最近6个月在肛交时坚持使用安全套的比例分别为23.57%和11.79%,干预后分别为76.21%和62.10%。干预前后与异性发生性行为时安全套使用比例比较,最近1次与女性发生性行为安全套使用率从23.53%上升到69.60%,最近6个月安全套的使用率从15.44%上升到66.40%。干预前后最近1年MSM人群曾有过性病相关症状的比例从21.33%下降到7.67%。结论通过采用综合干预措施,吉林市青年学生MSM人群艾滋病知识知晓率明显提高;高危性行为的发生率减少;安全套的使用率有所提高。利用新媒介开展青年学生MSM人群干预,成本低、操作方便,可以作为传统行为干预模式的良好辅助措施。Objective To evaluate effect of intervention on acquired immune deficiency syndrome（AIDS）high-risk sexual behavior of males who have sex with males（MSM）population in Jilin,and to provide a basis for establishing apropriate intervention strategy for this population.Methods A cross-sectional survey was carried out on the MSM population of young students with the method of ＂classification＂.Comprehensive intervention strategy included health education via new media,behavioral intervention,voluntary conseling and testing,peer education,condom promotion and standardized services for clinic of sexually transmitted diseases（STDs）and other comprehensive interventions.Before and after intervention,300 MSM were enrolled,and their demographic characteristics,knowledge of AIDS prevention and control,high risk behaviors and intervention measures were investigated and analyzed.Results Before and after the intervention,the awareness rate of AIDS related knowledge was67.67% and 94.33%,respectively,the condom usage rate was 23.57% and 11.79%in the most recent and the last 6months before the intervention,and it was 76.21% and 62.10% after the intervention,respectively.The proportion for those who used condom every time in heterosexual sex behavior was increased from 23.53%（before intervention）to 69.60%（after intervention）,and the condom usage rate in the last 6months was increased from 15.44%to 66.40%.Proportion of the MSM who had STDs related symptoms was decreased from 21.33%to 7.67% after the intervention.Conclusion After the comprehensive intervention,the awareness rate of AIDS related knowledge among MSM in Jilin is significantly increased,the incidence of highrisk sexual behavior is decreased and the condom usage rate is improved.Intervention by use of new media is low-cost,easy to operate,and can be used as a good supplementary strategy for traditional behavioral intervention.

关 键 词：男男性行为人群 青年学生 艾滋病 行为干预 干预效果 

分 类 号：R512.91[医药卫生—内科学]