上海市高校学生男男性行为者艾滋病高危性行为定向干预效果评价  

Effect of directional intervention on the high risk sexual behaviors for HIV/AIDS among university students who have sex with men,Shanghai

作　　者：宣舟斌 商颖 徐湘[1] 李志义[1] 韩雪[1] 邓阳[3] XUAN Zhou - bin;SHANG Yin;XU Xiang;LI Zhi - yi;HAN Xue;DENG Yang(Center for Disease Control and Prevention of Yangpu District, Shanghai 200090, Chin)

机构地区：[1]上海市杨浦区疾病预防控制中心,上海200090 [2]上海市浦东新区疾病预防控制中心,上海200136 [3]泰山医学院公共卫生学院,山东泰安271016

出　　处：《现代预防医学》2018年第11期2067-2072,共6页Modern Preventive Medicine

基　　金：上海市卫生和计划生育委员会青年科研课题(20134Y016)

摘　　要：目的探索针对上海市高校学生男男性行为者(men who have sex with men,MSM)人群中艾滋病(AIDS)高危性行为的有效干预模式。方法 2014年1月至2016年6月在上海市高校中以滚雪球的方法招募最近6个月与男性发生过性行为的MSM 304人,分为干预组和对照组。干预组接受AIDS相关知识和正确使用安全套的健康教育等定向干预措施,对照组接受日常干预措施,并于干预前后对两组研究对象进行问卷调查。结果干预后干预组知晓率为98%,对照组知晓率为88.8%,干预组知晓率高于对照组(=10.49,P=0.001)。干预组和对照组在是否有一夜情行为、若有一夜情行为是否使用安全套、近6个月内在口交时安全套使用情况、最近一次发生同性性行为时安全套使用情况、使用安全套时是否会留意其保质期和最近一次发生异性性行为时安全套使用情况的差异具有统计学意义(P<0.05)。结论对大学生MSM人群进行定向的AIDS相关知识的健康教育和指导,可以提高AIDS相关知识知晓率和安全套使用率,降低其高危性行为的发生率。Objective To explore the effective intervention model for high risk behaviors in university students who have sex with men （MSM） in Shanghai. Methods A total of 304 MSM who had sex with men in the last 6 months were recruited in colleges and universities from January 2014 to June 2016. They were divided into intervention group and control group. The subjects in the intervention group received directional intervention measures such as AIDS related knowledge education and right application method of condom. The subjects in the control group received daily intervention measures. Questionnaire surveys were conducted in the two groups before and after the intervention. Results The awareness rate was 98% in the intervention group and 88.8% in the control group after intervention. The intervention rate of intervention group was higher than that of control group （ X^2 = 10.49, P = 0. 001 ）. Whether there was one night stand, the condom was used when there was one night stand, the condom was used for oral sex in the past six months, the condom was used for homosexual behavior for the last time, paid attention to its shelf life when using a condom and the condom was used for heterosexual behavior for the last time were statistically significant between the intervention group and the control group after intervention （ P 〈 0.05 ）. Conclusion The directional intervention in MSM including the education and guidance of AIDS related knowledge can increase their awareness of HIV/AIDS related knowledge and condom usage rate, and reduce the incidence of high risk sexual behavior.

关 键 词：大学生 男男性行为者 定向干预 艾滋病 高危性行为 

分 类 号：R183[医药卫生—流行病学]