某“同志浴池”调查的男男性行为者艾滋病相关知识、态度、行为分析  

AIDS related knowledge, attitude and behaviors of MSM in a gay bathhouse

作　　者：罗西[1] 范传刚[1] 杨连第 余庆 LUO Xi;FAN Chuangang;YANG Liandi;YU Qing(Hubei Provincial Center for Disease Control and Prevention,Wuhan,Hubei 430079,China)

机构地区：[1]湖北省疾病预防控制中心,湖北武汉430079 [2]湖北省预防医学会 [3]武汉馨缘工作组

出　　处：《预防医学》2020年第10期996-999,共4页CHINA PREVENTIVE MEDICINE JOURNAL

摘　　要：目的了解某"同志浴池"活动的男男性行为者(MSM)艾滋病知识、态度和行为水平,为MSM人群艾滋病防控提供依据。方法于2017年4—6月选取在武汉市某"同志浴池"活动的MSM进行问卷调查,收集人口学信息、艾滋病知识知晓情况、艾滋病相关态度、主要交友方式和目的以及艾滋病相关行为情况,描述性分析MSM的艾滋病相关知识、态度和行为水平。结果共调查278人,知晓艾滋病基本知识235人,知晓率为84.53%。"输入带有艾滋病病毒的血液会被感染""与艾滋病病毒感染者共用注射器会被感染""正确使用安全套可以减少艾滋病传播""只与一名(或减少)性伴发生性行为可以减少艾滋病传播"知晓率相对较高,均在90%以上;"’同志浴池’艾滋病感染率较高"知晓率最低,为56.12%。关心MSM人群艾滋病感染状况207人,占74.46%;认为身边没有朋友感染艾滋病或不清楚229人,占82.37%。到"同志浴池"的主要目的是寻找性伴,243人占87.41%。与同性保持性关系的同时也与异性有性行为的持有率为52.16%;其中与异性发生性行为时经常或一直不使用安全套的持有率为66.21%。结论 "同志浴池"活动的MSM对艾滋病感染形势认知不足,知情交友比例偏低,同性与异性性行为并存,且坚持使用安全套比例较低。Objective To learn the knowledge, attitude and behaviors of AIDS of men who have sex wth men( MSM)in a gay bathhouse, so as to provide evidence for AIDS prevention and control among MSM.MethodsFrom April to June of 2017, the MSM in a gay bathhouse in Wuhan were investigated. Demographic information, awareness of AIDS related knowledge, attitude towards HIV infection, dating ways and purposes, and high-risk sexual behaviors were collected and analyzed.ResultsAmong 278 MSM responded, 235( 84.53%) were aware of the basic knowledge of AIDS. The awareness rates of " transfusion with HIV blood will be infected ", " sharing syringes with HIV infected people will be infected", "proper use of condoms can reduce the spread of AIDS", "only having sex with one partner(or few partners)can reduce the spread of AIDS" were more than 90%, while the awareness rate of "high risk of HIV infection in gay bathhouses " was only 56.12%. Most respondents cared about the HIV infection situation of MSM, accounting for 74.46%(207 cases);most denied or did not know the condition of friends infected with HIV, accounting for 82.37%(229 cases). The main purpose of coming to gay bathhouses was to find sexual partners, accounting for 87.41%(243 cases).About 52.16% had sexual behaviors with both heterosexual and homosexual partners, and 66.21% of them did not often or never use condoms when having sex with heterosexual partners.ConclusionsThe MSM in a gay bathouse have lower awareness of HIV infection situation and their partners, both heterosexual and homosexual behaviors, and lower proportion of insisting on condom use.

关 键 词：男男性行为者 艾滋病 知识 态度 行为 

分 类 号：R512.97[医药卫生—内科学]