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作 者:李烙 王珏[2] 马婧[2] 李佑芳[2] 李志晴[2] 蔡永年 王玉淼 雷坤 马艳玲[2] LI Lao;WANG Jue;MA Jing;LI Youfang;LI Zhiqing;CAI Yongnian;WANG Yumiao;LEI Kun;MA Yanling(Kunming Medical University,Kunming,Yunnan 650000,China;Yunnan Provincial Center for Disease Control and Prevention,Kunming,Yunnan 650000;Mengzi Center for DiseaseControl and Prevention,Mengzi 661100,Yunnan)
机构地区:[1]昆明医科大学,昆明650000 [2]云南省疾病预防控制中心,昆明650000 [3]蒙自市疾病预防控制中心,云南蒙自661100
出 处:《中国艾滋病性病》2022年第10期1168-1171,共4页Chinese Journal of Aids & STD
基 金:国家“十三五”科技重大专项(2018ZX10715006-006)。
摘 要:目的 了解红河州蒙自市娱乐场所男性性工作者(MSWs)艾滋病知识知晓情况和性行为学特点,为针对该人群精准制定防治策略提供理论依据。方法 2021年3-9月,对蒙自市娱乐场所的MSWs进行问卷调查,对问卷收集到的人口学信息、艾滋病知识认知、性行为特征进行分析。结果 共招募362名MSWs完成问卷调查,艾滋病知识知晓率为97.0%;获取客源的方式74.3%(269/362)为固定场所,83.1%(301/362)最近1个月内与女性客人发生商业性行为,每次都使用了安全套的比例为85.0%(256/301);59.7%(216/362)最近1个月内与男性客人发生商业性行为,每次都使用安全套的比例为94.9%(205/216),11.3%(41/362)的MSWs在近6个月内发生性行为时使用了助兴剂,6.4%(23/362)自报在近1年内被诊断曾患有性病,其中以梅毒为主,占69.6%(16/23)。结论 蒙自市娱乐场所MSWs艾滋病知识知晓率高、主要通过固定场所寻找客源、性行为活跃,存在多种感染HIV的高危性行为,应对该人群采取针对性的干预措施。Objective To understand the knowledge of AIDS and sexual behavior characteristics of male sex workers(MSWs) in entertainment venues in Mengzi City, Honghe Prefecture, and to provide theoretical basis for accurately formulating prevention and control strategies for this population. Methods From March to September in2021, MSWs in entertainment venues in Mengzi city were investigated by questionnaires, collecting the demographic information, AIDS knowledge and sexual behavior characteristics. Results A total of 362 MSWs were recruited to complete the questionnaire survey. The awareness rate of AIDS knowledge was 97.0%. 74.3%(269/362) of the customers were obtained from fixed places. 83.1%(301/362) had commercial sex with female guests in the last month. 85.0%(256/301) of survey participants used condoms each time and 59.7%(216/362) had commercial sex with male guests in the last month. 94.9%(205/216) of those who had commercial sex with male guests used condoms each time. 11.3%(41/362) of MSWs used sexual booster during sex in the past 6 months, and 6.4%(23/362) reported that they had been diagnosed with STDs in the past year, of which syphilis was predominant, accounting for 69.6%(16/23). Conclusions MSWs in Mengzi city had a high awareness of AIDS knowledge. Many MSWs found their clients from fixed places. MSWs had active sexual behaviors with variety of high-risk sexual behaviors which could result in HIV infection. Targeted intervention measures should be taken for this population.
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