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目的了解成都市男男性行为人群(MSM)艾滋病病毒(HIV)感染者对随访咨询、CD4检测、性伴告知和检测等艾滋病相关卫生服务利用现况,为制定干预措施提供可用信息。方法研究对象招募采用滚雪球方法,调查问卷采用面对面方式,对社会人口学特征、艾滋病预防干预和相关医疗服务利用情况等信息进行统计描述。采用SAS9.13统计软件进行统计学处理。结果共调查MSM人群HIV感染者202人,其中约30%的人未接受过安全套、润滑剂发放和同伴教育等预防干预服务;35.2%的人在出现性病症状后未到正规医疗机构的规范诊疗服务;11.4%的人未检测过CD4;41.4%的人未将自己的感染状态告知他人,包括性伴;76.9%的人从未介绍过自己的性伴去检测HIV。结论预防干预、性病诊疗、CD4检测以及促进性伴告知和检测等艾滋病性病相关医疗服务在MSM人群HIV感染者中的利用率均较低,需制定针对性干预措施,提高相关服务覆盖面和服务质量。
Objective To understand the current status of HIV-related health services such as follow-up counseling, CD4 testing, sexual contact notification and testing in HIV-positive men who have sex with men who have sex with men (MSM) in Chengdu and provide useful information for the development of interventions. METHODS Subjects were recruited using the snowball method and the questionnaire was face-to-face with a statistical description of the demographic characteristics, HIV prevention interventions, and utilization of related medical services. Using SAS9.13 statistical software for statistical analysis. Results Totally 202 HIV-infected individuals in MSM population were surveyed. About 30% of them did not receive preventive intervention services such as condoms, lubricant dispensing and peer education. 35.2% of them did not get standard treatment from formal medical institutions after STD symptoms occurred Service; 11.4% did not detect CD4; 41.4% did not inform others of their infection status, including sexual partners; 76.9% never introduced their own partners to detect HIV. Conclusions Preventive interventions, diagnosis and treatment of STDs, CD4 testing, and promotion of HIV / AIDS-related health care services such as notification and detection of sexual partners are relatively low among HIV-infected MSM populations. Targeted interventions need to be developed to improve service coverage and quality of service .