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目的分析安康市男男性行为人群(MSM)干预前后对艾滋病知识的认知及行为学变化,为控制艾滋病传播及有针对性地对MSM人群采取有效干预措施提供依据。方法依托民间组织,采用同伴或调查对象互相推荐的方法招募调查对象,对调查对象进行问卷调查和血清学检测。结果共调查MSM 195人,大专及以上学历70.8%。职业以学生和公司职员为主。寻找性伴的方式以互联网为主,占74.4%。艾滋病知识知晓率91.35%。最近6个月55.4%(108人)与同性发生过肛交性行为,其中59.3%(64人)每次都使用安全套;108人中14.8%(16人)与同性发生过商业性行为,68.8%每次都使用安全套。最近6个月13.8%与女性发生过性行为,59.3%每次都使用安全套。最近1年75.4%接受过安全套发放/艾滋病咨询,46.7%做过HIV检测,HIV确认阳性3例,感染率1.54%。结论安康市MSM人群危险因素主要与年龄小、互联网隐蔽性助推、安全套的使用率低有关。提示工作重点应放在利用网络进行宣传,促进安全性行为的形成,扩大HIV检测,以遏制艾滋病的传播和流行。
Objective To analyze the cognitive and behavioral changes of HIV / AIDS knowledge before and after MSM intervention in Ankang City, and provide a basis for controlling the spread of AIDS and taking effective intervention measures for MSM population. Methods Relying on non-governmental organizations, recruits were recruited by companion or surveyed each other, and questionnaires and serological tests were conducted on the surveyed subjects. Results A total of 195 MSMs were surveyed, 70.8% of them had college degree or above. Occupation of students and staff based. The way to find partners to the Internet, accounting for 74.4%. AIDS awareness rate of 91.35%. In the last 6 months, 55.4% (108 people) had anal sex with same-sex people, 59.3% (64 people) used condoms each time, 14.8% (108 people) had sexual intercourse with same sex, 68.8% Use condoms every time. In the recent 6 months, 13.8% of them had sex with women and 59.3% used condoms every time. In the most recent year, 75.4% had condom distribution / AIDS counseling, 46.7% had HIV testing, and 3 were HIV-positive, with an infection rate of 1.54%. Conclusions The risk factors for MSM in Ankang City are mainly related to younger age, covert internet promotion and low condom use. It is suggested that the focus of work should be on using the internet to promote the formation of safe sex behaviors and to expand HIV testing to curb the spread and spread of AIDS.