论文部分内容阅读
目的分析柳州市2007—2011年男男性接触者(MSM,men who have sex with men)艾滋病(AIDS)综合监测结果,了解柳州市MSM人群AIDS流行状况和影响因素,为制定行之有效的行为干预措施提供科学依据。方法分析柳州市5年间6次MSM人群(AIDS)综合监测结果。结果 2007—2011年柳州市共调查MSM人群1 662人,6次监测人类免疫缺陷病毒(HIV)感染率分别为0.80%、2.92%、1.33%、1.59%、3.67%和4.38%,HIV感染率呈上升趋势,2011年HIV感染率较2007年显著上升,差异有统计学意义(χ2=6.58,P=0.010);调查对象AIDS相关知识全部回答正确率、最近一次男男性行为安全套使用率、每次性行为都使用安全套的比例均为先升后降,未能有效体现AIDS干预效果。结论柳州市MSM人群中HIV监测阳性率呈上升趋势,而AIDS相关知识知晓率、安全套使用率等均在下降,高危行为仍然存在。知识与行为的“背离”以及敏感问题“回避”现象普遍,这些现象意味着针对MSM的HIV防治措施及综合监测工作质量有待进一步完善。
Objective To analyze the AIDS comprehensive monitoring results of MSM (men who have sex with men) in Liuzhou City from 2007 to 2011, and to understand the prevalence and influencing factors of AIDS in MSM population in Liuzhou City. To develop effective behavioral intervention Measures provide a scientific basis. Methods Six comprehensive MSM population (AIDS) surveillance results were analyzed in Liuzhou city in five years. Results A total of 1 662 MSM population were investigated in Liuzhou City from 2007 to 2011. The HIV infection rates of 6 surveillance were 0.80%, 2.92%, 1.33%, 1.59%, 3.67% and 4.38% respectively. The HIV infection rate (Χ2 = 6.58, P = 0.010). The accuracy rate of AIDS-related knowledge in all surveyed respondents was the highest, and the rate of HIV / AIDS-related condom use in the last MSM The percentage of condom use in both sexes first increased and then decreased, failing to effectively reflect the effect of AIDS intervention. Conclusion The positive rate of HIV surveillance in MSM population in Liuzhou City is on the rise. However, the awareness rate of AIDS-related knowledge and the rate of condom use are declining, and high-risk behaviors still exist. The “deviation” of knowledge and behavior as well as the sensitive issues of “avoidance” are common phenomena. These phenomena mean that the quality of HIV prevention and control measures and comprehensive monitoring for MSM needs to be further improved.