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[目的]了解济宁市男男性行为人群(MSM)艾滋病/梅毒/丙肝的感染及相关知识知晓、行为情况,为该类人群的行为干预提供依据。[方法]2010年4~7月,对济宁市MSM监测哨点和济宁市疾病预防控制中心自愿咨询检测(VCT)门诊就诊的MSM人群进行问卷调查并检测HIV、梅毒、丙肝抗体。[结果]调查398人,HIV、梅毒、丙肝抗体阳性检出率分别为1.01%、2.76%、2.26%,艾滋病相关知识知晓率为83.92%,艾滋病知晓的334人中。HIV抗体阳性率为0.60%;不知晓的64人中,HIV抗体阳性率为3.13%(P>0.05)。83.67%的MSM最近6个月与男性发生过性行为,最近6个月与男性性伴发生肛交性行为时每次都使用安全套的占39.04%;27.02%的MSM与异性发生过性行为,最近6个月与异性发生过性行为时坚持使用安全套的占22.22%。最近1年接受过有关预防艾滋病服务的占87.19%;相关知识信息的主要来源为网络(占50.75%),报刊、书籍(占45.23%)。[结论]MSM人群是HIV及相关疾病感染的高危人群,且存在严重知行分离现象。
[Objective] To understand the AIDS / syphilis / hepatitis C infection and related knowledge and behavior of men who have sex with men (MSM) in Jining and provide basis for behavioral intervention in this population. [Methods] From April to July 2010, questionnaires were conducted among MSM in Jining City and the VCT clinic in Jining CDC to detect HIV, syphilis and HCV antibody. [Results] The positive rates of HIV, syphilis and hepatitis C were 391, 1.01%, 2.76% and 2.26%, respectively. The awareness rate of HIV / AIDS related knowledge was 83.92% and among AIDS-aware 334 patients. The positive rate of HIV antibody was 0.60%. Among the 64 unknown patients, the positive rate of HIV antibody was 3.13% (P> 0.05). 83.67% of MSM had sex with men in the past 6 months, 39.04% of them used condoms every time they had anal sex with male partner in the last 6 months, 27.02% of MSM had sex with other sex, At 6 months, 22.22% persisted in using condoms when having sex with the opposite sex. 87.19% of them have received HIV / AIDS prevention services in the recent year; the main sources of relevant knowledge and information are the Internet (50.75%), newspapers and books (45.23%). [Conclusion] The MSM population is a high risk population infected with HIV and related diseases, and there is a serious separation between knowledge and practice.