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目的了解响水县男男性行为人群(MSM)中艾滋病病毒(HIV)、梅毒感染情况及其相关高危行为流行情况,为在该人群中开展艾滋病防治工作提供依据。方法 2013~2015年,通过网络、外展活动等方法招募MSM进行问卷调查,主要内容包括社会人口学特征、艾滋病知识知晓情况、性行为状况、接受干预服务情况,并抽取静脉血检测HIV和梅毒。结果 2013~2015年分别调查了符合条件的MSM 43、34和70人,艾滋病防治知识知晓率分别为95.35%、94.12%、95.71%。最近6个月与同性发生过肛交行为分别占79.07%、85.29%、81.43%,每次使用安全套的分别占41.18%、44.83%、45.61%;最近6个月与异性发生过性行为分别占30.23%、44.12%、37.14%,每次使用安全套的分别占7.69%、20.00%、30.77%。HIV抗体阳性率分别为11.63%、17.65%、10.00%;梅毒抗体阳性率分别为4.65%、11.76%、5.71%。结论 MSM人群高危行为发生率较高,是HIV感染和梅毒感染的高风险人群。
Objective To understand the prevalence of HIV and syphilis among men who have sex with men (MSM) in Xiangshui County and the prevalence of their high risk behaviors in order to provide a basis for AIDS prevention and control in this population. Methods From 2013 to 2015, MSM was recruited through internet and outreach to conduct a questionnaire survey. The main contents include social demography, knowledge of HIV / AIDS, status of sexual activity, intervention services, and venous blood tests for HIV and syphilis . Results From 2013 to 2015, MSM’s 43, 44 and 70 eligible patients were investigated. The awareness rate of AIDS prevention and control knowledge was 95.35%, 94.12% and 95.71% respectively. In the recent 6 months, their homosexual behaviors with homosexuals accounted for 79.07%, 85.29% and 81.43%, respectively, with 41.18%, 44.83% and 45.61% for each condom use. In the recent 6 months, sexual behaviors with heterosexuals accounted for 30.23% %, 44.12% and 37.14% respectively, accounting for 7.69%, 20.00% and 30.77% respectively for each use of condoms. The positive rates of HIV antibodies were 11.63%, 17.65% and 10.00% respectively. The positive rates of syphilis antibody were 4.65%, 11.76% and 5.71% respectively. Conclusion The high incidence of MSM in high risk population is a high risk group of HIV infection and syphilis infection.