论文部分内容阅读
目的了解淮安市男男性行为人群(MSM)艾滋病流行状况和相关性行为特征及其变化情况,为在该人群中采取有效防制策略提供依据。方法采用滚雪球和网络招募淮安市MSM,进行问卷调查,并采集血样进行人类免疫缺陷病毒(HIV)、梅毒及丙型肝炎病毒(HIV)抗体检测。结果 2010—2013年,各年分别调查MSM 261、268、421和402人,HIV阳性率分别为5.36%、4.85%、5.94%、5.47%,差异无统计学意义。艾滋病知识知晓率均为90%以上,同性肛交坚持使用安全套的比例分别为37.64%、40.22%、37.89%、42.43%,差异无统计学意义。异性性行为坚持使用安全套的比例分别为29.21%、26.73%、20.81%、16.94%,差异有统计学意义。结论淮安市MSM存在知识和行为分离现象,作为艾滋病传播的桥梁人群会将艾滋病传播给女性性伴。应进一步加强MSM人群的行为干预,大力推广使用安全套,同时还应对HIV阳性的MSM开展行为干预,减少HIV的传播。
Objective To understand the HIV / AIDS prevalence and the related behavioral characteristics and its changes in MSM in Huaian and to provide basis for effective prevention and control strategies in this population. Methods The snowballs and internet were used to recruit MSM in Huaian city for questionnaire survey. Blood samples were collected for the detection of HIV, syphilis and HIV antibody. Results From 2010 to 2013, 261,268,421 and 402 MSM were investigated in each year. The positive rates of HIV were 5.36%, 4.85%, 5.94% and 5.47% respectively, with no significant difference. AIDS awareness rate was 90%, same-sex anal adhere to the proportion of condoms were 37.64%, 40.22%, 37.89%, 42.43%, the difference was not statistically significant. Heterosexual behavior adhere to the proportion of condoms were 29.21%, 26.73%, 20.81%, 16.94%, the difference was statistically significant. Conclusion There is separation of knowledge and behavior in MSM of Huai’an City. As a bridge of AIDS transmission, AIDS will be transmitted to female partners. We should further strengthen behavioral intervention in MSM population, promote the use of condoms, and conduct behavioral interventions to reduce the transmission of HIV.