吉林市青年学生MSM人群艾滋病行为干预效果评价

发布时间：2018-06-13 07:04

本文选题：男男性行为人群 + 青年学生　；参考：《华中科技大学学报(医学版)》2017年03期

【摘要】：目的评价吉林市青年学生男男性行为(males who have sex with males,MSM)人群艾滋病行为的干预效果,为制定适合该人群的综合行为干预策略提供依据。方法采用"分类滚雪球"方法对青年学生MSM人群开展横断面调查。综合干预措施包括利用新媒体开展宣传教育、行为干预、自愿咨询检测、同伴教育、安全套推广及性病门诊规范化服务等。对干预前后各300名青年学生MSM人群采取面对面匿名的方式对人口学特征、艾滋病防治知识了解情况、高危行为及干预服务措施等影响因素进行调查和分析。结果艾滋病相关知识知晓率,干预前后分别为67.67%和94.33%。干预前最近1次和最近6个月在肛交时坚持使用安全套的比例分别为23.57%和11.79%,干预后分别为76.21%和62.10%。干预前后与异性发生性行为时安全套使用比例比较,最近1次与女性发生性行为安全套使用率从23.53%上升到69.60%,最近6个月安全套的使用率从15.44%上升到66.40%。干预前后最近1年MSM人群曾有过性病相关症状的比例从21.33%下降到7.67%。结论通过采用综合干预措施,吉林市青年学生MSM人群艾滋病知识知晓率明显提高;高危性行为的发生率减少;安全套的使用率有所提高。利用新媒介开展青年学生MSM人群干预,成本低、操作方便,可以作为传统行为干预模式的良好辅助措施。
[Abstract]:Objective to evaluate the effect of HIV / AIDS intervention on male behavior of young male students in Jilin City, and to provide evidence for formulating comprehensive behavioral intervention strategies suitable for this population. Methods A cross-sectional survey of MSM students was carried out with the method of classified snowball. Comprehensive intervention measures include the use of new media to carry out publicity and education, behavioral intervention, voluntary counseling and testing, peer education, condom promotion and STD outpatient standardized services. Three hundred young students of MSM before and after intervention were investigated and analyzed on demographic characteristics, knowledge of AIDS prevention and treatment, high-risk behaviors and intervention measures by means of face to face anonymity. Results the awareness rate of AIDS related knowledge before and after intervention was 67.67% and 94.33% respectively. The proportion of using condom during anal sex before intervention was 23.57% and 11.79% respectively, and that after intervention was 76.21% and 62.10% respectively. The rate of condom use before and after intervention increased from 23.53% to 69.60%, and the condom use rate increased from 15.44% to 66.40% in the last 6 months. Before and after intervention, the proportion of MSM who had STD-related symptoms decreased from 21.33% to 7.67%. Conclusion by adopting comprehensive intervention measures, the awareness rate of AIDS knowledge among MSM students in Jilin city is obviously increased, the incidence of high-risk sexual behavior is reduced, and the use rate of condom is increased. Using the new media to carry out MSM intervention among young students has the advantages of low cost and convenient operation. It can be used as a good auxiliary measure of the traditional behavioral intervention model.
【作者单位】：吉林省吉林市疾病预防控制中心;
【基金】：吉林省卫生计生委科研基金资助项目(No.2014ZC012)
【分类号】：R193;R512.91

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