秦皇岛市男男性行为者艾滋病相关知识行为现状及血清学检测结果分析

发布时间：2018-11-16 13:29

【摘要】：目的了解秦皇岛市男男性行为者(MSM)知识行为及艾滋病/梅毒/丙肝感染状况,为制定该人群有效的干预措施和防治策略提供依据。方法 2009-2012年采用自愿招募和滚雪球的方法,对寻求艾滋病咨询的MSM进行面对面问卷调查和知情同意血清学检测。结果共有1 043例MSM接受调查,其平均年龄(26.9±7.16)岁,未婚占75.65%,高中及以上文化占84.75%,本地居住超过2年者占72.58%。艾滋病知识知晓率为88.11%。近6个月中86.10%有肛交行为,最近一次肛交安全套使用率69.38%,每次坚持使用安全套率为42.76%,从不使用安全套者主要是未婚大中专院校在校年龄段的学生。参与商业性行为者9.02%,29.82%的人有异性性行为。异性性行为中从不使用安全套者,在婚和同居者占69.70%。近1年中,6.81%报告有性病诊断史。检测发现HIV感染率为5.75%,梅毒感染率7.19%,HCV阳性感染率为0.19%。结论秦皇岛市MSM人群需要加强艾滋病全面相关知识的普及,同时要关注梅毒和丙肝防控宣传和及早发现治疗梅毒以有效降低HIV传播。
[Abstract]:Objective to investigate the knowledge and behavior of (MSM) and HIV / syphilis / hepatitis C infection among MSM in Qinhuangdao, and to provide evidence for effective intervention and prevention strategies. Methods from 2009 to 2012, voluntary recruitment and snowball were used to carry out face-to-face questionnaire survey and informed consent serological test for MSM seeking AIDS counseling. Results A total of 1 043 cases of MSM were investigated, with an average age of (26.9 卤7.16) years, unmarried accounting for 75.65 years, high school and above culture accounting for 84.7575 and local residents living for more than 2 years accounted for 72.58 years. The awareness rate of AIDS knowledge was 88.11%. In the last six months, 86.10% had anal sex. The latest condom use rate of anal sex was 69.38%. The rate of using condom every time was 42.76. The students who never used condom were mainly the students in the school age of unmarried technical colleges and universities. 9.02% of the people involved in commercial sex had heterosexual sex. Those who never used condoms in heterosexual sex accounted for 69.70% of marriage and cohabitation. In the past one year, 6.81% reported a history of STD diagnosis. The infection rate of HIV and syphilis was 5.75 and 7.19 respectively. Conclusion MSM population in Qinhuangdao city needs to strengthen the popularization of comprehensive AIDS knowledge, at the same time, we should pay attention to the propaganda of syphilis and hepatitis C prevention and control and early detection and treatment of syphilis in order to effectively reduce the spread of HIV.
【作者单位】：秦皇岛市疾病预防控制中心;中国医学科学院北京协和医学院皮肤病研究所;廊坊市人民医院;北戴河区疾病预防控制中心;
【分类号】：R512.91

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