昆明市浴池男男性行为者的HIV感染状况与影响因素分析

发布时间：2018-02-28 20:21

本文关键词： 男男性行为者浴池艾滋病病毒　出处：《中国艾滋病性病》2017年11期 　论文类型：期刊论文

【摘要】：目的了解云南省昆明市浴池型男男性行为者(MSM)的艾滋病病毒(HIV)感染现况,探索影响昆明市浴池内与MSM HIV感染的相关因素。方法采用横断面研究,在昆明市浴池现场,用偶遇抽样法招募200名MSM进行问卷调查及HIV抗体快速检测。结果调查对象年龄中位数38岁,最小年龄18岁,最大年龄66岁。与非浴池型MSM相比,浴池型MSM年龄偏大、文化程度偏低。艾滋病知识知晓率87.5%(175人);最近3个月在浴池内发生过插入性性行为的比例为74.5%(149人);发生群交的比例为29.5%(44/149),群交时坚持使用安全套者的比例为31.8%(14/44);当知道对方是HIV感染者或病人时,仍有24.0%(48人)的调查对象不会停止与其发生性行为。浴池型MSM的HIV阳性检出率为12.0%(24人)。多因素分析结果显示,浴池型MSM中HIV感染的主要影响因素包括:文化程度较低,不观察性伴身体健康情况,在浴池内活动时间较长及不知晓艾滋病相关知识(P0.05)。结论浴池型MSM的HIV感染率较高,尤其是文化程度较低、长时间在浴池内活动及不知晓艾滋病知识的MSM,应加大针对MSM艾滋病知识的宣传力度,加强对高危人群的行为干预。
[Abstract]:Objective to investigate the prevalence of HIV / MSM infection in men who have sex with men in baths in Kunming, Yunnan Province, and to explore the related factors affecting the infection of MSM HIV in baths in Kunming. Methods A cross-sectional study was carried out in the bathing pools in Kunming. Two hundred MSM were recruited by chance sampling for questionnaire investigation and rapid detection of HIV antibody. Results the median age was 38 years old, the youngest age was 18 years, and the maximum age was 66 years. Compared with the non-baths type MSM, the baths type MSM was older. Low level of education. Awareness rate of AIDS knowledge is 87.5%. The proportion of people who have had inserted sex in baths in the last three months is 74.5%. The proportion of people who have had group sex is 29.5% 149.The proportion of those who insist on using condoms in group sex is 31.8144.44%. When someone is infected with HIV or a patient, The positive rate of HIV in bathtub MSM was 12.0%. The results of multivariate analysis showed that the main influencing factors of HIV infection in baths MSM were low education level. If you don't observe the health of the sex companion, you will spend a long time in the bath and don't know the knowledge about AIDS. Conclusion the infection rate of HIV in the bathtub type MSM is higher, especially the education level is lower. MSM, which is active in bath for a long time and does not know AIDS knowledge, should strengthen the propaganda of MSM AIDS knowledge, and strengthen the behavior intervention to high risk groups.
【作者单位】：昆明医科大学;云南省疾病预防控制中心云南省艾滋病研究所;
【基金】：云南省内设研究机构科研项目(2014NS347)~~
【分类号】：R512.91

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