摘要
目的了解库尔勒市男男性行为者(MSM)的人口学特征、高危行为特点、艾滋病病毒(HIV)感染状况及影响因素,为制定MSM防治艾滋病策略提供依据。方法通过艾滋病自愿咨询检测、志愿者利用滚雪球方式招募,以及网络招募的方法召集MSM调查对象,在知情同意和保密的原则下,进行匿名问卷调查和血清学检测,采用SPSS 22.0统计软件描述性分析。结果调查了173名MSM,平均年龄(31.36±9.95)岁,未婚占65.90%(114人),大专及本科以上文化占56.65%(98人),艾滋病知识总体知晓率77.46%(134人)。MSM中HIV抗体阳性者34例,阳性检出率19.65%;梅毒抗体阳性者17例,阳性检出率9.83%。MSM在性行为中安全套使用率,肛交28.99%(20/69),口交14.08%(10/71)。多性伴、双性性行为、群交、商业性同性性行为等高危行为普遍存在。梅毒感染状况[比值比(OR)=4.443]、艾滋病知识知晓与否(OR=2.748)、过去一个月内是否有同性口交(OR=2.8),是MSM感染HIV的主要影响因素。结论库尔勒市MSM文化程度较高但艾滋病知识知晓率低,安全套使用率低,且高危性行为普遍存在,MSM的HIV阳性检出率较高,应大力开展预防宣传和防艾干预。
Objective To investigate HIV infection status and its influence factors among men who have sex with men(MSM)in Korla,to provide an scientific basis for AIDS prevention and treatment.Methods 185 MSM in Korla were surveyed,and HIV serological detection were conducted after informed consent.Results 185 MSM were investigated,with 173 valid questionnaires.The average age was 31.36±9.95,with 65.90% unmarried,56.65% having the educational level of college or above,and 77.46% of AIDS knowledge awareness.The prevalence of HIV infection among MSM was 19.65%.The condom use rate was low(28.99%in anal sex and 14.08%in oral sex).High-risk behaviors such as multi sexual partners,bisexual partners,group sex and commercial sex were common among MSM.The major influence factors of HIV infection were syphilis infection(OR=4.443),awareness of AIDS knowledge(OR=2.748),and oral sex with men last month(OR=2.8).Conclusion MSM in Korla are mainly well educated.However,they have lower awareness rate of AIDS knowledge,lower rate of condom use,and higher HIV positive detection rate.Publicity of AIDS prevention knowledge and correct condom use should be strengthened and coverage of intervention should be expanded.
作者
杨冬梅
张传俊
徐锴
阿曼古丽·依不拉音
YANG Dongmei;ZHANG Chuanjun;XU Kai;Amanguli·Yibula yin(Korla Center for Disease Prevention and Control,Korla 841000,China)
出处
《中国艾滋病性病》
CAS
CSCD
北大核心
2018年第10期1024-1027,共4页
Chinese Journal of Aids & STD
基金
库尔勒市重点科技项目(201620)~~
