摘要
目的了解平顶山市男男性行为(MSM)人群艾滋病疫情现状及行为特征,为预防性病、艾滋病提供科学依据。方法2014年5和2016年5月,采用国家哨点MSM人群统一问卷,对辖区内MSM,开展问卷调查和血清学检测。结果调查MSM 204人,平均年龄35.70岁;提出6个知识性问题,全部回答正确者85人,占41.67%。获取艾滋病防治知识的信息来源,以电视及其他媒体,网络及软件为最主要途径,分别占99.02%和79.42%。第一次与男性发生性行为的平均年龄是24.81岁;最近一次与男性肛交有无使用安全套,低年龄组与高年龄组间差异有统计学意义(P<0.05),高年龄组更注意安全;采集血液样本185份,其中HIV阳性16份,阳性率为8.65%;HCV抗体阳性32份,阳性率为17.30%;梅毒抗体(TP)阳性11份,阳性率为5.94%。按照高低年龄两组来进行分析,HIV和TP的感染没有显著差异性(P>0.05),HCV的感染有显著差异性(P<0.05)。结论平顶山市MSM人群艾滋病疾病传播风险较高,该人群艾滋病知识知晓率较低且存在性乱现象。
Objective To understand the current epidemic status and behavioral characteristics of STD/AIDS among MSM in Pingdingshan city, so as to provide scientific basis for the prevention of STD/AIDS. Methods In May 2014 and May 2016, a questionnaire survey designed by National CDC and serological testing was conducted among the MSM popu lation. Results Among 204 MSM surveyed,the average age was 35.70 years old. 85（41.67%） people answered the six knowledge questions correct, television and other media（99.02 % ）, network and software（79.42 % ） were the main ways to get information of AIDS. The average age of the first sexual intercourse with a male partner was 24.81 years old;For the use of condoms in the last anal sex with men, between the low age group and high age group there was statistically signifi cant difference（ P 〈0.05）, High age group paid more attention to safety; 185 blood samples were collected, including 16 HIV positive samples, the positive rate was 8.65%; 32 samples were HCV antibody positive, the positive rate was 17.30 %;11 samples were TP antibody positive, the positive rate was 5.94 %. According to the analysis of the two groups of high and low age, the infections of HIV and TP were not significantly different（ P 〉0.05）, HCV infection was significantly different（ P 〈0.05）. Conclusion The risk for the spread of STD/AIDS in MSM group in Pingdingshan city is higher,The awareness rate of HIV/AIDS knowledge is low and the phenomenon of sexual promiscuity exists.
出处
《预防医学论坛》
2017年第3期196-198,203,共4页
Preventive Medicine Tribune
