摘要
目的了解不同文化程度男男性行为者(men who have with men,MSM)的性行为特征及艾滋病病毒(HIV)感染现状。方法采用滚雪球抽样法,对四川省绵阳市MSM进行自行填写问卷的匿名行为学调查及HIV、梅毒螺旋体检测。结果合格调查1 203人,文化程度初中组占17.6%、高中组占40.1%、大学组占42.3%。不同文化组第1需要、艾滋病知识、接受预防服务、性行为等存在差异(P均<0.01),初中组生理需求为第1需要,近1年异地性行为,近6月男性商业、异性性行为高于高中组、大学组,艾滋病知识、接受预防服务、近6个月肛交低于高中组、大学组(P均<0.01);初中组通过酒吧型、浴室型、家庭型,高中组、大学组通过网络型寻找性伴比例较大(P均<0.01)。初中组近6个月肛交有保护性48.4%,低于高中组76.2%、大学组81.4%(P均<0.01);初中组近6个月肛交人数≥2人74.4%,高于高中组61.1%、大学组56.9%(P均<0.01)。初中组、高中组、大学组HIV确证阳性率分别为14.2%、6.8%和2.6%,文化程度越低阳性率越高(P均<0.01)。结论 MSM文化程度与性行为及HIV感染密切相关,低文化组更具风险性,是防治重点。
Objective To investigate sexual behavior characteristics and HIV infection status among MSM with different education level. Methods MSM were recruited by snowball sampling method in Mianyang city Sichuan province,finished anonymous behavior survey by filling questionnaires and did HIV and treponema pallidum testing. Results There were 1 203 people who were qualified tested,17. 6% of them graduated from junior school,40. 1% of them graduated from senior school and 42. 3% of them graduated from university. The first needs,knowledge of AIDS,acceptance of preventive services and sexual behaviors,these difference were statistically significant（ P 〈 0. 01）. Physiological needs was the first needs for the junior group,it was higher than senior group and college group in off-site sexual behavior in recent one year,male business in recent 6 months and heterosexual sex. About AIDS knowledge,acceptance of preventive services and number of anal sex in recent 6 month,junior group was lower than senior group and college group. People graduated from junior school often found sex partners by bars,bathrooms or families,while larger proportion of people graduated from senior school or university found sex partners through Internet（ P 〈 0. 01）. 48. 4% of people graduated from junior school had anal sex with protective in past six months,this was lower than that people graduated from senior school which was 76. 20% and 81. 4% of people graduated from university（ P 〈0. 01）. 74. 4% of people graduated from junior school had anal sex with more than two people which was higher than 61. 6% of people graduated from senior school and 56. 9% of people graduated from university（ P 〈 0. 01）. HIV positive rate among junior groups,seniors groups and university groups were 14. 2%,6. 8% and 2. 6% respectively. The lower education level the higher HIV positive rate（ P 〈 0. 01）. Conclusion The education level was closely related to sexual behavior and the infection of HIV among MSM. Low education level was more risky and should be paid more attention.
作者
王毅
李六林
樊静
赵西和
王晓丽
杜婵娟
刘江
杨干金
李伟
贾秀伟
王洪明
任延飞
廖平
WANG Yi1, LI Liulin1, FAN Jing 2, ZHAO Xihe 1, WANG Xiaoli 3, DU Chanjuan 4, LIU Jiang 5, YANG Ganjing6, LI Wei7, JIA Xiuwei8, WANG Hongming9, REN Yanfei10, LIAO Ping11(1.Mianyang Municipal Center for Disease Prevention and Control, Mianyang 621000, Sichuan Province, China;2. Mianyang Gay love Group, Mianyang 621000, Sichuan Province, China; 3 Fucheng District Center for Disease Control and Prevention, Mianyang 521000, Sichuan Province, China;4. Youxian District Center for Disease Control and Prevention, Mianyang 621000, Sichuan Province, China;5. Jiangyou Municipal Center for Disease Control and Prevention, Mianyang 621700, Sichuan Province, China; 6 Santai County Center for Disease Control and Prevention, Mianyang 621100, Sichuan Province, China;7 Anchau district Center for Disease Control and Prevention, Mianyang 621200, Sichuan Province, China; 8 Beichuan Qiang Autonomous County Center for Disease Control and Prevention, Mianyang 622750, Sichuan Province, China; 9 Zitong County Center for Disease Control and Prevention, Mianyang 622150, Sichuan Province, China; 10 Yanting County Center for Disease Control and Prevention, Mianyang 621600, Sichuan Province, China;11 Pingwu County Center for Disease Control and Prevention, Mianyang 622553, Sichuan Province, Chin)
出处
《预防医学情报杂志》
CAS
2018年第9期1162-1168,共7页
Journal of Preventive Medicine Information
基金
2015年社会组织参与艾滋病防治基金项目(项目编号:510701PYD014A22)
