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目的分析鹿城区男男性行为人群(MSM)艾滋病病毒(HIV)、梅毒感染及相关危险行为状况,为在该人群中开展更有效的防制措施提供依据。方法 2011年-2013年采用滚雪球法招募MSM进行问卷调查,并采集血样进行HIV、梅毒、丙型肝炎病毒(HCV)检测。结果 3年分别调查MSM 401名、402名和401名,HIV阳性检出率分别为9.2%、5.7%、7.2%,梅毒阳性检出率分别为10.5%、7.2%、10.2%。各年度同性性行为时最近半年安全套坚持使用率为43.9%~49.1%,异性性行为时近半年安全套坚持使用率较低,为19.2%~34.7%。结论鹿城区MSM的HIV感染率处于较高水平,高危行为普遍存在,应加大力度采取预防和干预措施以遏制HIV传播。
Objective To analyze the status of HIV, syphilis infection and related dangerous behaviors among men who have sex with men (MSM) in Lucheng District in order to provide a basis for more effective prevention and control measures in this population. Methods From 2011 to 2013, MSM was recruited by the snowballing method for questionnaire survey, and blood samples were collected for HIV, syphilis and hepatitis C virus (HCV) detection. Results 401 cases of MSM, 402 cases and 401 cases were investigated respectively in 3 years. The positive rates of HIV positive were 9.2%, 5.7% and 7.2% respectively. The positive rates of syphilis were 10.5%, 7.2% and 10.2% respectively. In the past six months, condom use was 43.9% -49.1% in the last six months and 19.2% -34.7% in the past six months. Conclusion The HIV infection rate of MSM in Lucheng District is at a high level, and high-risk behaviors are prevalent. Prevention and intervention measures should be taken to curb the spread of HIV.