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目的探讨秦皇岛地区男男性接触者(MSM)人群的人口学特征及与艾滋病病毒(HIV)感染、传播相关的性行为状况等,为制定有针对性的干预措施提供依据。方法对2008—2011年期间秦皇岛市疾病预防控制中心自愿咨询检测和监测到的MSM进行问卷调查,并对其人口学特征及艾滋病相关高危行为状况资料进行统计分析。结果 2008—2011年共调查MSM 803名,并对其进行了血清学检测。被调查时平均年龄为25.60岁,以未婚者居多(86.67%),经常寻找性伴的场所以网络居多(68.12%),有89.41%的人在近6个月内与同性发生过性行为,最近1次在同性肛交中使用安全套的占80.50%。近4年内该人群中发现HIV抗体阳性病例逐年增多,4年感染率为2.37%。结论秦皇岛地区MSM人群年龄偏年轻,同性性行为比较活跃,HIV感染率相对较低,宜以此为契机,做好该人群的干预工作,有效遏制艾滋病的蔓延。
Objective To explore the demographic characteristics of MSM population and the status of sexual behaviors related to HIV infection and transmission in Qinhuangdao area and provide the basis for the development of targeted interventions. Methods A questionnaire survey on voluntary counseling, testing and monitoring MSM of Qinhuangdao Municipal Center for Disease Control and Prevention during 2008-2011 was conducted. The demographic characteristics and AIDS-related high-risk behavior data were analyzed statistically. Results A total of 803 MSM were surveyed from 2008 to 2011, and their serology was tested. The average age of the respondents was 25.60 years old, mostly unmarried persons (86.67%), most of the places frequented by sex partners (68.12%), 89.41% of them had sex with same-sex people in the past 6 months, 80.50% of condoms were recently used for same-sex anal sex. In the past 4 years, HIV-positive cases were found in this population increased year by year, with a 4-year infection rate of 2.37%. Conclusion MSM population in Qinhuangdao area is young and has same-sex sexual behavior. HIV infection rate is relatively low. It is appropriate to use this as an opportunity to intervene MSM population to effectively prevent the spread of AIDS.