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目的为了解深圳市男男性行为者(MSM)艾滋病流行趋势及危险因素,为决策部门评估艾滋病防治工作效果、制定防治策略措施提供科学依据。方法2007年,在深圳市对326名MSM进行艾滋病病毒(HIV)哨点监测,其中284人抽血,用酶联免疫吸附试验(ELISA)进行HIV、梅毒筛查。结果接受调查的326人中,在过去一年内至少有两个以上性伴侣的占79.9%,其中38.8%的调查对象与女性有性行为;近半年每次都使用安全套的比例为39.2%,最近一次性行为时使用安全套的比例为67.2%。18.5%有吸毒史,其中6.7%为静脉注射吸毒。20.43%曾经得过一种以上性病,HIV和梅毒的感染率分别为3.16%和16.55%。结论深圳市MSM的性生活活跃、性伴多,近半数有女性性伴,安全套使用率低;存在艾滋病、梅毒感染和进一步扩大传播的危险。
Objective To understand the AIDS epidemic trends and risk factors of MSM in Shenzhen and provide scientific basis for decision-making departments to evaluate the effectiveness of AIDS prevention and treatment and formulate prevention and control strategies and measures. Methods In 2007, 326 MSM sentinel surveillance (HIV) was conducted in Shenzhen. Among them, 284 were blood samples, and HIV and syphilis screening was performed by enzyme linked immunosorbent assay (ELISA). Results Of the 326 people surveyed, 79.9% had at least two sexual partners in the past year, of whom 38.8% had sex with women and 39.2% used condoms each time in the past six months. Most recently, 67.2% of condoms were used in one-time sexual activity. 18.5% had a history of drug abuse, of which 6.7% were intravenous drug abuse. 20.43% Have had more than one venereal disease, the infection rates of HIV and syphilis were 3.16% and 16.55% respectively. Conclusion MSM in Shenzhen has active sexual activities, more sexual partners, nearly half of female sexual partners and low condom use rate. There is a risk of AIDS, syphilis infection and further spread of the disease.