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目的了解广西桂林市男男性行为(men who have sex with men,MSM)人群艾滋病高危行为特征、艾滋病知识知晓情况及艾滋病/性病感染状况。方法2008年1-5月在桂林市区MSM聚集的酒吧、活动场所开展调查,由调查员在调查对象知情并同意的情况下对315名MSM进行面对面的问卷调查,并采集静脉血样进行HIV、梅毒和丙型肝炎的检测。结果315名MSM的平均年龄(28.28±8.6)岁,高中以上文化程度占69.84%;总的艾滋病知识知晓率为30.16%。被调查者调查前6个月有65.08%的人与男性发生过肛交性行为,平均性伴数为(3.16±1.56)个,最多达到22个,每次都使用安全套占15.12%,其中6.31%通过付费方式得到男性性服务,有3.07%为得到钱向男性提供性服务;有18.10%的MSM与女性发生过性关系,每次都使用安全套的占1.79%。对315例MSM人群进行检测,HIV抗体阳性者5例,阳性率为1.59%;梅毒快速血浆反应素环状卡片试验阳性8例,阳性率为2.54%;丙型肝炎抗体阳性1例,阳性率为0.32%。结论桂林市MSM人群艾滋病/性病感染率较高,高危行为较普遍,艾滋病相关知识认知程度较低,应尽早对该人群实施有效的行为干预措施,遏制艾滋病在MSM人群中的传播。
Objective To understand the characteristics of HIV / AIDS risk behaviors, HIV / AIDS awareness and AIDS / STD in men who have sex with men (MSM) in Guilin, Guangxi. Methods From January to May 2008, a survey was conducted in bars and venues where MSM gathered in Guilin city. The interviewers conducted a face-to-face survey on 315 MSMs with the informed consent of the respondents. Venous blood samples were collected for HIV, Syphilis and hepatitis C testing. Results The average age of 315 MSMs (28.28 ± 8.6) years old, high school education accounted for 69.84%; the total awareness rate of AIDS knowledge was 30.16%. In the first 6 months of investigation, 65.08% of the respondents had anal sex with men, the average number of sexual partners was (3.16 ± 1.56), up to 22, accounting for 15.12% of condoms each time, of which 6.31% There were 3.07% male sex services paid by way of payment, and 18.10% of MSM had sex with women, accounting for 1.79% of them using condoms each time. 315 cases of MSM were detected in 5 cases of HIV antibody positive, the positive rate was 1.59%; syphilis rapid plasma reactive ring card test was positive in 8 cases, the positive rate was 2.54%; hepatitis C antibody positive in 1 case, the positive rate 0.32%. Conclusion The prevalence of HIV / AIDS and STD in Guilin MSM population is high, high-risk behaviors are common and AIDS-related knowledge is low. Effective behavioral interventions should be implemented for this population to prevent the spread of AIDS among MSM population.