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目的了解男男性行为人群(MSM)艾滋病综合干预效果,为预防控制艾滋病传播提供科学依据。方法 2014年4~6月,使用艾滋病哨点监测统一设计的《MSM健康调查问卷(Ⅲ)》,通过男同组织召集MSM在歌厅开展活动,由经过培训的专业人员对MSM进行面对面的问卷调查,采用同伴教育、外展服务、专题讲座、赠送宣传品和安全套的推广与正确使用等综合干预措施,6个月后再次使用相同问卷对该人群进行问卷调查,比较干预前后艾滋病知识和高危行为的差异。结果干预前后MSM人群艾滋病相关知识知晓率从85.24%提高到93.64%(P<0.01);最近六个月与男性发生肛交时每次使用安全套从27.16%提高到50.43%(P<0.01);最近一次与男性发生肛交安全套使用率从75.86%提高86.64%(P<0.01);最近六个月与女性发生性行为时每次安全套使用率从36.67%提高到75.00%(P<0.01),最近一次与女性发生性行为时安全套使用率从53.33%提高到85.71%(P<0.01)。结论通过同伴教育、外展服务、专题讲座、赠送宣传品和安全套的推广与正确使用等综合措施进行艾滋病高危行为干预后,该人群艾滋病相关知识知晓率和使用安全套的频率都有显著性的提高,其措施有效。
Objective To understand the effects of HIV / AIDS in MSM and to provide a scientific basis for the prevention and control of HIV / AIDS. Methods From April to June 2014, the “MSM Health Questionnaire (Ⅲ)” for the unified design of AIDS sentinel surveillance was used to conduct MSM activities in karaoke bars through male colleagues’ organizations. Face-to-face questionnaires were conducted by trained professionals on MSM , Using compulsory education, outreaching services, special lectures, promotion and proper use of promotional materials and condoms, and other comprehensive interventions. Six months later, the same questionnaire was used to conduct a questionnaire survey on the population to compare HIV knowledge and risk behaviors before and after intervention The difference. Results The awareness rate of AIDS-related knowledge in MSM before and after intervention increased from 85.24% to 93.64% (P <0.01), and from 27.16% to 50.43% (P <0.01) for each condom used in anal sex in the last six months The incidence of condom use in anal intercourse with men increased from 75.86% to 86.64% (P <0.01). In the last six months, the condom use rate increased from 36.67% to 75.00% (P <0.01) in the past six months when compared with women. The most recent Condom use rate increased from 53.33% to 85.71% (P <0.01) when having sex with women. Conclusions After HIV / AIDS intervention through comprehensive measures such as peer education, outreaching services, special lectures, promotion of promotional materials and condoms, and proper use of HIV / AIDS, the awareness rate of AIDS-related knowledge and the frequency of condom use have significantly increased , The measures are effective.