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目的了解男男性行为者(MSM)艾滋病预防服务覆盖现状及影响因素。方法 2013-04/10,以四川省绵阳市辖区所有9个县(市、区)MSM为对象,在固定场所经知情同意,应用滚雪球抽样法,进行调查对象招募和自填式匿名行为学调查及生物学检测。结果共调查861名,近1年接受过安全套宣传和发放/艾滋病咨询检测79.1%(681/861)、同伴教育70.7%(609/861)、做过艾滋病病毒(HIV)检测69.2%(596/861),预防服务覆盖率84.8%(727/861),不同地区差异有统计学意义(P均=0.000)。多因素分析结果,性取向同性恋、知晓艾滋病知识、酒吧/浴室/家庭型寻找性伴、认识当地MSM朋友数6人~、认识当地MSM朋友数>10人、近1周肛交次数≥3、近6月肛交有保护性是MSM接受预防服务的促进因素(OR分别为2.558、10.526、4.177、2.701、5.067、4.399和2.217,P均<0.05)。结论 MSM预防服务达较高水平,地区间不平衡,预防服务促进了艾滋病知识知晓和行为改变,应持续开展和加强。
Objective To understand the current status and influencing factors of MSM HIV prevention service coverage. Methods From April 2013 to October 2010, MSMs in all 9 counties (cities and districts) in Mianyang, Sichuan Province were enrolled in this study. Subjects were recruited and self-signed anonymous behavioral surveys And biological testing. Results A total of 861 cases were surveyed, 79.1% (681/861) of condom promotion and counseling / condom counseling and testing in the past year, 70.7% (609/861) of peer education and 69.2% (HIV / AIDS testing) of 69.2% 861), service coverage 84.8% (727/861), with significant differences in different regions (P = 0.000). Multivariate analysis, homosexuality, knowledge of HIV / AIDS, bar / bath / family type Finding sexual partners, understanding of local MSM friends 6, met MSM friends> 10, 1 week anal intercourse ≥ 3, near The protection of anal sex in June was the promotion factor of MSM receiving preventive care (OR = 2.558,10.526,4.177,2.701,5.067,4.399 and 2.217, P <0.05 respectively). Conclusion MSM has a high level of prevention services and an imbalance among regions. Preventive services promote HIV / AIDS awareness and behavioral change and should be continued and strengthened.