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目的了解男男性行为(MSM)人群危险行为、安全套使用情况及影响因素,为制定针对性防治措施提供依据。方法利用2011年浙江省MSM人群监测数据,对安全套使用影响因素进行单因素和多因素分析。结果 MSM人群最近6个月发生同性性行为的比例为76.85%,最近6个月同性性行为坚持使用安全套比例为42.35%。地区、文化程度、艾滋病知识知晓率、最近六个月男男同性商业性行为、最近一年报告曾患性病者、最近一年接受HIV检测是安全套使用的影响因素。较高文化程度、最近6个月有男男商业性行为、最近一年做过HIV检测、知晓艾滋病知识,坚持使用安全套可能性较高,最近一年报告曾患性病坚持使用安全套低,不同地区安全套使用有差异。结论 MSM人群男男同性行为坚持使用安全套率低,影响因素复杂,需要加大干预力度,大力宣传并推广使用安全套。
Objective To understand the dangerous behaviors of MSM and the use of condoms and the influencing factors in order to provide the basis for the development of targeted prevention and treatment measures. Methods Based on the monitoring data of MSM population in Zhejiang Province in 2011, the influencing factors of condom use were analyzed by single factor and multivariate analysis. Results The percentage of MSM people who had same-sex behavior in the last 6 months was 76.85%. The percentage of condom users who used same sex behavior in the last 6 months was 42.35%. Regional, educational level, awareness rate of AIDS knowledge, men’s androgynous business practices in the past six months, and recent reports of those who had sexually transmitted diseases. HIV testing in the most recent year is an influential factor in the use of condoms. Higher education level, the last 6 months of men and women have commercial sex, HIV testing done in the past year, knowledge of AIDS, condom insist on the possibility of higher, the last year reported suffering from sexually transmitted diseases, condom use, low in different regions There are differences in the use of condoms. Conclusions MSM men who insist on using same-sex male patients with homosexual behaviors have low condom rates and complicated influence factors, and need to step up interventions to promote and promote the use of condoms.