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目的了解厦门市男男性行为(MSM)人群艾滋病感染及其相关高危行为情况,为开展有针对性的防治提供依据。方法分析2010—2012年MSM人群艾滋病哨点监测相关资料。通过“滚雪球方式”招募MSM者,开展面对面问卷调查,并采血进行HIV、丙肝和梅毒抗体检测。结果按“中国艾滋病防治督导与评估框架(试行)”标准,2010—2012年MSM人群艾滋病知识知晓率分别为92.9%、87.8%和92.6%,最近1次与男性发生肛交时安全套使用率从27.7%增至63.4%。3年HIV感染率分别为7.1%、3.5%和6.2%,梅毒感染率12.3%、6.5%和8.8%,丙肝感染率1.3%、0.2%和2.4%。结论 MSM人群艾滋病知识未见显著提高,但最近1次与男性发生肛交时使用安全套的比例有显著提高。今后需开展有针对性的干预宣教,进一步提高防治实效。
Objective To understand the prevalence of HIV / AIDS and the related high-risk behaviors among MSM in Xiamen and to provide a basis for targeted prevention and treatment. Methods To analyze the sentinel surveillance of MSM in 2010-2012. MSM recruited through “Snowball Method”, conducted a face-to-face questionnaire, and collected blood for HIV, HCV and syphilis antibody testing. Results According to the “China AIDS Prevention and Control and Assessment Framework (Trial)” standard, the awareness rate of HIV / AIDS among MSM population from 2010 to 2012 was 92.9%, 87.8% and 92.6%, respectively. Condom use rate during the last anal sex with men From 27.7% to 63.4%. The rates of HIV infection in the three years were 7.1%, 3.5% and 6.2% respectively, syphilis infection rates were 12.3%, 6.5% and 8.8%, and HCV infection rates were 1.3%, 0.2% and 2.4% respectively. Conclusion There was no significant increase in AIDS knowledge in MSM population, but the proportion of condom used in anal sex during the last one time was significantly increased. In the future, we must conduct targeted interventions and propaganda to further enhance the effectiveness of prevention and treatment.