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目的了解南阳市MSM人群艾滋病防治知识知晓情况、行为特征,为制定干预措施提供信息。方法以集中培训的形式,开展问卷调查、自愿咨询检测。结果自我认同性取向以同性恋者和双性恋为主,分别占42.70%、42.18%。MSM人群对艾滋病防治知识及正确使用安全套可预防艾滋病有一定的认知,但最近6个月与男性发生肛交性行为每次都用安全套使用率较低(23.49%),知识与行为分离现象严重。51.70%的MSM人群已结婚,近6个月与异性发生过性行为者占37.36%,与异性发生性行为时每次都用安全套者仅占2.94%。64.39%的调查者最近6个月与男性发生过肛交性行为,平均性伴数为2.1个,安全套、润滑剂等干预覆盖面小于40%。HIV、梅毒、丙肝的感染率分别为5.59%(10/179)、5.45%(9/165)、2.17%(3/138)。结论我市MSM人群艾滋病、梅毒感染率较高,且存在艾滋病流行的高危危险行为,应尽快制定有效的干预措施,遏制艾滋病、性病的流行。
Objective To understand the knowledge and behavior characteristics of HIV / AIDS prevention and control among MSM population in Nanyang and to provide information for formulating intervention measures. Methods To focus on training in the form of conducting questionnaires, voluntary counseling and testing. Results Self-identity orientation was mainly homosexuals and bisexuals, accounting for 42.70% and 42.18% respectively. MSM population has some knowledge of HIV / AIDS prevention and treatment and correct use of condoms to prevent AIDS. However, condom use rate is low (23.49%) for each anal intercourse with men in the recent 6 months, and there is a serious separation of knowledge and behavior . 51.70% of the MSM population have been married, nearly 36 months accounted for 37.36% of those who had sex with the opposite sex, and 2.94% of the time each sex with condoms when having sex with the opposite sex. 64.39% of the investigators had anal sex with men in the past 6 months, the average number of sexual partners was 2.1, and the condom and lubricant coverage was less than 40%. The infection rates of HIV, syphilis and hepatitis C were 5.59% (10/179), 5.45% (9/165) and 2.17% (3/138) respectively. Conclusion MSM in our city has a high prevalence of AIDS and syphilis, and there is a high risk of AIDS epidemic. Effective interventions should be formulated as soon as possible to curb the prevalence of AIDS and STDs.