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目的了解广州市在校学生男男性行为者(MSM)艾滋病相关危险行为的特征。方法于2014年3-8月,在广州市知名的同志网站招募668名学生MSM,调查其人口学特征、艾滋病相关知识、HIV抗体检测史、毒品及物质滥用史、性病感染史、近3个月性行为特征等。结果 668名学生MSM中,35.0%(234-人)既往性伴主要是社会人员,48.2%(322人)既有社会人员又有学生。最近3个月,68.1%(455人)与男性发生过肛交性行为,其中29.3%(196人)发生过无保护肛交性行为;28.6%(191人)与多个性伴(≥2个)发生过肛交性行为,性伴数最多为18个;7.9%(53人)发生过“群交”性行为;19.8%(132人)使用过Rush、零号胶囊或伟哥等物质。9.1%(61人)自报曾感染过性病。结论广州市学生MSM无保护肛交、多性伴、“群交”等艾滋病相关高危行为普遍存在,物质滥用情况较为严重,性伴网络社会化特征明显,亟须在目标人群中加强艾滋病相关高危行为的警示性教育,以遏制艾滋病疫情的进一步蔓延。
Objective To understand the characteristics of AIDS-related risk behaviors among MSM students in Guangzhou. Methods From March to August 2014, 668 MSM students were recruited from well-known gay sites in Guangzhou to investigate the demographic characteristics, AIDS-related knowledge, HIV antibody testing history, the history of drug abuse and substance abuse, the history of STD infection, and nearly 3 Monthly sexual characteristics and so on. Results Among the 668 MSM students, 35.0% (234-) of the past sexual partners were mainly social workers, while 48.2% (322) had social workers and students. In the last 3 months, 68.1% (455 persons) had anal intercourse with men, of whom 29.3% (196) had unprotected anal sex; 28.6% (191) and multiple partners (≥2) A maximum of 18 sexual partners were found to have anal sex, 7.9% (53 people) had sexual intercourse, and 19.8% (132 people) had used Rush, Zero Capsule or Viagra. 9.1% (61) reported having had STD. Conclusion MSM unprotected anal sex, multiple sex partners and “group pay ” and other AIDS-related high-risk behaviors are common in Guangzhou students. Substance abuse is more serious and social characteristics of sexual partners network are obvious. It is urgent to strengthen AIDS-related high risk in target population Warning behavior of education to curb the further spread of the AIDS epidemic.