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目的了解保山市男男性行为者(men who have sex with men,MSM)的性行为特征和人类免疫缺陷病毒(HIV)感染状况,为今后针对该人群进行有效的干预工作提供经验和依据。方法通过招募MSM志愿者,采用“滚雪球”的方法,对保山市100名近6个月有过男男性行为的MSM进行匿名面对面访谈并抽血检测。结果保山市MSM人群的平均年龄为25.72±8.25岁;艾滋病知识知晓率为96.4%;最近半年发生过同性肛交性行为、同性商业性行为、异性性行为的比例分别为52.0%、12.0%和31.0%,最近一次与同性发生肛交性行为、同性商业性行为、异性性行为时使用安全套的比例分别为90.4%、100.0%和58.1%,最近半年发生同性肛交性行为、同性商业性行为和异性性行为时坚持使用安全套的比例分别为73.1%、100.0%和41.9%;HIV感染率为7.0%。结论保山市MSM人群同性肛交性行为和异性性行为时安全套使用频率较低,大多存在异性性行为,HIV感染率较高。应加大该人群的干预力度,及早检测和治疗,以有效控制艾滋病性病的传播和流行。
Objective To understand the sexual behaviors and HIV infection status of men who have sex with men (MSM) in Baoshan, and to provide experience and evidences for effective intervention in this population in the future. Methods Anonymous face-to-face interviews and blood tests were conducted on 100 MSM-men who had had MSM in Baoshan City by recruiting MSM volunteers and using “Snowball” method. Results The average age of MSM in Baoshan was 25.72 ± 8.25 years old. The awareness rate of HIV / AIDS knowledge was 96.4%. The same-sex anal sex, same-sex business and heterosexual behaviors in the past 6 months were 52.0%, 12.0% and 31.0% respectively %, The rate of condom use in the last sexual homosexual same sex, same-sex business sex and heterosexual sex was 90.4%, 100.0% and 58.1%, respectively. Same-sex anal sex, homosexual business sex and heterosexuality occurred in the recent six months The proportion of people insisting on condom use during their behavior was 73.1%, 100.0% and 41.9% respectively; the HIV infection rate was 7.0%. Conclusions The frequency of condom use in homosexual and heterosexual sexual behaviors among MSM population in Baoshan is low, most of them have heterosexual behaviors, and the HIV infection rate is high. Should increase the crowd’s intervention efforts, early detection and treatment, in order to effectively control the spread of AIDS and epidemic.