论文部分内容阅读
[目的]掌握贵阳市男男性工作者(Money Boy,MB)艾滋病病毒(HIV)等感染状况,了解这一人群感染艾滋病、性病的危险行为因素,为采取相应的行为干预提供科学的依据。[方法]通过制定实施方案、召开项目启动会、绘制场所分布图,将MB活动场所的业主、老板列为调查者成员,招募MB志愿者,利用老板组织或志愿者动员等“滚雪球”方式,抽血检测贵阳市MB人群HIV等感染率,并在抽取血样时进行艾滋病知识、态度、信念及行为(KABP)问卷调查,了解该人群有关预防艾滋病性病中存在问题。[结果]共调查120名MB,发现HIV感染者5例,HIV抗体阳性率为4.17%,乙肝表面抗原(HBVAg)、丙肝(HCV)抗体、梅毒抗体RPR、TPPA阳性率分别为4.17%、5.83%、11.67%、16.67%。该人群年龄以20~24岁组为最多,占55.00%,其次为15~19岁组,占36.67%。文化程度以高中/中专为多,占40.83%,其次为初中,占30.83%。性取向男男同性恋占47.86%,异性恋占7.69%,双性恋占28.21%,未确定占16.24%;有关艾滋病性病知识回答正确率为31.67%~89.17%,有10个以上性伴的占60.68%,在高危性行为时每次都用安全套率只有43.59%。[结论]贵阳市MB人群HIV感染率较高,该人群年龄偏小,预防艾滋病性病知识缺乏,性伴多,同时有异性性行为,高危性行为普遍存在,安全套使用率低,极易造成艾滋病性病的传播与流行,应及时采取相应的防控措施。
[Objective] To master the infection status of HIV in Money Boy (MB) in Guiyang and to understand the risk behavior factors of AIDS and STD in this population and to provide a scientific basis for corresponding behavioral intervention. [Methods] Through formulating the implementation plan, holding the project start-up meeting, drawing the site distribution map, listing the owner and owner of the MB activity site as investigators, recruiting MB volunteers, using the boss organization or volunteer mobilization, Methods Blood samples were collected to test HIV prevalence in MB population of Guiyang City. A KABP questionnaire was conducted to determine the prevalence of HIV / AIDS in this population. [Results] A total of 120 MB were investigated. The positive rate of HIV antibody was 4.17% in 5 HIV-infected patients. The positive rates of HBVAg, HCV and syphilis antibody RPR and TPPA were 4.17% and 5.83, respectively %, 11.67%, 16.67%. The age group of 20 to 24 years old is the most, accounting for 55.00%, followed by 15 to 19 years old group, accounting for 36.67%. The educational level is high school / secondary school, accounting for 40.83%, followed by junior high school, accounting for 30.83%. 47.86% were heterosexual men, 28.21% were bisexuals, 16.24% were unidentified; the correct rate of knowledge about HIV / AIDS was 31.67% ~ 89.17%, with 10 or more partners 60.68%. Only 43.59% of condoms were used at any time during high-risk sexual behaviors. [Conclusion] The prevalence of HIV in MB population in Guiyang City is relatively high. The younger age group, the lack of knowledge of HIV / AIDS STD prevention, more sexual partners, heterosexual behaviors, high-risk sexual behaviors and low condom use rates can easily lead to AIDS Sexually transmitted diseases and epidemic should be promptly taken to prevent and control measures.