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目的了解温州市男男性行为人群(MSM)的艾滋病知识知晓情况、高危行为特征及艾滋病病毒(HIV)感染状况,为今后制定有效的干预措施和防控政策提供参考。方法在知情同意的前提下,由经过培训的调查员分别在2011-2013年的4-6月,对MSM进行匿名问卷调查及抽血检测,采用Logistic回归分析。结果共调查MSM 1204人,艾滋病防治知识总知晓率84.3%(1015人),HIV抗体、梅毒抗体检测阳性率分别为7.4%(89人)、9.3%(112人)。单因素分析显示,艾滋病知识总知晓率与HIV、梅毒抗体阳性率存在分离现象(P>0.05),非条件Logistic回归多因素分析显示:MSM 1年内接受过咨询或宣传、同伴员宣传、6个月内与同性发生过商业性行为、调查时间,与艾滋病知识总知晓率差异有统计学意义(P<0.05)。75.7%的调查对象(911人)6个月内与男性发生过肛交,32.0%的调查对象(385人)同时拥有男女性伴,17.6%MSM(212人)提供过有偿性服务,5.3%的MSM(48/911)每次与男性发生肛交时都使用安全套。结论 MSM存在同时有男女性伴、高危性性行为等感染HIV的潜在危险,同伴教育、咨询、宣传有利于提高艾滋病知识知晓率,知晓率与HIV阳性率存在分离现象,提高知晓率可减少商业性性行为的发生。
Objective To understand the AIDS knowledge, risk behaviors and HIV status of men who have sex with men (MSM) in Wenzhou in order to provide reference for effective interventions and prevention and control policies in the future. Methods Based on informed consent, trained investigators conducted anonymous questionnaire and blood tests in MSM from April to June in 2011-2013 respectively, and analyzed them by Logistic regression. Results A total of 1204 MSM were investigated. The total awareness rate of AIDS prevention and cure was 84.3% (1015). The positive rates of HIV antibody and syphilis antibody were 7.4% (89 persons) and 9.3% (112 persons) respectively. Univariate analysis showed that the total awareness rate of HIV / AIDS and the positive rate of HIV and syphilis antibody were separated (P> 0.05). Multivariate analysis of unconditional Logistic regression showed that MSM received counseling or publicity within one year, companion publicity and 6 There was a significant difference between the same-sex commercial activities during the month, the survey time and the total awareness of AIDS knowledge (P <0.05). 75.7% of respondents (911 persons) had anal intercourse with men within 6 months, 32.0% of respondents (385 persons) had male and female partners, 17.6% of MSM (212 persons) had paid services, and 5.3% MSM (48/911) Use a condom every time an anal sex with a man occurs. Conclusions MSM has the potential risk of HIV infection such as male and female sexual partners and high-risk sexual behaviors. Companion education, counseling and publicity are helpful to raise the awareness rate of HIV / AIDS, and there is a separation between awareness rate and HIV positive rate. The occurrence of sexual behavior.