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目的了解许昌市男男性接触者(MSM)艾滋病高危行为及艾滋病、梅毒感染状况,为有针对性地开展MSM艾滋病防治工作提供科学依据。方法采用滚雪球的方法,对目标人群进行匿名问卷调查,并采血进行艾滋病梅毒的血清学检测。结果许昌市MSM大众艾滋病知识知晓率为80.73%(176/218),MSM最近6个月同性性行为的性伴数平均为2.3个,保持1个性伴者所占的比例为25.86%。最近6个月同性肛交每次都用安全套的频率为16.39%,最近1次同性肛交的安全套使用率为44.26%,人类免疫缺陷病毒(HIV)抗体和梅毒RPR阳性率分别为3.67%、10.09%。结论许昌市MSM多性伴、低安全套使用率现象普遍,高危行为干预服务获得率低,艾滋病和梅毒感染率高,加大高危行为干预力度,促进该人群“知—信—行”的改变刻不容缓。
Objective To understand the high-risk behaviors of HIV / AIDS and syphilis among men who have sex with men (MSM) in Xuchang and provide a scientific basis for the targeted prevention and treatment of MSM. Methods A snowball method was used to conduct anonymous questionnaire survey on the target population and blood tests were conducted to detect HIV syphilis. Results The awareness rate of HIV / AIDS among MSM in Xuchang City was 80.73% (176/218). The average number of sexual partners for MSM in the past 6 months was 2.3 and 25.86% for 1 partner. In the last 6 months, the frequency of condom use in same-sex anal intercourse was 16.39%. The condom use rate in the same sex anal intercourse was 44.26%. The positive rates of HIV and syphilis RPR were 3.67% and 10.09% . Conclusion The prevalence rate of MSM in Xuchang MSM is low, the rate of HIV / AIDS infection and syphilis infection is high, and the intervention of high-risk behavior is strengthened to promote the MSM Change without delay.