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[目的]分析昆山市男男性行为者(MSM)艾滋病病毒/梅毒感染状况及艾滋病知识、态度、行为特征,为制定有效的干预策略提供依据。[方法]2009年10月至2010年1月,采用同伴推动抽样法(RDS)在昆山MSM人群中进行问卷调查,并进行HIV和梅毒血清学检测。[结果]调查300人,HIV和梅毒的感染率分别为5.33%、25.00%。艾滋病防治知识知晓率为73.33%,其中艾滋病传播途径的知晓率为82.33%,非传播途径的知晓率为62.00%(P<0.01)。最近1个月与男性伴性行为时均使用安全套的占28.00%,最近1次与男性伴性行为时使用安全套的占43.00%。希望获得艾滋病防治知识途径,是“专家讲座”的占55.67%,“宣传材料”占54.00%,“互联网”占53.33%。91.00%的人表示应该同情和关心HIV感染者和艾滋病病人。[结论]昆山市MSM人群STD/HIV感染率较高,艾滋病防治知识较为缺乏,高危行为普遍存在。
[Objective] To analyze HIV / syphilis infection status, HIV / AIDS knowledge, attitude and behavior characteristics of MSM in Kunshan and provide evidence for effective intervention strategy. [Methods] From October 2009 to January 2010, a questionnaire survey was conducted in Kunshan MSM population using peer push sampling (RDS) and HIV and syphilis serological tests. [Results] The survey of 300 people, HIV and syphilis infection rates were 5.33%, 25.00%. The awareness rate of AIDS prevention and control was 73.33%, of which 82.33% was known as AIDS transmission and 62.00% was non-transmission (P <0.01). Condom use was 28.00% for partners who had sex with men during the last month, and 43.00% for condom use during the last sex with men. The hope is to obtain knowledge on AIDS prevention and control, accounting for 55.67% of “experts’ lectures”, “publicity materials” accounting for 54.00% and “Internet” accounting for 53.33%. 91.00% said they should sympathize with and care about HIV infected persons and AIDS patients. [Conclusion] The prevalence of STD / HIV infection is high in MSM population in Kunshan City, and there is a lack of knowledge on AIDS prevention and control and high-risk behaviors are common.