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目的了解男男性行为者(MSM)的行为特征,并进一步探讨其干预策略。方法采用时间场所抽样法(TLS,针对工作基础好的场所)和同伴推动抽样(RDS,偏向MB及低收入MSM人群)对男男性行为者进行问卷调查。结果累计调查326人,调查对象来自全国各地、流动性大,文化程度较高,来源港澳地区有5人、占1.5%,43.9%的人群在深圳居住时间<1年;艾滋病知识知晓率较高,达到86.2%;最近6个月有45.2%的人有过双性性行为,与女性发生性行为时,58.3%几乎不使用安全套;38.0%有10位性伴以上,与固定性伴、临时性伴和商业性伴肛交时每次均使用安全套的比例分别是56.6%、62.0%和63.4%。结论 MSM人群普遍存在多性伴、无保护的高危行为,知行分离。干预工作应关注干预措施的技巧和深度,提高性行为中安全套使用率。
Objective To understand the behavioral characteristics of men who have sex with men (MSM) and to further explore their intervention strategies. Methods A questionnaire survey of men who have sex with men (TLS, place-based) and peer-driven sampling (RDS, biased MB, and low-income MSM) were conducted. Results A total of 326 people were surveyed. The respondents from all over the country were highly mobile and highly educated. There were 5 persons in Hong Kong and Macao originating from source, 1.5% of them, 43.9% of them living in Shenzhen for less than 1 year, and a high awareness of HIV / AIDS , Reaching 86.2%; 45.2% of the people in the recent 6 months had bisexual behaviors, 58.3% hardly used condoms when having sexual intercourse with women; 38.0% had 10 or more partners, with fixed partners, temporary The percentage of condom users who used sex toys each time they were anal sex was 56.6%, 62.0% and 63.4% respectively. Conclusion MSM prevalence of multiple sexual partners, unprotected high-risk behavior, knowledge and separation. Interventions should be focused on the skills and depth of interventions to increase condom use in sexual activity.