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目的了解天津市性服务男孩(Money Boy,MB)的艾滋病病毒(HIV)和梅毒感染状况及相关因素,为在该人群中开展有效的性病艾滋病防治提供依据。方法用横断面调查的方法,对来自两家同志会所及一家同志浴池的MB,进行匿名问卷调查和HIV及梅毒检测。结果89名MB年龄最小16岁,最大29岁,平均20.6岁;29.2%自认为是同性恋,18.0%异性恋,51.7%双性恋。HIV阳性率为6.7%,快速血浆反应素环状卡片试验(RPR)阳性率为20.2%;来自同志浴池的MB其HIV和RPR阳性率明显高于来自同志会所的MB(P<0.001);同性性倾向MB的RPR阳性率高于非同性性倾向MB(P<0.05)。结论MB流动性强,同性和异性性行为活跃,艾滋病和梅毒感染率高,是艾滋病和性病防治工作中应重点关注的人群,特别是同志浴池中的MB应格外引起重视。
Objective To understand the prevalence of HIV and syphilis in the Money Boy (MB) in Tianjin and its related factors, so as to provide evidence for the effective prevention and treatment of STD / AIDS in this population. Methods By means of cross-sectional survey, anonymous questionnaires and HIV and syphilis tests were performed on MB from two gay clubs and one gay bathhouse. Results 89 MB were the youngest 16 years old, maximum 29 years old, average 20.6 years; 29.2% considered themselves homosexual, 18.0% heterosexual, 51.7% bisexual. The positive rate of HIV was 6.7% and the positive rate of RPR was 20.2%. The positive rates of HIV and RPR in MB from gay baths were significantly higher than those from gay clubs (P <0.001) The RPR positive rate of sexual orientation MB was higher than that of non-sexual orientation MB (P <0.05). Conclusion MB has strong mobility, same sex and heterosexual activity, high HIV and syphilis infection rate, which is the focus of HIV and STD prevention and control. In particular, MB in ginseng bath should pay special attention.