广西南宁市男男性接触者艾滋病相关知识及行为学特征调查

目的了解南宁市男男性行为（MSM）人群的行为学特征，掌握艾滋病／性病在MSM人群中的流行情况，为南宁市MSM人群艾滋病／性病的健康促进工作提供科学依据。方法采取“滚雪球”方式进行调查，问卷采取匿名的方式，由培训后的工作人员询问情况后当场填写，问卷当场收回，同时采集3～5ml静脉血。结果452名被调查对象艾滋病相关知识知晓率普遍较高，“输入带有艾滋病病毒感染者的血液或血液制品会不会感染艾滋病病毒”这条正确率达到98．45％，总体知识知晓率为92．86％。最近一次与男性肛交安全套使用率为64．43％，最近6个月与男性发生肛交行为时安全套从不使用和每次均用的比率分别为10．95％和34．83％。获得预防艾滋病服务前3位分别是艾滋病/性病宣传材料（67．92％）、安全套发放（62．61％）、润滑剂发放（57．30％）。艾滋病病毒抗体阳性率为199％，梅毒阳性率为8．85％。结论南宁市MSM中的危险行为仍普遍存在，仅靠艾滋病知识的宣传很难促成行为的改变，应进一步采取多元化的艾滋病预防策略遏制男男性行为人群中的艾滋病流行。

Investigation on knowledge of HIV/AIDS and related behaviors character among men who have sex with men in Nanning, Guangxi

Objective To investigate the behaviors character of men who have sex with men （MSM） in the local place, learn about the prevail situation of STI and HIV/AIDS among MSM group, and provide evidences for the health promotions on AIDS and STI among MSM. Methods Based on a snowball model, survey on MSM were conducted with an anonymous model. 3 - 5 ml vein blood of the MSM were also collected at the same time. Results The awareness rate of HIV/AIDS information among 452 MSM was high. 98.45 % can give the right answer to question of whether would be infected with HIV if inject blood or blood product which have been infected with HIV. Total understand rate was 92.86 %. The rate of condom use in their last anal sex with male was 64.43 %. Rate of never using condom and condom using in every anal sex with male in the late 6 months was 10.95% and 34.83% respectively. The 3 services of HIV that most been welcomed by them were IEC （67.92 96 ）, condom distribution （62.61% ） and lube distribution （57.30%）. 1.99% has a positive result on anti-HIV testing. 8.85% have a positive result on syphilis testing. Conclusions High dangerous behaviors are prevalent among MSM in Nanning and propaganda on HIV/AIDS information is not sufficient. Multi-types approaches should be adopted to prevent the epidemics of HIV/AIDS among MSM.