萍乡市男男同性恋性病艾滋病哨点监测结果分析

目的了解男同人群的性相关危险因素特点,找出有效的途径或策略,进一步有效控制艾滋病的流行。方法问卷调查与实验室检测。结果总共监测310名男同,其中酒吧会所监测占30.97%,网络监测占69.03%;90%被监测男同是高中以上文化程度;最近一年患性病的占14.19%;310人当中HIV感染者8例,感染率为2.58%;网络招募人中HIV感染为3.27%。艾滋病知识知晓率为98.71%;有将近15%的感染者有过商业性行为(包括3名感染者);有商业性行为的男男同性恋艾滋病感染率与没有商业性行为的男男同性恋的艾滋病感染率两者比较有明显差异;与女性发生性关系的时候有三分之一不使用安全套,每次都会使用的不到一半,最近一次与女性发生性关系有三分之一没有使用安全套。结论男同容易将艾滋病性病进行婚内、外传播;男同存在掌握相关HIV防治知识与实际防范结果背离现象;网络加大了男同交往的频率和范围,也加大了艾滋病传播风险;同性商业性行为风险性更高;男同的双性性关系及无保护性性交在艾滋病传播中起到一个非常重要的桥梁作用;今后要把宣传干预重点放在双性恋、男性性商业服务人群、男同配偶或性伴、甚至青年妇女、青年学生身上。

The analysis report of pingxiang city gay aids and venereal disease sentinel surveillance results

Objective Understand the characteristics of sex related risk factors among gay men. Find effective ways or strategies. To effectively control the AIDS epidemic. Methods Survey questionnaire and laboratory detection. Results A total of 310 gay men monitoring, The clubs monitoring 30.97%, Network monitoring 69.03%; 90% monitored MSM is a high school degree or above; The recent years have venereal gay men 14.19%; 310 of them 8 patients infected with HIV, The infection rate was 2.58%; Network recruiting people with HIV infection was 3.27%. The awareness rate of AIDS was 98.71%; Nearly 15% of the HIV infection had commercial sexual behavior （Including 3 infection）; Male gay HIV infection rates with Commercial sexual behavior and not commercial sexual behavior of male gay HIV prevalence there are significant differences; Sex between gay men and women have 1/3 do not use condoms, Always use condoms less than half of the gay, Gay men and a recent sexual relations with women 1/3 did not use condoms. Conclusion Gay men easily spread of AIDS, sexually transmitted diseases in the marriage inside and outside; Gay men are related to HIV prevention knowledge and practical prevention results deviation phenomenon; Network to increase the frequency and range of gay male contacts, Also increased the risks of HIV transmission; Gay men were at higher risk for commercial sexual behavior; Gay bisexual sex and unprotected sex in the transmission of HIV played a very important role as a bridge; Future interventions focusing on bisexual, advocacy among male sex service, men with a spouse or partner, young women, even young students.