男-男性接触者梅毒和HIV感染及性行为调查

目的 了解南方某大城市非商业男男性接触(MSM)梅毒(SP)和艾滋病病毒(HIV)感染现况及安全性行为水平。方法 通过网站回答问卷，并自愿接受免费的梅毒螺旋体颗粒凝集试验(TPPA)及艾滋病病毒(HIV)检验。结果 88例非商业MSM的SP感染率达9．04％，HIV感染率3．41％。累计男性伴侣数平均35人，76．1％有口交性行为和92．0%有肛交性行为，76．1％与陌生人有性行为，55．7％与女性有性接触。每次和经常性安全套使用率分别为6．8％和26．1％，从不使用达48．9％。结论 非商业MSM的性生活非常活跃，缺乏安全性行为是造成梅毒高感染的重要因素，HIV感染已开始在非商业MSM和异常接触中传播。

Survey on syphilis and HIV infection and sexual behavior among men having sex with male

Objective To understand infectious situation of syphi lis and AIDS virus among noncommercial men who have sex with man (MSM) and the level of safe sexual behavior in some metropolis in south China. Methods Answering the questionnaires through the network and accepting voluntarily the free Treponema Passive Particle Agglutinin (TPPA) and HIV tests.Results Among 88 cases of noncommercial MSM,the infection rate of SP and HIV reach 9.04% and 3.41% respectively,average number of male se x partners is 3,out of whom 76.1% have oral-intercourse,and 95.5% have anus-inte rcourse,and 76.1% have sex with strange men ,and 55.7% have sex with women.The r ate of using a condom each time and frequency are 6.8% and 21.6% respective ly,the rate of those who never use a condom is 48.9%.Conclusion With the great active sex of the commercial an d noncommercial MSM,the lack of safe action is the important factor that causes high syphilis infection,HIV infection begins to be transmitted between the nonco mmercial MSM and heterosexual perosn.