安康市男男性行为人群HIV感染状况及高危行为调查分析

目的分析安康市男男性行为人群（MSM）干预前后对艾滋病知识的认知及行为学变化，为控制艾滋病传播及有针对性地对MSM人群采取有效干预措施提供依据。方法依托民间组织，采用同伴或调查对象巨相推荐的方法招募调查对象，对调查对象进行问卷调查和血清学检测。结果共调查MSM195人，大专及以上学历70．8％。职业以学生和公司职员为主。寻找性伴的方式以互联网为主，占74．4％。艾滋病知识知晓率91．35％。最近6个月55．4％（108人）与同性发生过肛交性行为，其中59．3％（64人）每次都使用安全套；108人中14．8％（16人）与同性发生过商业性行为，68．8％每次都使用安全套。最近6个月13．8％与女性发生过性行为，59．3％每次都使用安全套。最近1年75．4％接受过安全套发放／艾滋病咨询，46．7％做过HIV检测，HIV确认阳性3例，感染率1．54％。结论安康市MSM人群危险因素主要与年龄小、互联网隐蔽性助推、安全套的使用率低有关。提示工作重点应放在利用网络进行宣传，促进安全性行为的形成，扩大HIV检测，以遏制艾滋病的传播和流行。

Investigation and analysis of HIV infection status and high risk behaviors of MSM in Ankang City

Objective Analyze MSM＇s cognitive and behavioral changes of knowledge of Aids after intervention in Ankang City, and provide basis for controlling the spread of Aids and taking targeted and effective intervention measures for MSM. Methods Relying on non - governmental organizations, recruit respondents by recommen-dation of companions or respondents, carry out questionnaires and serological test among respondents. Results A total of 195 MSM are investigated, 70. 8% of which have an educational background of junior college or above. They are mostly students and company staffs. They mainly look for sex partners through internet, ac-counting for 74.4%. 91.35% of them know about Aids knowledge. In last six months, 55.4% of MSM （ 108 cases） had anal sex with men and 59.3% （64 cases） used condoms every time; 14. 8% of 108 （ 16 cases） had commercial sex with men, 68.8% of which used condoms every time; In last six months, 13.8% of 195 MSM had sex with women, 59.3% of which used condoms every time. Last year, 75.4% of 195 MSM had re-ceived condom distribution/Aids counseling, 46.7% of them had received HIV test, and 3 people were con-firmed to be HIV - positive, with an infection rate of 1.54%. Conclusions Risk factors of MSM in Ankang City are mainly related to young ages, promotion of internet concealment, and low utilization rate of condoms. Promptings should focus on publicizing through the internet, promoting the formation of safe sex and expanding HIV test, in order to prevent the spread and prevalence of Aids.