男男性接触者活动场所及人群特征

目的了解男男性接触者(MSM)人群活动场所种类及人群特征。方法使用半结构问卷对10名MSM进行问卷调查,对另外10名MSM和3名酒吧老板进行个人深入访谈,对MSM性活动场所进行现场观察。结果合肥市MSM人群有关活动场所共11处,包括3个酒吧、2所浴池、1个公园、1个公厕,另有"同志网站"4家。活动场所都集中在市区交通便利但相当隐蔽的位置。酒吧是MSM消遣和娱乐的地方。浴池对于MSM来说是最为复杂的地方。厕所是MSM最早寻找性伴和发生性行为的场所。公园是所有"同志"联欢会地点中情况最为复杂的地方。同性恋网站中的聊天室通常是MSM寻找偶然性伴的地方。MSM人群的健康意识淡薄,安全套使用率低,多性伴以及同时拥有同性和异性性伴现象普遍。由于害怕遭到社会歧视,他们感染性病后对求医的态度比较消极。愿意参加免费HIV和梅毒抗体检测的MSM要求不能因检测而暴露自己的性取向。结论在不同类型的MSM活动场所中活动的MSM具有不同的特征,该人群中存在不同的亚人群;感染性病艾滋病的危险因素普遍存在。结合各亚人群的特征,在MSM中开展防治性病艾滋病的高危性行为干预工作十分必要。

Characters of venues MSM frequently visited and MSM population

Objectives To investigate the types and the number of venues and describe the characters of MSM who visited these venues in Hefei.Methods Sub-structural questionnaires were conducted in ten MSM,and individual depth interview were conducted to another ten MSM and three owners of gay bars.Participant observation was used to find out the venues' locations ,detailed service,the surroundings,et al.Results The venues in Hefei includes three gay bars, two bath -rooms,one public park,one public toilet and four gay websites.All the venues were located in the center of the city,where the traffic connectins were convenient.Many MSM frequently visited gay bars in ordet to relax themselves.Bath-room was the place where MSM had sex with others.Public toilet was the first place for MSM to find sexual partners and have sexual behaviors.Public park was the most complex venue.The chat-room of gay website was used to find casual sexual partners.The consciousness of health was low among MSM.It was proved by the following facts that the rate of condom use was low; many MSM had multi-sexual partner as well as bi-sexual partners.MSM who sufferd from STDs,didn't have an active attitude to access health care services because of the social discrimination to homosexuality.Those who would take part in the free test for HIV/STDs requested that their sexual orientation should be kept secret.Conclusions The characters of MSM were various in different venues,there were different sub-groups amon MSM.The characters of sub-cultrue should be integrated in the future intervention for HIV/STDs prevention.