2011年广西男男性接触者艾滋病监测结果分析

目的充分利用艾滋病哨点监测资料,了解广西男男性行为者（men who have sex with men,MSM）艾滋病高危行为情况和感染状况,为制定针对性的干预措施提供科学依据。方法根据全国艾滋病哨点监测实施方案（试行）操作手册的要求,对2011年4～7月在南宁市、柳州市、桂林市招募的男男性接触者进行行为学调查及血清学检测。结果共调查和检测MSM 1 128名,艾滋病知识知晓率为92.9%;最近6个月83.8%发生同性肛交行为,60.8%坚持每次使用安全套,最近1次肛交安全套的使用率为81.5%,最近6个月29.5%与异性发生过性行为;最近1年预防艾滋病服务的接受率为85.2%,最近1年艾滋病检测率为64.5%;艾滋病、梅毒、丙肝抗体检测阳性率分别为4.6%、6.4%、0.4%。结论根据各市婚姻状况与样本来源的不同特点,对当地MSM进行有针对性的宣教与干预,进一步提高艾滋病干预服务的覆盖率,加强MSM人群健康意识,提高其安全套使用率和性病治疗率,从而减缓艾滋病在该人群的蔓延。

Analysis on monitoring results of AIDS among men who have sex with men (MSM) in GuangXi, 2011

Objective To make full use of AIDS Surveillance data, to study the HIV related high risk behavior and infection among men who have sex with men （MSM） in Guangxi, and to provide the scientific evidence for targeted in- tervention measures. Methods MSM were recruited from Nanning City, Liuzhou City, and Guilin City from april 2011 to July to do survey of behavioral and serological testing according to the requirements of the operating handbook of national AIDS sentinel surveillance implementation plan （trial implementation）. Results 1 128 MSM were surveyed and tested. the HIV related knowledge awareness was 92. 9% ; 83.8% had homosexual anal sex in the previous six months and 60. 8% used condom each time. 81.5% used condom in the recent anal sex, and 29. 5% had heterosexual sex in the previous six months; the HIV test rate was 64. 5% in the recent years and the infection rates of HIV, RPR, HVC were 4. 6% , 6.4% , and 0. 4%, respectively. Conclusions Targeted education and interventions should be implemented according to marital status and different characteristics of the sample source, and to further improve the AIDS intervention service coverage, strengthen the MSM health consciousness, improve the condom usage and venereal disease therapy, so as to slow the spread of HIV/AIDS in the population.