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结合自愿咨询检测进行男男性接触人群高危行为干预的效果评价
引用本文:李建军,还锡萍,闫红静,张敏,唐卫明,张倩倩,羊海涛,赵金扣.结合自愿咨询检测进行男男性接触人群高危行为干预的效果评价[J].中国预防医学杂志,2011(8):666-669.
作者姓名:李建军  还锡萍  闫红静  张敏  唐卫明  张倩倩  羊海涛  赵金扣
作者单位:南京医科大学公共卫生学院流行病与卫生统计学系;江苏省疾病预防控制中心性病艾滋病防制所;南京市疾病预防控制中心;Depart ment of Epidemiology;School of Public Health;University of California;Los Angeles;
摘    要:目的评估结合自愿咨询检测(VCT)对男男性接触人群(MSM)高危行为综合干预的效果。方法 2008-2010年对南京市MSM人群进行基线、中期及终期调查,比较干预前后MSM人群知识、无保护性肛交等性行为变化情况,采用SPSS 16.0软件进行统计分析。结果基线调查606人,中期616人,终期400人。基线、中期、期终调查比较:最近半年无保护性肛交率由基线调查的58.1%,下降到中期和终期调查的43.2%和49.2%,呈现明显的下降趋势(P<0.05);最近一次肛交过程未使用安全套的比例分别为42.2%、32.5%和36.0%,显著下降(P<0.05);最近半年有多个性伴(>2个)的比例经过干预,由32.3%下降为24.0%(P<0.05);最近半年与女生发生过性行为的比例也呈下降趋势(基线20.8%,中期15.6%,终期15.5%,P<0.05);现症梅毒的感染率从基线的11.4%下降至中期调查的7.5%和终期调查的7.8%(P<0.05)。结论 结合VCT进行MSM人群高危行为综合干预降低了MSM人群的高危性行为和现症梅毒感染率。

关 键 词:艾滋病  男男性行为者  自愿咨询检测  行为干预  效果  

Effectiveness of behavioral intervention combined with voluntary counseling and testing on high risk behaviors among MSM
LI Jian-jun,HUAN Xi-ping,YAN Hong-jing,ZHANG Min,TANG Wei-ming,ZHANG Qian-qian,YANG Hai-tao,ZHAO Jin-kou.Effectiveness of behavioral intervention combined with voluntary counseling and testing on high risk behaviors among MSM[J].China Preventive Medicine,2011(8):666-669.
Authors:LI Jian-jun  HUAN Xi-ping  YAN Hong-jing  ZHANG Min  TANG Wei-ming  ZHANG Qian-qian  YANG Hai-tao  ZHAO Jin-kou
Institution:LI Jian-jun,HUAN Xi-ping,YAN Hong-jing,ZHANG Min,TANG Wei-ming,ZHANG Qian-qian,YANG Hai-tao,ZHAO Jin-kou.Department of Epidemiology and Statistics,School of Public Health,Nanjing Medical University,Nanjing,Jiangsu 210029,China
Abstract:Objective To examine the effectiveness of behavioral intervention combined with voluntary counseling and testing(VCT) among men who have sex with men(MSM).Methods The method of snowball sampling(chain sampling) was applied for recruiting MSM participants in 2008,2009 and 2010 in Nanjing,Jiangsu.All participants volunteered to have behavior intervention and serologic survey.The changes of knowledge about AIDS/STD,sexual behaviors,and the prevalence of HIV and syphilis in participants were analyzed before,dur...
Keywords:AIDS  Men who have sex with men(MSM)  HIV Voluntary Counseling and Testing(VCT)  Behavioral intervention  Effectiveness  
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