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商业性性服务MSM HIV/梅毒感染及高危行为调查
引用本文:赖永珲,蔡于茂,宋亚娟,洪福昌.商业性性服务MSM HIV/梅毒感染及高危行为调查[J].中国热带医学,2013,13(6):680-683.
作者姓名:赖永珲  蔡于茂  宋亚娟  洪福昌
作者单位:深圳市慢性病防治中心,广东深圳,518020
基金项目:十一.五国家科技重大专项课题(No.2008ZX10001-005); 深圳市科技计划项目(No.201203114)
摘    要:目的 了解深圳市既往提供过商业性性服务的男男性行为者高危行为特征及梅毒/HIV感染情况.方法 知情同意原则下,对2009~2011年深圳市MSM人群资料应用SAS8.0软件进行x2检验.结果 2943例MSM中,393例(13.4%)最近半年内提供过商业性性服务,梅毒感染率为24.7%,HIV感染率为9.2%,梅毒合并HIV感染率为5.6%.与既往无商业性性服务的MSM人群相比,既往提供过商业性性服务的MSM人群普遍多性伴;与男性肛交时每次使用安全套比例较高,与男性口交时从不使用安全套比例较低,与女性发生性行为时从不使用安全套比例较低;梅毒感染率、HIV感染率较高.结论 深圳市既往提供过商业性性服务的MSM人群为艾滋病性病易感人群,应对这一亚群引起足够重视.

关 键 词:男男性行为者  男男性工作者  梅毒  HIV

HIV/syphilis infection and high risk behaviors among men who have sex with men previous to be money boys
Institution:LAI Yong-hui, CAI Yu-mao, SONG Ya-juan, et al. Shenzhen Municipal Center for Disease Control and Prevention, Shenzhen, 518120Guangdong , P.R. China
Abstract:Objective To investigate the characteristics of high risk behaviors and syphilis/HIV prevalence among men who have sex with men previous to be money boys in Shenzhen.Methods Data of monitoring of MSM in Shenzhen from 2009 to 2011 were collected and analyzed by chi-square test with SAS8.0 software.Results Totally 393(13.4%) MSM ever being money boys(MB) were reported in the last 6 months among 2 943 MSM from 2009 to 2011.The infection rates of syphilis,HIV and syphilis-HIV co-infection among them were 24.7%,9.2% and 5.6%,respectively.Compared to MSM not MB in the previous 6 months,MSM of previous MB generally had multiple sexual partners and higher proportions of condom use with male anal sexual partners every time and syphilis/HIV infection rates,but they never use condom when having oral sexual partners with males and female sexual partners.Conclusion MSM of MB were the risk populations for AIDS/STD infection and preventive measures be taken to protect their health.
Keywords:Men who have sex with men(MSM)  Money boy(MB)  Human immunodeficiency virus(HIV)  Syphilis
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