重庆市男男性行为人群艾滋病干预效果初步研究

冯连贵; 丁贤彬; 吕繁; 潘传波; 易辉容; 刘虹宏; 周超; 卢戎戎; 欧阳琳; 徐世明

文章摘要

冯连贵,丁贤彬,吕繁,潘传波,易辉容,刘虹宏,周超,卢戎戎,欧阳琳,徐世明.重庆市男男性行为人群艾滋病干预效果初步研究[J].中华流行病学杂志,2009,30(1):18-20

重庆市男男性行为人群艾滋病干预效果初步研究

Study on the effect of intervention about acquired immunodeficiency syndrom among men who have sex with men

收稿日期:2008-04-07 出版日期:2014-09-11

DOI：

中文关键词: 艾滋病男男性行为者干预效果

英文关键词: AIDS Men who have sex with men Intervention Effect

基金项目:第五轮全球艾滋病基金资助项目

作者	单位
冯连贵	400042 重庆市疾病预防控制中心
丁贤彬	400042 重庆市疾病预防控制中心
吕繁	中国疾病预防控制中心性病艾滋病预防控制中心
潘传波	重庆市渝中区疾病预防控制中心
易辉容	重庆市九龙坡区疾病预防控制中心
刘虹宏	重庆市沙坪坝区疾病预防控制中心
周超	400042 重庆市疾病预防控制中心
卢戎戎	400042 重庆市疾病预防控制中心
欧阳琳	400042 重庆市疾病预防控制中心
徐世明	400042 重庆市疾病预防控制中心

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中文摘要:

目的评估重庆市男男性行为者(MSM)的艾滋病综合干预项目实施效果.方法 2006年与2007年对MSM人群采用"滚雪球"法进行二次面对面的问卷调查,比较干预前后MSM人群知识、行为和HIV及梅毒患病率的变化隋况,采用SPSS 12.0软件进行统计分析.结果干预后,MSM人群艾滋病防治知识知晓率明显提高,由干预前的74.3%上升到干预后的82.4%(P=0.01);最近一次与男性发生肛交性行为时安全套使用率由56.4%上升到65.5%(P=0.00);最近6个月与男性发生肛交时每次都使用安全套率也由2006年干预前的31.8%上升至41.9%(P=0.00).干预前后HIV感染率分别为10.4%和10.8%,梅毒患病率分别为9.3%和7.3%,干预前后HIV和梅毒的患病率差异均无统计学意义.结论 MSM人群干预后艾滋病防治知识明显提高,安全套使用率也有所提高,干预工作产生明显效果.

英文摘要:

Objective To study the outcomes of AIDS intervention programs and to provide scientific evidence for developing pertinent strategy on intervention among men who have sex with men (MSM).Methods MSM were recruited through snowballing and investigated by face to face interview in 2006 and 2007 respectively.SPSS 12.0 was used to compare the change of cognition about AIDS,sexual behavior,prevalence rates of HIV and Syphilis before and after the intervention program among the population under study.Results The cognition about AIDS among MSM was obviously improved after the intervention with the rate increased from 74.3% to 82.4% (P=0.01).The rate of last time condom use among MSM increased from 56.4% to 65.5% (P=0.00).The rate of consistent condom use during six months among MSM increased from 31.8% to 41.9% (P=0.00).The rates of both condom use during commercial sex with men and with women did not change much among MSM.The prevalence rates of HIV in 2006 and 2007 were 10.4% and 10.8% and of syphilis in 2006 and 2007 were 9.3% and 7.3% respectively which were not significantly different between before and after the intervention.Conclusion The cognition about AIDS among MSM was improved obviously.However,the rate of consistent condom use was still low,reflecting the segregation phenomenon between their behavior and cognition.All our findings implied that it was crucial to carry out AIDS prevention and control programs.

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