文章摘要
李健,余爱玲,杨常敏,王斌,杨明宇,孟蕾.甘肃省在婚男男性行为者HIV感染状况及其相关行为分析[J].中华流行病学杂志,2014,35(7):809-811
甘肃省在婚男男性行为者HIV感染状况及其相关行为分析
Situation and correlated behavior of HIV infection among currently married MSM in Gansu province
收稿日期:2014-02-17  出版日期:2014-09-01
DOI:10.3760/cma.j.issn.0254-6450.2014.07.012
中文关键词: 人类免疫缺陷病毒  危险性行为  男男性行为
英文关键词: Human immunodeficiency virus  High-risk sexual behavior  Men who have sex with men
基金项目:
作者单位E-mail
李健 甘肃省疾病预防控制中心, 兰州 730000  
余爱玲 甘肃省疾病预防控制中心, 兰州 730000  
杨常敏 甘肃省疾病预防控制中心, 兰州 730000  
王斌 甘肃省疾病预防控制中心, 兰州 730000  
杨明宇 甘肃省疾病预防控制中心, 兰州 730000  
孟蕾 甘肃省疾病预防控制中心, 兰州 730000 ccdcusc101@163.com 
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中文摘要:
      目的 了解甘肃省在婚MSM人群HIV 感染状况及其分别与同性和异性的性行为特征。方法 在甘肃省兰州、天水市MSM活动场所共招募297 名在婚MSM人群, 进行问卷调查和HIV 抗体检测, 分析在婚MSM人群感染HIV 的影响因素。结果 在婚MSM人群HIV 阳性检出率为4.7%;有94.6%的调查对象最近6 个月与同性发生过肛交性行为, 30.9%的调查对象最近1周有>2 名男性性伴, 肛交性行为时坚持使用安全套的比例为45.9%;有69.0%的调查对象最近6个月与女性发生过性行为, 异性性行为时坚持使用安全套的比例为24.9%, 59.0%在最近1 次异性性行为时未使用安全套。调查对象中, HIV 感染者的艾滋病知识知晓率为64.3%, 最近1 年做过HIV 抗体检测的比例为7.1%, 最近6 个月与同性发生过肛交性行为的比例为92.9%, 肛交性行为时坚持使用安全套的比例为14.3%。HIV 感染者中, 最近6 个月与异性发生过性行为的比例为35.7%, 性行为时坚持使用安全套的比例为60.0%。结论 甘肃省在婚MSM人群的HIV感染率较高, 且无保护的同性和异性性交行为并存, 需加强对该人群的干预和检测工作。
英文摘要:
      Objective To explore the situation of HIV infection among currently married MSM and the features of related sexual behavior on both males and females in Gansu province. Methods By“Place the recruitment”methodology, 297 currently married MSM were recruited in Lanzhou and Tianshui cities of Gansu province. Participants filled in a questionnaire and underwent HIV antibody testing. SPSS 17.0 software was used to analyze the result and differences between positive HIV MSM and negative HIV MSM. Possible factors that influencing the HIV infection among currently married MSM were analyzed. Results Among those currently married MSM, the HIV positive rate was 4.7%. 94.6% participants admitted having had anal sex with male partners in the past 6 months while 30.9% participants had more than 2 male sex partners in the past week, with the rate of condoms use as 45.9%. 69.0% of the participants had sex with females in the past 6 months, with the rate of condoms use as 24.9%. 59.0% of the participants did not use condoms when having sexual relations with partners. Among HIV positive married MSM, the rate of AIDS awareness was 64.3% and 7.1% of them ever having had HIV testing last year and 92.9% of them had anal sex with males. In the recent 6 months, 14.3% had ever used condom each time when having anal sex with males. 35.7% of the cases ever having had sex with females, with the rate of condom use as 60.0%. Conclusion HIV prevalence, low AIDS awareness, low HIV rate of testing and high rate of unprotected sex behavior with either sex partners were found among currently married MSM in Gansu province. Results of this study called for behavioral intervention and HIV testing measures should be taken immediately.
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