| 刘儒卓,李东民.艾滋病预防服务对男男性行为人群高危行为影响的研究进展[J].中华流行病学杂志,2025,46(9):1704-1710 |
| 艾滋病预防服务对男男性行为人群高危行为影响的研究进展 |
| Progress in research on the effect of AIDS prevention services on high risk behaviors for HIV infection in men who have sex with men |
| 收稿日期:2025-04-03 出版日期:2025-09-12 |
| DOI：10.3760/cma.j.cn112338-20250403-00212 |
| 中文关键词: 男男性行为人群 艾滋病病毒/艾滋病 预防 高危行为 |
| 英文关键词: Men who have sex with men HIV/AIDS Prevention High risk behaviors |
| 基金项目:国家科技重大专项（2017ZX10201101-002-005） |
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| 中文摘要: |
| MSM是艾滋病防控的重点人群，近年来防治工作取得进展，但MSM中发生高危行为的比例和HIV感染率仍处于较高水平。HIV自我检测（自检）、暴露前预防/暴露后预防（PrEP/PEP）用药等新型艾滋病预防服务在MSM中的应用日益广泛，但其推广面临卫生系统支持不足和个体接受意愿较低的双重障碍。艾滋病预防服务不仅直接为MSM提供生物医学保护，还通过影响其风险感知而重塑MSM行为模式。这些服务对MSM的行为具有双重作用，一方面会导致高危行为增多，另一方面，MSM在接受预防服务的过程中健康意识增强，进而减少高危行为。本综述回顾了MSM中艾滋病流行及高危行为、艾滋病预防服务利用的研究现状，重点梳理了HIV自检、PrEP/PEP用药等艾滋病预防服务的利用现状及其对高危行为的影响，为进一步优化艾滋病防控策略、提高预防服务有效性提供参考。 |
| 英文摘要: |
| Men who have sex with men (MSM) represent a key population in the prevention and control of HIV/AIDS. Despite the remarkable advancements in AIDS prevention and treatment, the HIV infection prevalence and incidence in MSM with high risk behaviors remain higher. In recent years, the utilization of novel AIDS prevention services, such as HIV self-testing, pre-exposure prophylaxis and post-exposure prophylaxis (PrEP/PEP) in MSM gradually increased. However, the promotion of these services still faces dual challenges: insufficient support from the health system and low individual acceptance. HIV prevention services can not only provide direct biomedical protection for MSM but also reshape their behavior patterns by influencing their risk perception. These services have dual impacts on MSM's behaviors. On one hand, they might lead to an increase in high risk behaviors. On the other hand, these services improve MSM's health awareness and reduce high risk behaviors. This paper summarizes the epidemiology of HIV/AIDS and related high risk behaviors in MSM, with a focus on the utilization of HIV self-testing,PrEP/PEP, as well as their impact on high risk behaviors of MSM for the further promotion of HIV prevention services and improvement of intervention strategies. |
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