摘要
目的为制定防治措施提供科学依据。方法采用应答者驱动招募法(RDS)对MSM人群进行招募和自填式匿名调查,采集血样进行生物学检测。结果共调查201人,半年内接受过安全套推销/宣传/免费发放54.7%,艾滋病检测12.9%,健康咨询21.9%,同伴及朋友宣传28.9%,性病服务4%;做过咨询26.4%、检测17.4%。认为自己感染风险很大占2.0%,较大7.5%,较小51.2%,不可能39%,差异有统计学意义,随风险意识增大所占比例呈显著下降趋势。生物检测81人,检出RPR、TPPA双阳性率8.6%,TPPA阳性率14.8%,未发现艾滋病毒、丙肝感染者;未检测原因认为没必要、不可能有问题均为53.3%,不方便24.4%,怕查出有问题17.8%,心理不接受11.1%;生物检测与接受艾滋病检测服务、感染风险意识显著相关。现在愿意检测占55.2%,与艾滋病感染风险意识、接受过安全套推销/宣传/免费发放、检测、健康咨询显著相关。结论绵阳市MSM人群梅毒感染率高,存在艾滋病流行的潜在威胁,但人群接受艾滋病预防服务少,风险意识极差,检测意愿和检测率较低,远落后于防治形势需要,应切实加大防治力度。
Abstract Objective To provide scientific foundation for establishing control measures. Methods Respondent people who belonged to MSM group were asked to finish anonymous self-administered questionnaires, and blood samples were collected for biological detection. Results A total of 201 persons were investigated, and in the late half year, 54.7% accepted condom peddles/propagation/free given, 12.9% accepted AIDS test, 21.9% accepted health consultation, 28.9% accepted companion and friend propagation, 4% accepted STD service, 26. 4% accepted professional consultation and 17.4% accepted test. The two percent considered themselves in very high risk of infection, 7.5% for comparatively high risk, 51.2% for lower risk and 39% for impossible, and there were statistical differences. The rate showed a tendency which declined with increase of risk consciousness. There were 81 persons had been involved in the biological monitoring, with positive rates of both RPR and TPPA 8.6% and TPPA 14.8% respectively. And no HIV and HCV infected case had been found. Reasons for no detection were： 53.3% considered unnecessary or had strong confidence of own health, 24. 4% considered inconven- ient to test, 17.8% feared of bad outcome, 11.1% rejected in heart. The biological monitoring rate was related to whether had got AIDS examination service or not and infection risk consciousness. There were 55.2% willing to accept some examination and which was obviously related to AIDS infection risk consciousness and whether or not had got condom peddles/propagation/free given, examination and health consultation. Conclusion MSM group in Mianyang is suffering from high infection risk of syphilis and potential threat of AIDS. Few preventive measures and bad risk conscious- ness result in low examination rate and intention, and which can not meet the demand of AIDS prevention. The work of AIDS prevention and control should be strengthened.
出处
《预防医学情报杂志》
CAS
2008年第3期161-165,共5页
Journal of Preventive Medicine Information
基金
卫生部艾滋病防治应用性研究项目资助(WA2005-04)
关键词
MSM
防治需求
生物检测
影响因素
MSM
Demand of prevention and control
Biological monitoring
Influence factor
