摘要
目的了解江苏省常州市不同活动场所男男性行为人群(MSM)高危行为特征,为对其进行艾滋病、性病干预工作提供依据。方法通过问卷调查收集MSM人口学、行为学和相关健康服务等信息,并采集血液和尿液标本进行艾滋病病毒(HIV)抗体、梅毒、淋球菌和生殖道沙眼衣原体检测;来源于酒吧、浴室、互联网以及其他场所组分别有165、230、198人。结果不同活动场所来源个体在年龄、文化程度、婚姻状况、居住状况、职业、性取向分布上差异均有统计学意义(P<0.001);互联网组MSM仅与男性发生性行为的比例为48.7%(56/115),明显高于酒吧、浴室组(χ2=50.376,P<0.001);酒吧组发生商业性行为的比例最高,为20.2%(33/163);最近1次与男性发生肛交行为安全套使用率,浴室组为60.3%(91/151),明显低于其他2组(χ2=11.147,P=0.004);最近6个月与女性发生性行为比例最高为浴室组,为60.0%(138/230),明显高于其他2组(χ2=35.833,P<0.001);酒吧、浴室、互联网组HIV感染率分别为10.9%(18/165)、16.1%(37/230)、11.3%(13/115),差异无统计学意义,梅毒感染率分别为32.1%(53/165)、37.4%(86/230)、20.9%(24/115),差异有统计学意义(χ2=9.627,P=0.008)。结论常州市不同场所MSM人群普遍存在高危行为,HIV/性传播疾病(STD)感染(患病)率较高,应采取较宣传教育更为有效的干预措施,控制HIV/STD由高危人群向普通人群发展。
Objective To explore the characteristics of high-risk behaviors among men who have sex with men （MSM） in different venues and to provide evidence for human immunodificiency virus/sexually transmitted disease （HIV/STD） intervention. Methods A total of 593 MSM （165 from bars,230 from public bathroom, 198 from other places） were studied with a questionnaire interview and the information on health services, high risk behaviors were col- lected. Blood and urine samples were tested for HIV antibody, syphilis ,Neisseria gonorrhoeae, and Chlamydia trachoma- tis. Results For the MSM from different venues, statistically significant differences were found in age, education back- ground, marriage, living condition, occupation, and sex orientation （ P 〈 0. 001 ）. Compared to the MSM from other public places, the MSM from intemet bar were significantly more likely to have sex with only men, with the rate of 48.7 % （56/115） （x2 =50. 376,P 〈0. 001 ）. The MSM from bars had the highest rate of commercial sex（20. 2% ,33/163）. For the MSM from public bathroom, the rate of condom use in the last anal sex was significantly lower than those from other places（60. 3% ,91/151 ; X2 -- 11. 147 ,P =0. 004） and the rate of having sex with women in the last six months was sig- nificantiy higher than those from other places （60. 0%, 138/230; X2 = 35. 883, P 〈 0. 001 ）. The prevalence of HIV infec- tion was 10. 9% （18/165）, 16. 1% （37/230）, and 11.3 % （13/115 ）and that of syphilis was 32. 1% （53/165）, 37.4% （ 86/230 ）, and 20. 9% （ 24/115 ） for the MSM from bar, public bathroom, and internet har, respectively, with significant differences among the different groups. Conclusion The MSM from different venues had high risk behaviors and the prevalence of HIV/STD among the MSM in Changzhou city was very high. More effective interventions should be taken apart from publicity and education.
出处
《中国公共卫生》
CAS
CSCD
北大核心
2012年第10期1307-1310,共4页
Chinese Journal of Public Health
基金
国家"十一五"科技重大专项(2008ZX10001-005)
常州市卫生局重大项目(ZD200905)
