摘要
目的了解江苏省南通市男男性接触人群(MSM)艾滋病病毒(HIV)感染者阳性告知前后艾滋病防治知识知晓率和行为学特征改变。方法选取2005年1月—2013年9月南通市艾滋病自愿咨询检测(VCT)门诊M SM人群HIV感染者94人,在阳性告知前后进行问卷调查。结果告知后艾滋病知晓率97.85%明显高于告知前84.04%(χ~2=8.847,P<0.01),其中初中及以下文化程度组告知后知晓率95.00%明显高于告知前75.00%(χ~2=4.021,P<0.05)。同性性行为肛交方式有改变(χ~2=14.270,P<0.01);安全套使用率提高(χ~2=154.183,P<0.05),告知后每次使用比例72.73%明显高于告知前5.74%;但告知前后性伴数没有差异。在同性商业性行为中,告知后性伴数减少(χ~2=9.090,P<0.05),安全套使用率提高(χ~2=7.391,P<0.05),告知后每次使用比例71.43%高于告知前11.76%,但肛交类型没有改变。在与异性发生性行为中,安全套使用率提高(χ~2=7.400,P<0.05),告知后每次使用比例86.40%高于告知前42.50%。结论南通地区M SM人群HIV感染者知晓率整体较高,阳性告知后减少了高危行为。
Objective To investigate the changes in the knowledge and behaviors about human immunodeficiency virus/acquired immunodeficiency syndrome （HIV/AIDS） prevention and control among the men who have sex with men （MSM） after HIV-positive notification.Methods Face-to-face questionnaire surveys were conducted among 94 HIV-positive MSM recruited at a HIV voluntary counseling and testing （VCT） clinic in Nantong city before and 6 months after the HIV-positive notification during January 2005 and September 2013.Results Among the MSM,the awareness rate of HIV/AIDS knowledge increased significantly after the notification （from 84.04% to 97.85%,χ2=8.847;P〈0.01）,especially among the MSM with the education of junior high school or below （from 75.00% to 95.00%,χ2=4.021;P〈0.05）.There were significant changes in the patterns of homosexual anal sex （χ2=14.270,P〈0.01） and significant increase in the ratio of condom use in every sex behavior （from 5.74% to 72.73%,χ2=154.183,P〈0.05）,but no significant change in the number of sexual partners was observed after the notification.For the MSM with commercial homosexual behaviors,the number of sexual partners decreased （χ2=9.090,P〈0.05）,but the ratio of condom use in every sex behavior increased significantly （from 11.76% to 71.43%,χ2=7.391,P〈0.05）;while no change in the patterns of anal sex was observed after the notification.For the MSM with heterosexual sex,the ratio of condom use in every heterosexual behavior increased significantly （from 42.50% to 82.40%,χ2=7.400,P〈0.05）.Conclusion The HIV-positive MSM in Nantong city had a relative high HIV/AIDS knowledge and had decreased high risk sexual behaviors after HIV-positive notification.
作者
魏叶
马平
夏宏丽
袁建明
朱平
周小毅
张烽
庄勋
WEI Ye MA Ping XIA Hong-li et al(School of Public Health, Nantong University, Nantong, Jiangsu Province 226006, Chin)
出处
《中国公共卫生》
CAS
CSCD
北大核心
2017年第3期369-372,共4页
Chinese Journal of Public Health
基金
国家自然科学基金(81373060)
江苏省六大人才高峰(WSN-015)
江苏省卫生厅项目(YZ201018)
南通市科技局(MS12015125)
关键词
男男性接触
艾滋病病毒(HIV)
知晓率
行为学特征
men who sex with men
human immunodeficiency virus
awareness rate
behavior characteristics
