摘要
目的对西宁地区近10年男男性行为人群艾滋病高危行为综合干预效果进行评估分析,评价干预效果,为今后调整干预策略提供科学依据。方法西宁地区2008年基线调查545名男男性行为者和实施艾滋病高危行为综合干预后2017年调查了347名男男性行为者,比较分析通过综合干预后其知识、行为及HIV、HCV和梅毒感染率变化情况。结果综合干预后男男性行为人群艾滋病防治知识知晓率从2008年的51.93%上升到2017年的93.08%(χ~2=164.87,P<0.01),最近一年接受预防艾滋病干预服务比例上升至92.22%(χ~2=6.34,P<0.05),近6个月与同性发生肛交性行为的比例下降至88.18%(χ~2=52.06,P<0.01),近6个月与同性发生肛交性行为时每次都用安全套的比例上升至41.18%(χ~2=20.14,P<0.01),近6个月与异性发生性行为的比例下降至25.94%(χ~2=54.99,P<0.01),HIV感染率由2008年的4.59%上升至2017年的17.58%(χ~2=41.08,P<0.01),丙肝感染率由2008年的6.61%下降至2017年的0.86%(χ~2=16.71,P<0.01),梅毒感染率从2008年的8.62%下降至2017年的6.05%(χ~2=50.92,P<0.01),差异均有统计学意义。结论在男男性行为人群中开展艾滋病防控工作有着明显的社会效益,开展持续有效的艾滋病高危行为综合干预、减少男男性行为传播仍是目前艾滋病防控工作的重点和难点。
Objective To evaluate the effectiveness of the comprehensive intervention of high-risk HIV/AIDS behaviors among men who have sex with men（ MSM） in Xining in the past ten years,evaluate the effectiveness of interventions,and provide scientific basis for adjusting intervention strategies in the future. Methods A total of 347 MSM were investigated in Xining Area in2008 after a baseline survey of 545 MSM and a high-risk HIV/AIDS behavior intervention,and their knowledge,behaviors,and HIV,HCV,and syphilis infection rates were analyzed after comprehensive interventions. Results After the comprehensive intervention,the knowledge rate of HIV/AIDS prevention among MSM increased from 51. 93% in 2008 to 93. 08% in 2017（ χ^2= 164. 87,P〈0. 01）,and the proportion of HIV/AIDS intervention services increased to 92. 22% in the most recent year（ χ^2= 6. 34,P〈0. 05））. The proportion of anal sexual intercourse with homosexuals dropped to 88. 18% in the past 6 months（ χ^2=52. 06,P〈0. 01）. Every time anal sex was performed in the same 6 months with homosexuality. The proportion of condoms rose to 41. 18%（ χ^2= 20. 14,P〈0. 01）. The proportion of sexual intercourse with the opposite sex dropped to 25. 94% in the past 6 months（ χ^2= 54. 99,P〈0. 01）. The HIV infection rate increased from 4. 59% in 2008 to 17. 58% in 2017（ χ^2= 41. 08,P〈0. 01）,and the hepatitis C infection rate dropped from 6. 61% in 2008 to 0. 86% in 2017（ χ^2= 16. 71,P〈0. 01）. The syphilis infection rate decreased from 8. 62% in 2008 to 6. 05% in 2017（ χ^2= 50. 92,P〈0. 01）,and the differences were statistically significant. Conclusion There is obvious social benefit in HIV/AIDS prevention and control among MSM,and it is still the focus and difficulty of the current HIV/AIDS prevention and control work to carry out continuous and effective comprehensive HIV/AIDS interventions and reduce the spread of men＇s and men＇s behavior.
作者
陶宜新
赵长成
高晓宇
何淑珍
李云章
TA;ZHAO Changcheng;GAO Xiaoyu;HE Shuzhen;LI Yunzhang(Xining Center for Disease Control and Prevention,Qinghai 810007,China)
出处
《医学动物防制》
2018年第11期1032-1035,共4页
Journal of Medical Pest Control
基金
2018年青海省社会组织参与艾滋病防治基金项目(2016-2017630102PYDMSM001467-2018)
关键词
男男性行为者
艾滋病高危行为
干预效果
Men who have sex with men
High-risk behaviors of AIDS
Intervention effect
