Background Men who have sex with men （MSM） have been impacted by HIV and now as an important driver of the HIV/AIDS epidemic in China. This study collected HIV sentinel surveillance system data on the MSM population...Background Men who have sex with men （MSM） have been impacted by HIV and now as an important driver of the HIV/AIDS epidemic in China. This study collected HIV sentinel surveillance system data on the MSM population to describe the characteristics and trends of the HIV epidemic among MSM in China from 2003 to 2011. Methods Data on HIV prevalence and risk behaviors from 2003 to 2011 were obtained from the national HIV sentinel surveillance database. Results MSM sentinel surveillance data for 2011 showed that proportions of MSM who consistently used condoms during anal sex in the last six months and at last anal sex encounter were 43.3% and 74.1%, respectively. Between 2005 and 2011 there were no significant changes in the proportion of consistent condom use. The proportion of MSM who had multiple male sex partners in the last six months increased. Overall HIV prevalence over the years showed a rising trend from 0.9% in 2003 to 6.3% in 2011. The syphilis antibody positive rate was 7.8% in 2011. In addition, the proportion of MSM in heterosexual marriages was rising, AIDS awareness was also increasing, and the proportion of MSM who had taken an HIV test in the last year and was aware of the results rose. The proportion who had received intervention services in the last year stabilized. Conclusions HIV prevalence in MSM populations is rapidly and widely distributed. MSM who are in heterosexual marriages may be a bridge group transmitting HIV to their heterosexual partners. The risky sexual behavior among MSM will remain a serious and important driver of China＇s AIDS epidemic over the next period of time. Intervention need to be strengthened, as does the effective implementation of measures to control AIDS and prevent it from spreading further.展开更多
目的:探讨男男性接触者(Men who have sex with men,MSM)心理症状与艾滋病高危性行为的关系。方法:采用无记名方式,运用焦虑自评量表(SAS)和抑郁自评量表(SDS),对在酒吧中活动的MSM 进行焦虑、抑郁症状评定,并对其性取向、性行为和性伴...目的:探讨男男性接触者(Men who have sex with men,MSM)心理症状与艾滋病高危性行为的关系。方法:采用无记名方式,运用焦虑自评量表(SAS)和抑郁自评量表(SDS),对在酒吧中活动的MSM 进行焦虑、抑郁症状评定,并对其性取向、性行为和性伴特征进行问卷调查。结果:焦虑、抑郁心理症状检出率分别为45.5%和57.5%。已婚、非同性恋和有过性病史的人比未婚、同性恋和没有性病史的MSM 符合焦虑的比例高(分别为62.5%/41.5%,54.1%/62.5%,72.2%/42.3%,x^2=4.61,3.91,5.81,P<0.05);受教育程度为高中及以下、非同性恋和有过性病史的MSM 抑郁症状检出率较受教育程度为大专以上者、同性恋和没有性病史者高(分别为76.9%/48.7%,70.3%/47.3%,83.3%/54.4%,x^2=11.67,8.89,5.52,P<0.01)。焦虑、抑郁症状与多性伴和艾滋病高危性行为相关联(r=0.19～0.28,P<0.01)。经Logistic 回归分析表明,进入焦虑症状方程的变量为一生中异性性伴数、近2个月同性商业性伴和近6个月无保护阴道性交,进入抑郁症状方程的变量为为受教育程度、性取向和近2个月同性商业性伴。结论:在MSM 人群中进行行为干预时,应当注意他们的心理健康方面的问题。展开更多
目的 对北京部分男男性接触者（men have sex with men,MSM）进行HIV/AIDS的KABP调查,为今后在MSM中开展干预工作奠定基础。方法 培训MSM中的志愿者,由他们到MSM活动场所酒吧、公园、浴池等地,对MSM进行自愿匿名的问卷调查,发放宣传品...目的 对北京部分男男性接触者（men have sex with men,MSM）进行HIV/AIDS的KABP调查,为今后在MSM中开展干预工作奠定基础。方法 培训MSM中的志愿者,由他们到MSM活动场所酒吧、公园、浴池等地,对MSM进行自愿匿名的问卷调查,发放宣传品及安全套并提供自愿匿名的抗-HIV检测。结果MSM中固定性伴比例较低（36.9％）,多性伴现象较普遍,一半以上的MSM（53.8％）与女性有过性接触;安全套使用率低;每次都用的进行口交者为6.2％,接受口交者为6.5％,进行肛交者为30.9％,接受肛交者为40.4％。有40.5％的人认为自己不可能感染HIV。有23.8％的人自诉曾出现过性病病症。MSM对艾滋病传播途径认识正确率较高（78.6％以上）,但对性病/艾滋病相关知识的认识较差,正确率为36.9％-65.5％。MSM主动进行抗-HIV检测的较少,本次仅为11人（13.84％）。其中1人为抗-HIV阳性。结论MSM的不安全的性行为使他们成为感染STD、HIV的高危人群,并将这一危险扩散到一般人群。展开更多
文摘Background Men who have sex with men （MSM） have been impacted by HIV and now as an important driver of the HIV/AIDS epidemic in China. This study collected HIV sentinel surveillance system data on the MSM population to describe the characteristics and trends of the HIV epidemic among MSM in China from 2003 to 2011. Methods Data on HIV prevalence and risk behaviors from 2003 to 2011 were obtained from the national HIV sentinel surveillance database. Results MSM sentinel surveillance data for 2011 showed that proportions of MSM who consistently used condoms during anal sex in the last six months and at last anal sex encounter were 43.3% and 74.1%, respectively. Between 2005 and 2011 there were no significant changes in the proportion of consistent condom use. The proportion of MSM who had multiple male sex partners in the last six months increased. Overall HIV prevalence over the years showed a rising trend from 0.9% in 2003 to 6.3% in 2011. The syphilis antibody positive rate was 7.8% in 2011. In addition, the proportion of MSM in heterosexual marriages was rising, AIDS awareness was also increasing, and the proportion of MSM who had taken an HIV test in the last year and was aware of the results rose. The proportion who had received intervention services in the last year stabilized. Conclusions HIV prevalence in MSM populations is rapidly and widely distributed. MSM who are in heterosexual marriages may be a bridge group transmitting HIV to their heterosexual partners. The risky sexual behavior among MSM will remain a serious and important driver of China＇s AIDS epidemic over the next period of time. Intervention need to be strengthened, as does the effective implementation of measures to control AIDS and prevent it from spreading further.
文摘目的:探讨男男性接触者(Men who have sex with men,MSM)心理症状与艾滋病高危性行为的关系。方法:采用无记名方式,运用焦虑自评量表(SAS)和抑郁自评量表(SDS),对在酒吧中活动的MSM 进行焦虑、抑郁症状评定,并对其性取向、性行为和性伴特征进行问卷调查。结果:焦虑、抑郁心理症状检出率分别为45.5%和57.5%。已婚、非同性恋和有过性病史的人比未婚、同性恋和没有性病史的MSM 符合焦虑的比例高(分别为62.5%/41.5%,54.1%/62.5%,72.2%/42.3%,x^2=4.61,3.91,5.81,P<0.05);受教育程度为高中及以下、非同性恋和有过性病史的MSM 抑郁症状检出率较受教育程度为大专以上者、同性恋和没有性病史者高(分别为76.9%/48.7%,70.3%/47.3%,83.3%/54.4%,x^2=11.67,8.89,5.52,P<0.01)。焦虑、抑郁症状与多性伴和艾滋病高危性行为相关联(r=0.19～0.28,P<0.01)。经Logistic 回归分析表明,进入焦虑症状方程的变量为一生中异性性伴数、近2个月同性商业性伴和近6个月无保护阴道性交,进入抑郁症状方程的变量为为受教育程度、性取向和近2个月同性商业性伴。结论:在MSM 人群中进行行为干预时,应当注意他们的心理健康方面的问题。
文摘目的 对北京部分男男性接触者（men have sex with men,MSM）进行HIV/AIDS的KABP调查,为今后在MSM中开展干预工作奠定基础。方法 培训MSM中的志愿者,由他们到MSM活动场所酒吧、公园、浴池等地,对MSM进行自愿匿名的问卷调查,发放宣传品及安全套并提供自愿匿名的抗-HIV检测。结果MSM中固定性伴比例较低（36.9％）,多性伴现象较普遍,一半以上的MSM（53.8％）与女性有过性接触;安全套使用率低;每次都用的进行口交者为6.2％,接受口交者为6.5％,进行肛交者为30.9％,接受肛交者为40.4％。有40.5％的人认为自己不可能感染HIV。有23.8％的人自诉曾出现过性病病症。MSM对艾滋病传播途径认识正确率较高（78.6％以上）,但对性病/艾滋病相关知识的认识较差,正确率为36.9％-65.5％。MSM主动进行抗-HIV检测的较少,本次仅为11人（13.84％）。其中1人为抗-HIV阳性。结论MSM的不安全的性行为使他们成为感染STD、HIV的高危人群,并将这一危险扩散到一般人群。
