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目的了解男男性接触人群(MSM)的无保护性行为影响因素,为开展艾滋病防治工作提供依据。方法以郑州市男男性接触人群为调查对象,随机抽取161人进行横断面现场调查。结果低文化程度者无保护性行为发生率高于高文化程度者,差别有统计学意义(P<0.05)。该人群对艾滋病传播途径问题回答正确率超过85%,对非传播途径问题回答正确率较低。HIV相关知识水平低者无保护性行为发生率高于HIV相关知识水平高者,差别有统计学意义(P<0.05)。接受安全套宣传、发放和同伴教育者较不接受安全套宣传、发放和同伴教育者无保护性行为发生率低,差别有统计学意义(P<0.05)。结论郑州市男男性接触人群的艾滋病相关知识掌握较好,但是仍需在MSM人群中有针对性地开展行为干预,提高安全套使用率,促使其改变或减少高危性行为,从而最大限度地阻断艾滋病在MSM中的传播。
Objective To understand the factors influencing unprotected behavior of men who have sex with men (MSM) and provide the basis for AIDS prevention and control. Methods A total of 161 people were randomly selected from a field survey of MSM in Zhengzhou City. Results The rate of unprotected sex with low education level was higher than that with high education level (P <0.05). The correct answer to the question of the route of transmission of AIDS among the population is more than 85%, and the correct answer to the question of the route of non-transmission is low. The incidence of HIV-related unprotected sex was higher than that of HIV-related knowledge, the difference was statistically significant (P <0.05). Condoms, condom issuators and peer educators were less likely to receive condom promotion, and the incidence of unprotected sex was significantly lower (P <0.05). Conclusion HIV-related knowledge of MSM in Zhengzhou is better, but behavioral interventions are still needed in MSM population to improve the rate of condom use and to change or reduce high-risk behaviors so as to block the maximum AIDS in MSM.