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目的了解西藏自治区拉萨市男男性行为者(MSM)的艾滋病相关知识及态度行为方式,为拉萨市疾病预防控制中心制定防治方针和进一步开展健康教育提供依据。方法于2012—2013年,采用流行病学横断面调查方法,自填问卷法、面对面访谈方法在同性恋酒吧进行调查;纳入标准为具有男男性行为者并在本地居住≥15 d。应用SPSS 19.0软件对所有数据进行统计分析。结果回收有效问卷共124份。调查对象平均年龄(28.8±7.0)岁。受访者首次性行女性占57%(71/124),最近1次肛交时使用了安全套23.4%(29/124);艾滋病性病知识知晓率均>50%;有性病史7.3%(9/124);有与异性结婚意向87.9%(109/124)。结论男男不安全性行为在拉萨市中也普遍存在,应尽快建立男男性行为者的艾滋病哨点。
Objective To understand the HIV / AIDS-related knowledge and attitudes and behaviors of MSM in Lhasa, Tibet Autonomous Region, and to provide evidence for the prevention and control of Lhasa CDC and further health education. Methods From 2012 to 2013, the epidemiological cross-sectional survey, self-administered questionnaires and face-to-face interviews were conducted in homosexual bars. The inclusion criteria were those with MSM and lived ≥15 days locally. All the data were statistically analyzed by SPSS 19.0 software. Results A total of 124 valid questionnaires were collected. The average age of respondents (28.8 ± 7.0) years. 57% (71/124) of the respondents had sex for the first time, 23.4% (29/124) of condoms were used for the last anal sex, the rate of awareness of HIV / AIDS was> 50%, and the rate of sexually transmitted diseases was 7.3% (9 / 124). There were 87.9% (109/124) intents to marry the opposite sex. Conclusions Male unsafe sex is also prevalent in Lhasa. Ascertainment of AIDS sentinel sites among men who have sex with men should be established as soon as possible.