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目的了解深圳市男男性行为者高危行为特征及梅毒/HIV感染情况,为今后有针对性地实施有效干预措施提供科学依据。方法知情同意原则下,2011年对深圳市MSM进行问卷调查及抽血检测。结果共762例接受自愿咨询检测,梅毒感染率为17.8%,HIV感染率为7.1%,梅毒合并HIV感染率为3.8%;45.8%性角色以主动为主,23.8%以被动为主,29.5%二者兼有,0.9%很少肛交或多口交;半年内70.8%肛交性伴数≥2个,64.4%口交性伴数≥2个;37.1%半年内肛交时每次使用安全套,4.0%半年内口交时每次使用安全套,27.1%半年内与女性性交时每次使用安全套。结论深圳市MSM人群不安全性行为普遍存在,是梅毒/HIV传播的桥梁人群。
Objective To understand the characteristics of high-risk behaviors and syphilis / HIV infection in MSM in Shenzhen and to provide a scientific basis for the effective implementation of targeted interventions in future. Methods Under the principle of informed consent, in 2011, a questionnaire and blood tests were conducted on Shenzhen MSM. RESULTS: A total of 762 patients received voluntary counseling and testing. The prevalence of syphilis was 17.8%, that of HIV was 7.1%, and that of syphilis was 3.8%. Among 45.8% of the sexually active persons, HIV was mainly active, 23.8% were passive, 29.5% Both sexes, 0.9% Few anal intercourse or oral sex; 70.8% within half a year anal sex more than 2, 64.4% Blowjobs more than or equal to 2; 37.1% within six months of each anal sex when using condoms, 4.0% Every time you use a condom during oral sex, 27.1% use a condom every time you have sex with a woman within six months. Conclusion The MSM population in Shenzhen is unsafe. It is a bridge of syphilis / HIV transmission.