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目的探讨利用互联网对男男性接触者(men who have sex with men,MSM)开展高危性行为干预的可行性。方法采用统一的问卷,利用湖州地区网络同志QQ群,对MSM分别进行基线和干预后的问卷调查,问卷调查内容包括一般人口学特征(年龄、职业、文化程度、婚姻状况、性取向等)和高危性行为发生情况等,在线收集问卷资料并进行统计分析。结果共收集有效调查问卷834份,调查对象年龄以20~29岁为主,占77.58%(647/834)。对照组的调查对象在干预前后最近一次与同性发生肛交性行为时使用安全套比例及最近半年与同性发生肛交性行为时使用安全套的比例的差异均无统计学意义;干预组的调查对象在干预前后最近一次与同性发生肛交性行为时使用安全套比例及最近半年与同性发生肛交性行为时使用安全套的比例的差异均有统计学意义(P<0.05)。结论利用互联网对MSM进行针对性的高危行为干预具有实际意义。可利用互联网加强对MSM艾滋病高危行为的健康教育,以有效降低该人群感染HIV的风险。
Objective To explore the feasibility of using Internet to carry out high-risk sexual intervention for men who have sex with men (MSM). Methods A uniform questionnaire was used to make a questionnaire survey of MSM by using gay QQ group in Huzhou area. The questionnaire survey included general demographic characteristics (age, occupation, educational level, marital status, sexual orientation, etc.) And High-risk sexual behavior, etc., online questionnaire information collection and statistical analysis. Results A total of 834 valid questionnaires were collected. The age of the respondents was 20-29 years old, accounting for 77.58% (647/834). In the control group, there was no significant difference in the proportions of the condom used in the same sex with the same sex before and after the intervention, and the proportion of the condom used in the same sex with the same sex in the last six months. Before and after the intervention, The proportions of the condom used in the last homosexual anal sex with the condom and condom use in the same sex with the same sex in the last six months were all statistically significant (P <0.05). Conclusions It is of practical significance to use Internet to target MSM in high-risk behaviors. The Internet could be used to enhance health education on HIV-positive MSM behaviors to effectively reduce the risk of HIV infection in this population.