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[目的]了解MSM人群艾滋病知识知晓率、行为特征、艾滋病、梅毒和丙肝感染率,建立艾滋病综合防治模式。[方法]2008年4～6月、10～12月、2009年4～6月对太原市采用分类滚雪球法、网络招募的794名MSM,进行问卷调查及血清学检测。[结果]调查794名MSM,艾滋病相关知识知晓率为54.79%;最近1年接受过咨询或检测的占48.99%;相关知识信息的主要来源为网络的占60.71%;电视的占46.10%;43.58%的人通过网络寻找性伴;最近6个月与男性发生肛交行为的占86.52%,32.24%的人同时与女性有性行为,最近半年内平均性伴数为5.08±21.01人;54.74%的人最近6个月与男性性伴发生肛交性行为时,未能每次都使用安全套。既往有性病症状者占15.62%,出现性病相关症状时,到综合医院就诊的占34.68%。检测794人,HIV抗体阳性检出率为5.29%,梅毒抗体阳性检出率为9.95%。[结论]MSM人群艾滋病相关知识知晓率较低,且普遍存在高危性行为。
[Objective] To understand the AIDS awareness, behavioral characteristics, AIDS, syphilis and hepatitis C infection among MSM population and establish a comprehensive AIDS prevention and control model. [Method] From April to June 2008, October to December 2008 and April to June 2009, questionnaires and serological tests were conducted on 794 MSM recruited by the classified snowballing method and network in Taiyuan city. [Results] The awareness rate of AIDS-related knowledge was 54.79% in 794 MSMs, 48.99% in consulting or testing in the most recent year, 60.71% in internet, 46.10% in television, 43.58% in television % Of people seek sexual partners through the Internet; 86.52% of them have sex with men in the recent 6 months; 32.24% of them have sex with women at the same time; the average number of sexual partners in the last six months is 5.08 ± 21.01; 54.74% People who use anal sex with male partners for the last 6 months fail to use condoms every time. In the past, 15.62% of them had symptoms of STD, and 34.68% of them went to the general hospital when STD-related symptoms appeared. 794 people were detected, the positive rate of HIV antibody was 5.29% and the positive rate of syphilis antibody was 9.95%. [Conclusion] The awareness rate of AIDS related knowledge in MSM population is low, and high risk behaviors are common.