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目的分析遵义市男男性行为(MSM)人群人口学特征与高危行为的相关性,为制定艾滋病针对性防控措施提供依据。方法采取面对面和网络招募的方法,在知情同意的前提下,使用《贵州第三轮示范区艾滋病相关高危人群规模估计现场工作手册》中MSM网络调查问卷进行调查,主要收集社会人口学信息、高危行为特征信息等。结果本调查收集MSM人群有效问卷232份,年龄<44岁者最多,占97.84%(227/232);大专以上学历占73.28%(170/232),其中硕士以上学历12人;在婚、离异或丧偶、未婚但有异性性伴者占50.00%(116/232);通过网络寻找性伴占73.28%(170/232);第一次发生性行为年龄以18~25岁为主,占80.60%(187/232);最近6个月与同性性交每次安全套使用率74.02%(151/204),最近一次与同性发生口交或肛交性行为安全套使用率83.82%(171/204)。结论遵义市MSM人群年龄普遍偏低,学历较高,虽然安全套使用率有所提高,但艾滋病感染率仍处于较高水平。应加强防控工作,尤其是高中及大中专院校学生的艾滋病防控工作。
Objective To analyze the correlation between the demographic characteristics of MSM population and high-risk behavior in Zunyi city, and to provide the basis for the development of AIDS prevention and control measures. Methods Face-to-face and online recruiting methods were used to investigate the MSM network questionnaire in the “Work Manual on Scale of AIDS-Related High-risk Population in Guizhou for the Third Round of Guizhou Province” on the premise of informed consent. The survey mainly collected socio-demographic information and high risk Behavior information and so on. Results The survey collected 232 valid questionnaires from the MSM population, most of whom were aged <44 years old, accounting for 97.84% (227/232); 73.28% (170/232) graduated from college or above, of whom 12 were master’s degree or above; Or widowed, unmarried but with heterosexual partners accounted for 50.00% (116/232); through the network to find sexual partners accounted for 73.28% (170/232); the first occurrence of sexual behavior age 18 to 25-year-old, accounting for 80.60 % (187/232). Condom use rate was 74.02% (151/204) for same-sex sexual intercourse in the last 6 months and 83.82% (171/204) for the most recent same-sex oral sex or anal sex. Conclusion The population of MSM in Zunyi is generally low and has a high education level. Although the condom use rate has risen, the HIV prevalence is still at a high level. Prevention and control should be strengthened, especially for AIDS prevention and control among students in high schools and colleges.