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目的了解福建省男男性行为者(MSM)高危行为特征及影响因素,为制定有效的干预措施提供依据。方法用随机整群抽样法,用统一的国家哨点监测MSM调查表,对符合要求的MSM进行调查。结果共收集调查问卷1 004份,来自酒吧/歌舞厅/茶室/会所和自愿咨询检测点的MSM,单身比例较高、居住≥1年者较多、≥大专学历者较多、AIDS知识知晓率也较高;来自浴池/桑拿/足疗/按摩场所的MSM异性性行为发生率较高、干预服务覆盖率最高。不同来源MSM最近6个月和最近1次各类性行为的安全套使用率不存在差别。来自自愿咨询检测点的MSM艾滋病感染率(27.1%)高于其他来源的MSM。结论应针对不同来源MSM的特点制定有针对性的干预措施,加强AIDS知识的宣传教育,提高该人群AIDS知识知晓率,减少其高危行为。
Objective To understand the characteristics and influential factors of high-risk behavior of MSM in Fujian Province, and to provide the basis for effective intervention. Methods A random cluster sampling method was used to monitor the MSM questionnaire with a unified national sentinel to investigate the eligible MSM. Results A total of 1 004 questionnaires were collected. MSM from bars / dance halls / tea rooms / clubs and voluntary counseling and testing sites showed a higher proportion of singletons, more people lived for more than 1 year, more than those with tertiary education, AIDS knowledge awareness rate Also higher; incidence of MSM heterosexual activity from bath / sauna / pedicure / massage places is higher, and intervention service coverage is the highest. There is no difference in the rate of condom use among MSM of different origins in the past 6 months and the last time of all kinds of sexual activities. MSM HIV prevalence (27.1%) from volunteer counseling sites was higher than MSM from other sources. Conclusions Targeted interventions should be made according to the characteristics of different origins of MSM. AIDS information should be disseminated and educated so as to increase the awareness rate of AIDS knowledge among the population and reduce their risk behaviors.