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目的了解柳州市男男性接触者(MSM)的性行为学特征,为MSM人群艾滋病、性病的健康促进工作提供科学依据。方法通过网络宣传、朋友介绍、外展干预等方式动员MSM到疾控中心,问卷采取匿名的方式,知情同意后由MSM当场填写,收集相关信息并抽血检测。结果300份有效问卷发现,被调查者艾滋病平均知晓率达到79.6%,最近6个月内有87.7%曾与男性发生肛交性行为,有18.3%的人通过付钱的方式获得过男性服务,最近一次与这种男性发生性行为时仅有59.1%使用了安全套,而为了得到钱有2.7%的人为男性提供了性服务,在这种情况下安全套的使用率仅有32.0%。最近一年只有93人(31.0%)曾主动检测过HIV抗体,HIV阳性检出率1.3%,梅毒阳性检出率为8.0%。结论该市MSM人群中普遍存在艾滋病和性病感染的高危性行为,应继续加强MSM的检测、健康教育、行为干预及阳性感染者的随访溯源等工作。
Objective To understand the sexual behavior characteristics of MSM in Liuzhou and to provide a scientific basis for the health promotion of AIDS and STD in MSM population. Methods The MSM was mobilized to the CDC through online publicity, friend introduction and outreach intervention. The questionnaire was anonymous and filled in by the MSM on the spot after informed consent. The related information was collected and blood tests were performed. Results 300 valid questionnaires found that respondents average awareness rate of AIDS reached 79.6% in the last 6 months, 87.7% had anal sex with men, 18.3% of people get paid by way of male services, the recent Only 59.1% of condoms were used in a single sexual encounter with such men and 2.7% provided money for men in order to receive money, in which case condom use was only 32.0%. In the most recent year, only 93 (31.0%) voluntarily tested HIV antibodies. The positive rate of HIV was 1.3% and the positive rate of syphilis was 8.0%. Conclusion High-risk behaviors of AIDS and STD infection are common in MSM population in the city. MSM testing, health education, behavioral intervention and follow-up tracing of positive infection should continue to be strengthened.