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目的了解鞍山市男男性行为人群HIV感染情况,探讨其影响因素,为干预工作提供依据。方法根据《全国艾滋病哨点监测实施方案》,2009-2011年每年通过滚雪球法抽样和男男性行为人群活动场所招募等方法,对男男性行为人群进行问卷调查及血清学检测。结果 2009-2011年,鞍山市MSM人群HIV感染率分别是4.48%、2.72%、4.25%。影响MSM人群HIV感染率的因素包括:年龄、艾滋病知识知晓情况、最近六个月,最近一次与同性发生肛交性行为使用安全套情况。结论知信行分离现象在MSM人群中普遍存在,正确使用安全套是MSM人群预防艾滋病最有效的控制措施,应加强MSM人群的行为干预力度。
Objective To understand the prevalence of HIV infection among men who have sex with men (MSM) in Anshan and to explore the influencing factors for HIV infection in MSM. Methods According to the “National AIDS Sentinel Surveillance Implementation Plan”, 2009-2011 annual survey of men who have sex with men and serological tests by means of snowball sampling and recruitment of men who have sex with men. Results In 2009-2011, HIV prevalence rates of MSM population in Anshan City were 4.48%, 2.72% and 4.25% respectively. Factors affecting HIV prevalence in MSM populations include age, HIV / AIDS awareness, and the recent use of condoms in same-sex anal sex practices in the last six months. Conclusion The phenomenon of separation of knowing and doing is common in MSM population. Proper use of condoms is the most effective control measure to prevent AIDS in MSM population. It is necessary to strengthen behavioral intervention in MSM population.