论文部分内容阅读
目的了解云南省红河州男男性行为人群(MSM)的艾滋病防治知识、行为及艾滋病病毒(HIV)抗体和梅毒血清学年阳转情况,为制定干预措施提供依据。方法采用前瞻性队列研究,招募符合标准的MSM,每6个月随访调查1次,项目期共完成2次随访调查。结果共招募了200名MSM,6个月随访调查178人,队列保持率89.00%;12个月随访调查158人,队列保持率79.00%。艾滋病防治知识知晓率从招募时的93.67%提高到98.73%;最近6个月与同性肛交时每次都用安全套的比例从招募时的34.85%上升到80.65%,最近一次与同性肛交时每次都用安全套的比例从招募时的54.55%上升到87.10%,与异性性行为时每次都使用安全套的比例从12.50%提高到47.06%。研究期间有3人出现HIV抗体阳转,无梅毒阳转。结论随访调查中,MSM的艾滋病知识知晓率、安全套使用率有所提高,但同性肛交、异性性行为情况无明显变化。应加强对辖区MSM的干预服务工作,以及HIV和相关疾病的监测检测覆盖范围。
Objective To understand the HIV / AIDS prevention and control knowledge, behaviors and HIV seroconversion in HIV-infected men who have sex with men in Honghe Prefecture, Yunnan Province, and to provide the basis for the development of interventions. Methods A prospective cohort study was conducted to recruit standard MSM patients. The follow-up survey was conducted every 6 months. Two follow-up surveys were completed during the project period. Results A total of 200 MSMs were enrolled. A total of 178 patients were followed up for 6 months. The cohort maintained a rate of 89.00%. 158 patients were followed up for 12 months and the rate of cohort maintenance was 79.00%. AIDS awareness increased from 93.67% at the time of recruitment to 98.73%; in the last 6 months, the proportion of condom use during the last 6 months increased from 34.85% at the time of recruitment to 80.65% at the time of homosexual anal sex, The proportion of people who use condoms increased from 54.55% at the time of recruitment to 87.10% while that of condoms every time they used them increased from 12.50% to 47.06%. During the study, 3 people showed positive HIV antibody positive and no syphilis positive. Conclusion In the follow-up survey, awareness rate of HIV / AIDS and condom use rate increased with MSM, but there was no significant change in same-sex anal sex and heterosexual behavior. The MSM intervention services should be strengthened as well as the coverage of monitoring and testing of HIV and related diseases.