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目的了解成都市男男性行为者(MSM)艾滋病相关知识和高危性行为状况,分析其影响因素,为在该人群中制定有效的干预措施提供科学依据。方法在同志社区内以“滚雪球”的方法招募MSM,用自行设计的问卷采用匿名填写的形式进行调查。结果共纳入118名MSM,MSM对艾滋病的传播途径知晓率为93.4%,但对艾滋病相关治疗、政策等方面知识的知晓率较低(15.3%～82.2%)。最近3个月,有51.6%的MSM自述有2～5个性伴,但发生性行为时每次都使用安全套者仅占31.3%。不同年龄及近3个月不同工作情况的MSM对艾滋病知识的得分比较,差异均有统计学意义(P<0.05)。性伴数及安全套使用频率不同的MSM艾滋病知识得分比较,差异均无统计学意义(P>0.05)。结论成都市MSM存在对艾滋病知识知晓程度不一致、知识与高危性行为分离现象,提示在该人群中进行艾滋病防治应有针对性地加强与艾滋病相关的治疗、政策等方面的宣传教育。
Objective To understand the HIV / AIDS-related knowledge and risk behaviors of MSM in Chengdu and to analyze its influencing factors so as to provide a scientific basis for developing effective interventions in this population. Methods The MSM was recruited in the gay community with the method of “snowballing”, and was investigated by using the self-designed questionnaire anonymously. Results A total of 118 MSMs were included. The MSM awareness rate of HIV transmission was 93.4%, but awareness of HIV / AIDS related treatment and policy was low (15.3% -82.2%). In the last 3 months, 51.6% of MSMs reported having 2 to 5 partners, but only 31.3% of those who used condoms each time they had sex. There were significant differences in MSM scores of HIV / AIDS knowledge between different ages and nearly three months (P <0.05). There was no significant difference in AIDS knowledge score among MSM with different sex partners and frequency of condom use (P> 0.05). Conclusion MSM in Chengdu has inconsistent knowledge of HIV / AIDS knowledge and segregation of knowledge and high-risk sexual behaviors. It suggests that HIV / AIDS prevention and treatment in this population should be targeted to strengthen HIV / AIDS related treatment and policies.