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目的了解中国全球基金艾滋病项目地区,男男性行为人群(MSM)的艾滋病高危性行为的干预工作模式。方法对承担MSM艾滋病高危性行为干预工作的市级和县(区)级疾病预防控制中心(CDC)进行问卷调查。结果调查了30个省(自治区、直辖市)的169个市和595个县(区)CDC,共有4963名干预人员从事MSM的干预工作,月均干预MSM人数为204 355人。对MSM有6种艾滋病高危行为干预模式,分别是:委托社区(草根)组织、聘用目标人群同伴教育员、CDC工作人员、聘用工作人员、委托社区卫生服务中心及相关协(学)会和委托场所业主的干预模式。其中委托社区组织和聘用目标人群做同伴教育员的模式,分别占总干预模式数量的43.5%和27.7%,这两种模式承担了干预工作总量的76.0%和14.4%。有2个省较多采用聘用目标人群做同伴教育员的模式,有2个省全部委托给社区组织。结论在MSM中开展高危性行为干预的诸多模式中,委托社区组织和聘用目标人群做同伴教育员将成为今后MSM高危性行为干预的主导模式。
Objective To understand the HIV / AIDS-related high-risk behaviors among men who have sex with men (MSM) in China Global Fund AIDS Program. Methods A questionnaire survey was conducted on municipal and county (district) Centers for Disease Control and Prevention (CDC) undertaking high-risk MSM HIV intervention. Results A total of 4963 CDC interventions were conducted in 169 cities and 595 counties (districts) in 30 provinces (autonomous regions and municipalities directly under the Central Government). A total of 4963 interventions were engaged in MSM intervention, with a monthly average of 204 355 MSM interventions. There are six types of high-risk behavioral interventions for HIV / AIDS in MSM, which are: commissioned community (grassroots) organizations, hired target peer educators, CDC staff, staff hired, community health service centers commissioned, and associated associations Site owner intervention mode. Among them, 43.5% and 27.7% of the total interventions were commissioned by community organizations and the target population as peer educators, respectively, accounting for 76.0% and 14.4% of the total interventions respectively. In two provinces, the mode of hiring peer group educators was the most common, with two provinces all entrusted to community organizations. Conclusion Among the many models of high-risk sexual behavior intervention in MSM, commissioning community organizations and hiring the target population as peer educators will become the dominant mode of MSM high-risk sexual intervention in the future.