CAJ | 학술논문

目的了解广州市男男商业性服务人群(money boys,MB)的HIV、梅毒的感染情况,以及AIDS相关行为特征.方法通过同志社区小组从12个MB活动场所(包括会所、公园及网络等)招募调查对象152名,共完成调查和采血151名.采用匿名问卷调查获取AIDS相关行为、知识、态度等资料,抽取静脉血进行HIV和梅毒的检测.HIV和梅毒感染不同人群特征的比较应用x2检验,以P＜0.05为差异有统计学意义.结果调查对象HIV和梅毒的感染率分别为11.3%(17/151)和19.9%(30/151),过去6个月的同性商业性无保护肛交的发生率为47.0%(71/151),同性非商业性无保护肛交的发生率为43.7%(66/151).AIDS知识知晓率为85.4%(129/151);认为自己没有感染HIV的危险者占34.4%(52/151);不知道中国男男性行为人群AIDS流行情况者占24.5%(37/151);认为MB圈子的HIV流行不严重或不知道者占55.0%(83/151).过去6个月曾在醉酒和(或)吸毒后发生过商业性行为的MB梅毒感染率较未曾发生过的高(分别为33.3%、6.5%;x2=4.26,P=0.039),在性服务时发生过安全套破裂的MB梅毒感染率较没有发生过的高(分别为36.7%、15.7%;x2=6.64,P=0.010).多因素分析显示,在性服务时发生过安全套破裂与梅毒感染相关(x2=6.24,P=0.012;OR=3.11,95%CI=1128～7.57).结论 MB人群HIV和梅毒感染率高,对艾滋病流行的认知不足,危险性行为的发生比较普遍.
목적 료해엄주시남남상업성복무인군(money boys,MB)적HIV、매독적감염정황,이급AIDS상관행위특정.방법 통과동지사구소조종12개MB활동장소(포괄회소、공완급망락등)초모조사대상152명,공완성조사화채혈151명.채용닉명문권조사획취AIDS상관행위、지식、태도등자료,추취정맥혈진행HIV화매독적검측.HIV화매독감염불동인군특정적비교응용x2검험,이P＜0.05위차이유통계학의의.결과 조사대상HIV화매독적감염솔분별위11.3%(17/151)화19.9%(30/151),과거6개월적동성상업성무보호항교적발생솔위47.0%(71/151),동성비상업성무보호항교적발생솔위43.7%(66/151).AIDS지식지효솔위85.4%(129/151);인위자기몰유감염HIV적위험자점34.4%(52/151);불지도중국남남성행위인군AIDS류행정황자점24.5%(37/151);인위MB권자적HIV류행불엄중혹불지도자점55.0%(83/151).과거6개월증재취주화(혹)흡독후발생과상업성행위적MB매독감염솔교미증발생과적고(분별위33.3%、6.5%;x2=4.26,P=0.039),재성복무시발생과안전투파렬적MB매독감염솔교몰유발생과적고(분별위36.7%、15.7%;x2=6.64,P=0.010).다인소분석현시,재성복무시발생과안전투파렬여매독감염상관(x2=6.24,P=0.012;OR=3.11,95%CI=1128～7.57).결론 MB인군HIV화매독감염솔고,대애자병류행적인지불족,위험성행위적발생비교보편.
Objective To explore the HIV and syphilis infection and AIDS-related behaviors among money boys (MB) in Guangzhou. Methods A total of 152 subjects were recruited from MB gathering place (clubs, parks, internet etc. )by a local NGO. Of which, 151 individuals completed the investigation and blood sample collection. An anonymous face to face interview were used to obtain data of AIDS-related behavior,knowledge and attitudes. Venous blood samples were collected for HIV and syphilis antibody test. x2 test were used to compare the characteristics of HIV and syphilis infection subjects and P ＜ 0. 05 was counted as significant. Results HIV and current syphilis infection rate were 11.3% ( 17/151 )and 19. 9% (30/151),respectively. Among the subjects,47.0% (71/151)had unprotected anal intercourse(UAI) with commercial male sex partners, 43. 7% (66/151) had UAI with non-commercial male sex partners in the past six month. 85.4% ( 129/151 )were aware of AIDS-related knowledge, while 34.4% (52/151) thought they have no risk of HIV infection,24.5% (37/151)didn't know the prevalence of HIV among MSM in China, and 55.0% (83/151) had no idea of HIV prevalence or thought HIV prevalence was not serious at all among MB. MB who had experienced sex after drunk/ used drugs had higher proportion of syphilis infection (33.3% vs 16. 5%; x2 = 4. 26, P = 0. 039), and who had ever been experiencing condom broken during sex had much higher syphilis infection rate than those didn't ( 36. 7% vs 15.7%; x2 = 6. 64, P = 0. 010). A multi-Logistics regression analysis showed that subjects had ever been experiencing condom broke during sex in the past six month were associated with syphilis infection (x2 = 6. 24, P = 0. 012; OR = 3. 11,95% CI=1.28 -7. 57). Conclusion Money boys have high prevalence of HIV and syphilis infection. They are lack of perception of HIV risk and active in unsafe sex behavior.