CAJ | 학술논문

目的了解河南两中心城市内的男男性接触人群(MSM)HIV/HCV和梅毒相关知识、态度、行为及其感染状况,为制定有效的防治措施提供信息和依据.方法采用同伴推动抽样法(RDS)在两城市内对MSM人群经常活动在网络、酒吧、浴池、会所、公园等场所的目标人群进行匿名问卷调查,并采集静脉血进行HIV/HCV和梅毒检测.结果该人群艾滋病知识总知晓率为89.3%.最近6个月该人群与男性发生性行为时安全套每次都用率为39.88%.HIV阳性率为5.18%,HCV阳性率为5.93%,梅毒阳性率为7.33%.各因素与HIV感染率之间的关系无统计学差异;该人群中离异或丧偶的梅毒感染率为最高(14.3%),婚姻状况与梅毒的感染率有统计学差异;HCV的感染率与年龄、近6个月性伴数、文化程度、安全套使用情况等因素之间有统计学差异.结论 MSM人群中中高危性行为普遍存在,HIV/HCV和梅毒感染率高,应尽快采取针对性的行为干预措施.
목적 료해하남량중심성시내적남남성접촉인군(MSM)HIV/HCV화매독상관지식、태도、행위급기감염상황,위제정유효적방치조시제공신식화의거.방법 채용동반추동추양법(RDS)재량성시내대MSM인군경상활동재망락、주파、욕지、회소、공완등장소적목표인군진행닉명문권조사,병채집정맥혈진행HIV/HCV화매독검측.결과 해인군애자병지식총지효솔위89.3%.최근6개월해인군여남성발생성행위시안전투매차도용솔위39.88%.HIV양성솔위5.18%,HCV양성솔위5.93%,매독양성솔위7.33%.각인소여HIV감염솔지간적관계무통계학차이;해인군중리이혹상우적매독감염솔위최고(14.3%),혼인상황여매독적감염솔유통계학차이;HCV적감염솔여년령、근6개월성반수、문화정도、안전투사용정황등인소지간유통계학차이.결론 MSM인군중중고위성행위보편존재,HIV/HCV화매독감염솔고,응진쾌채취침대성적행위간예조시.
Objective To examine the prevalence of HIV/HCV and syphilis infections and the KAP among men who have sex with men(MSM) in two cities,Henan province,so as to provide information and basis for the development of effective prevention strategy and measures. Methods Respondent Driven Sampling were conduced in the place of Network,Wine bar,Bath house,Club house and Park where the MSM always gathered to collect related information through.anonymous questionnaire.Blood samples were tested for HIV and syphilis infections. Results Awareness rate of HIV knowledge among the people is 89.3%. In the past six months,condom was consistently used in only 39.88% of male to male anal sexual behavior.5.18%were HIV-positive,5.93% were HCV-positive and 7.33% were sero-positive for syphilis infection,in the participants.Between the factors and the HIV infections rate has no significant statistically difference. The syphilis infection rate of the divorced or widowed MSM was the highest amomg the participants.independently.Marital status and the sysphilis infectiong rate were statistically different.Between the age,nearly six months sex partners,cultural degree,condom use and the syphilis infection rate has significant statistically difference. Conclusions There is a high prevalence of HIV/hcv and syphilis in MSM in the two cities where high risk sexual behaviors are common. Specific measures are urgently needed to intervene the behavior of MSM.