中华预防医学杂志
中華預防醫學雜誌
중화예방의학잡지
CHINESE JOURNAL OF
2012年
8期
732-735
,共4页
获得性免疫缺陷综合征%危险性行为%干预性研究%男男性行为人群
穫得性免疫缺陷綜閤徵%危險性行為%榦預性研究%男男性行為人群
획득성면역결함종합정%위험성행위%간예성연구%남남성행위인군
Acquired immunodeficiency syndrome%Unsafe sex%Intervention studies%MSM
目的 评价CDC与男男性行为人群(MSM)活动场所联合模式的干预效果.方法 于2009年5月-2010年4月在深圳市4家MSM活动场所实施为时1年的联合干预,MSM场所向消费人群宣传CDC,CDC派专家或志愿者到场所开展宣教活动,派发安全套、润滑剂、宣传材料并提供咨询检测服务；同期另选3家MSM活动场所作为对照,仅由志愿者定期到场所发放宣传资料、安全套及润滑剂等.在干预实施前后对联合干预MSM人群(分别为111、120名)、对照MSM人群(分别为105、98名)的艾滋病预防知识、行为进行调查.结果 联合干预实施1年后,MSM人群艾滋病知晓率由73.0％ (81/111)上升至91.7％(110/120),最近一次男男肛交性行为中安全套使用率由73.0％(81/111)上升至85.0％ (102/120),最近6个月男男肛交性行为从不使用安全套比例由10.8％(1 1/102)下降至1.7％ (2/112),接受安全套(润滑剂)发放的比例由70.3％( 78/1 11)上升至85.0％(102/120),接受同伴教育的比例由10.8％( 12/111)上升至24.2％ (29/120),接受艾滋病咨询检测的比例由69.4％ (77/111)上升至90.8％ (109/120).上述指标在联合干预前后的差异均有统计学意义(P值均＜0.05),而在对照场所干预前后的差异均无统计学意义(P值均＞0.05).结论 联合干预模式提高了MSM人群的艾滋病预防知识知晓率,降低了其高危行为,是一种有效的干预模式.
目的 評價CDC與男男性行為人群(MSM)活動場所聯閤模式的榦預效果.方法 于2009年5月-2010年4月在深圳市4傢MSM活動場所實施為時1年的聯閤榦預,MSM場所嚮消費人群宣傳CDC,CDC派專傢或誌願者到場所開展宣教活動,派髮安全套、潤滑劑、宣傳材料併提供咨詢檢測服務；同期另選3傢MSM活動場所作為對照,僅由誌願者定期到場所髮放宣傳資料、安全套及潤滑劑等.在榦預實施前後對聯閤榦預MSM人群(分彆為111、120名)、對照MSM人群(分彆為105、98名)的艾滋病預防知識、行為進行調查.結果 聯閤榦預實施1年後,MSM人群艾滋病知曉率由73.0％ (81/111)上升至91.7％(110/120),最近一次男男肛交性行為中安全套使用率由73.0％(81/111)上升至85.0％ (102/120),最近6箇月男男肛交性行為從不使用安全套比例由10.8％(1 1/102)下降至1.7％ (2/112),接受安全套(潤滑劑)髮放的比例由70.3％( 78/1 11)上升至85.0％(102/120),接受同伴教育的比例由10.8％( 12/111)上升至24.2％ (29/120),接受艾滋病咨詢檢測的比例由69.4％ (77/111)上升至90.8％ (109/120).上述指標在聯閤榦預前後的差異均有統計學意義(P值均＜0.05),而在對照場所榦預前後的差異均無統計學意義(P值均＞0.05).結論 聯閤榦預模式提高瞭MSM人群的艾滋病預防知識知曉率,降低瞭其高危行為,是一種有效的榦預模式.
목적 평개CDC여남남성행위인군(MSM)활동장소연합모식적간예효과.방법 우2009년5월-2010년4월재심수시4가MSM활동장소실시위시1년적연합간예,MSM장소향소비인군선전CDC,CDC파전가혹지원자도장소개전선교활동,파발안전투、윤활제、선전재료병제공자순검측복무；동기령선3가MSM활동장소작위대조,부유지원자정기도장소발방선전자료、안전투급윤활제등.재간예실시전후대연합간예MSM인군(분별위111、120명)、대조MSM인군(분별위105、98명)적애자병예방지식、행위진행조사.결과 연합간예실시1년후,MSM인군애자병지효솔유73.0％ (81/111)상승지91.7％(110/120),최근일차남남항교성행위중안전투사용솔유73.0％(81/111)상승지85.0％ (102/120),최근6개월남남항교성행위종불사용안전투비례유10.8％(1 1/102)하강지1.7％ (2/112),접수안전투(윤활제)발방적비례유70.3％( 78/1 11)상승지85.0％(102/120),접수동반교육적비례유10.8％( 12/111)상승지24.2％ (29/120),접수애자병자순검측적비례유69.4％ (77/111)상승지90.8％ (109/120).상술지표재연합간예전후적차이균유통계학의의(P치균＜0.05),이재대조장소간예전후적차이균무통계학의의(P치균＞0.05).결론 연합간예모식제고료MSM인군적애자병예방지식지효솔,강저료기고위행위,시일충유효적간예모식.
Objective This study aimed to explore and evaluate the effects of combination intervention model conducted by Center for Disease Control and Prevention and activity place to men who have sex with men(MSM).Methods To implement one-year combination intervention in 4 MSM venues during May,2009 and April,2010.Meanwhile,3 similar MSM venues were chosen as control.MSM places introduced CDC to consumption crowds.Experts and volunteers sent by CDC undertook health education programme on site and condom,lubricant,pamphlet,consultation,test were provided at the same time.The intervetion measeures applied to control only included providing pamphlet,condom,lubricant by volunteers.Investigations were conducted among subjects of combination intervetion group and control group before(111,120 subjects)and after( 105.98 subjects) the intervention with questions related to knowledge and behavior of AIDS prevetion.Results After one-year intervetion,among MSM with combination intervetion,the awareness rate of knowledge level about acquired immune deficiency syndrome (AIDS) increased from 73.0％ ( 81/111 ) to 91.7％ ( 110/120 ),proportion of condom-use with male at last anal intercourse increased from 73.0％ (81/111 ) to 85.0％ (102/120 ),ratio of never-use condom with male decreased from 10.8％ ( 11/102 ) to 1.7％ ( 2/1 12 ),percentage of acquiring AIDS-related service and intervention improved significantly,acquiring condom ( lubricant ) increased from 70.3％ ( 78/111 ) to 85.0％ ( 102/120 ),acquiring peer education increased from 10.8％ ( 12/111 ) to 24.2％ ( 29/120 ),the proportion of acquiring counseling and testing of HIV increased from 69.4％ ( 77/111 ) to 90.8％ ( 109/120) ( all P values ＜0.05).The above index show no statistic difference before and after the intervetion ( all P values ＞ 0.05 ) in control MSM venues.Conclusion Combination intervention model was an effective intervention model contributing to an increase in knowledge of AIDS prevention and decreasing high risk behavior in MSM population.
