中华传染病杂志
中華傳染病雜誌
중화전염병잡지
CHINESE JOURNAL OF INFECTIOUS DISEASES
2011年
1期
30-33
,共4页
曲琳%涛波%戴纪强%杨景元%鲍卓强
麯琳%濤波%戴紀彊%楊景元%鮑卓彊
곡림%도파%대기강%양경원%포탁강
同性恋,男性%获得性免疫缺陷综合征%干预性研究
同性戀,男性%穫得性免疫缺陷綜閤徵%榦預性研究
동성련,남성%획득성면역결함종합정%간예성연구
Homosexuality,male%Acquired immunodeficiency syndrome%Intervention studies
目的 评价对男男性行为者(MSM)人群的艾滋病综合干预工作开展1年的效果.方法 在内蒙古呼和浩特市、包头市开展MSM人群的综合干预,通过滚雪球法分别于2008年5月、2009年5-6月对706名和767名MSM对象进行问卷调查,同时抽取5 mL静脉血,检测HIV感染状况,进而评价干预效果.采用x2检验进行统计学分析.结果 经过干预,调查对象艾滋病知晓率从70.7%(499/706)升至81.7%(627/767)(x2=25.004,P<0.01);与男性发生肛交行为时,最近6个月安全套使用率从38.0%(254/668)升至45.3%(346/764)(x2=8.269,P<0.05);最近6个月曾与多于5个不同的男性发生过性行为的人员比例,从2008年5月的42.8%降至2009年5-6月的24.6%(x2=55.348,P<0.01).2008年5月MSM人群男性性伴数的中位数为3,至2009年5-6月下降为2,但2次调查MSM人群HIV感染率均为1.7%.结论 通过对MSM人群的综合干预,促进了MSM人群掌握艾滋病知识并采用安全性行为.
目的 評價對男男性行為者(MSM)人群的艾滋病綜閤榦預工作開展1年的效果.方法 在內矇古呼和浩特市、包頭市開展MSM人群的綜閤榦預,通過滾雪毬法分彆于2008年5月、2009年5-6月對706名和767名MSM對象進行問捲調查,同時抽取5 mL靜脈血,檢測HIV感染狀況,進而評價榦預效果.採用x2檢驗進行統計學分析.結果 經過榦預,調查對象艾滋病知曉率從70.7%(499/706)升至81.7%(627/767)(x2=25.004,P<0.01);與男性髮生肛交行為時,最近6箇月安全套使用率從38.0%(254/668)升至45.3%(346/764)(x2=8.269,P<0.05);最近6箇月曾與多于5箇不同的男性髮生過性行為的人員比例,從2008年5月的42.8%降至2009年5-6月的24.6%(x2=55.348,P<0.01).2008年5月MSM人群男性性伴數的中位數為3,至2009年5-6月下降為2,但2次調查MSM人群HIV感染率均為1.7%.結論 通過對MSM人群的綜閤榦預,促進瞭MSM人群掌握艾滋病知識併採用安全性行為.
목적 평개대남남성행위자(MSM)인군적애자병종합간예공작개전1년적효과.방법 재내몽고호화호특시、포두시개전MSM인군적종합간예,통과곤설구법분별우2008년5월、2009년5-6월대706명화767명MSM대상진행문권조사,동시추취5 mL정맥혈,검측HIV감염상황,진이평개간예효과.채용x2검험진행통계학분석.결과 경과간예,조사대상애자병지효솔종70.7%(499/706)승지81.7%(627/767)(x2=25.004,P<0.01);여남성발생항교행위시,최근6개월안전투사용솔종38.0%(254/668)승지45.3%(346/764)(x2=8.269,P<0.05);최근6개월증여다우5개불동적남성발생과성행위적인원비례,종2008년5월적42.8%강지2009년5-6월적24.6%(x2=55.348,P<0.01).2008년5월MSM인군남성성반수적중위수위3,지2009년5-6월하강위2,단2차조사MSM인군HIV감염솔균위1.7%.결론 통과대MSM인군적종합간예,촉진료MSM인군장악애자병지식병채용안전성행위.
Objective To evaluation the comprehensive acquired immunodeficiency syndrome (AIDS) intervention program conducting in men who have sex with men (MSM) population living in Inner Mongolia Autonomous region. Methods A comprehensive intervention program was carried out among MSM groups in Hohhot and Baotou City. Seven hundred and six and 767 MSM were enrolled for investigation through the snowball method during May 2008 and May to June 2009, respectively.At the same time, 5 mL intravenous blood sample was collected from each subject for human immunodeficiency virus (HIV) detection and intervention effect evaluation. Data were analyzed by x2test. Results After intervention, the awareness rate of HIV/AIDS knowledge increased from 70.7%(499/706) to 81.7%(627/767) (x2 =25. 004, P<0.01 ). The rate of consistent condom use in the last six months increased from 38.0%(254/668) to 45.3% (346/764) (x2=8. 269, P<0. 05). The percentage of subjects who had more than 5 different male sexual partner during the last 6 months significantly decreased from 42.8% to 24.6% (x2 = 55. 348, P<0.01). The median number of sexual partners in MSM decreased from 3 in 2008 to 2 in 2009. The HIV infection rate was 1.7 % in both 2008 and 2009. Conclusion The comprehensive intervention program among MSM population shows positive influence after one year implementation, which is helpful for increasing HIV/AIDS awareness and safe sex behavior in this population.