CAJ | 학술논문

目的了解甘肃省在婚MSM人群HIV感染状况及其分别与同性和异性的性行为特征.方法在甘肃省兰州、天水市MSM活动场所共招募297名在婚MSM人群,进行问卷调查和HIV抗体检测,分析在婚MSM人群感染HIV的影响因素.结果在婚MSM人群HIV阳性检出率为4.7％;有94.6％的调查对象最近6个月与同性发生过肛交性行为,30.9％的调查对象最近1周有＞2名男性性伴,肛交性行为时坚持使用安全套的比例为45.9％;有69.0％的调查对象最近6个月与女性发生过性行为,异性性行为时坚持使用安全套的比例为24.9％,59.0％在最近1次异性性行为时未使用安全套.调查对象中,HIV感染者的艾滋病知识知晓率为64.3％,最近1年做过HIV抗体检测的比例为7.1％,最近6个月与同性发生过肛交性行为的比例为92.9％,肛交性行为时坚持使用安全套的比例为14.3％.HIV感染者中,最近6个月与异性发生过性行为的比例为35.7％,性行为时坚持使用安全套的比例为60.0％.结论甘肃省在婚MSM人群的HIV感染率较高,且无保护的同性和异性性交行为并存,需加强对该人群的干预和检测工作.
목적 료해감숙성재혼MSM인군HIV감염상황급기분별여동성화이성적성행위특정.방법 재감숙성란주、천수시MSM활동장소공초모297명재혼MSM인군,진행문권조사화HIV항체검측,분석재혼MSM인군감염HIV적영향인소.결과 재혼MSM인군HIV양성검출솔위4.7％;유94.6％적조사대상최근6개월여동성발생과항교성행위,30.9％적조사대상최근1주유＞2명남성성반,항교성행위시견지사용안전투적비례위45.9％;유69.0％적조사대상최근6개월여녀성발생과성행위,이성성행위시견지사용안전투적비례위24.9％,59.0％재최근1차이성성행위시미사용안전투.조사대상중,HIV감염자적애자병지식지효솔위64.3％,최근1년주과HIV항체검측적비례위7.1％,최근6개월여동성발생과항교성행위적비례위92.9％,항교성행위시견지사용안전투적비례위14.3％.HIV감염자중,최근6개월여이성발생과성행위적비례위35.7％,성행위시견지사용안전투적비례위60.0％.결론 감숙성재혼MSM인군적HIV감염솔교고,차무보호적동성화이성성교행위병존,수가강대해인군적간예화검측공작.
Objective To explore the situation of HIV infection among currently married MSM and the features of related sexual behavior on both males and females in Gansu province.Methods By "Place the recruitment" methodology,297 currently married MSM were recruited in Lanzhou and Tianshui cities of Gansu province.Participants filled in a questionnaire and underwent HIV antibody testing.SPSS 17.0 software was used to analyze the result and differences between positive HIV MSM and negative HIV MSM.Possible factors that influencing the HIV infection among currently married MSM were analyzed.Results Among those currently married MSM,the HIV positive rate was 4.7％.94.6％ participants admitted having had anal sex with male partners in the past 6 months while 30.9％ participants had more than 2 male sex partners in the past week,with the rate of condoms use as 45.9％.69.0％ of the participants had sex with females in the past 6 months,with the rate of condoms use as 24.9％.59.0％ of the participants did not use condoms when having sexual relations with parmers.Among HIV positive married MSM,the rate of AIDS awareness was 64.3％ and 7.1％ of them ever having had HIV testing last year and 92.9％ of them had anal sex with males.In the recent 6 months,14.3％ had ever used condom each time when having anal sex with males.35.7％ of the cases ever having had sex with females,with the rate of condom use as 60.0％.Conclusion HIV prevalence,low AIDS awareness,low HIV rate of testing and high rate of unprotected sex behavior with either sex partners were found among currently married MSM in Gansu province.Results of this study called for behavioral intervention and HIV testing measures should be taken immediately.