CAJ | 학술논문

目的：了解男男性行为人群（MSM）梅毒预防知识知晓情况及其性行为，分析梅毒预防知识知晓情况对危险性行为的影响。方法使用结构性问卷，对抽选的深圳市 MSM聚集场所内符合入选标准的 MSM进行面对面调查。结果本次调查共招募 MSM354例，梅毒预防知识知晓率为81．1％。近6个月，77．4％MSM与男性发生过肛交性行为，29．1％与女性发生过性行为；在有肛交性行为的 MSM中，60．6％每次都用安全套；在有女性性行为的 MSM中，28．2％每次都用安全套。Logistic 回归分析结果显示，MSM人群的梅毒预防知识知晓情况与上述性行为是否发生均无关。结论MSM人群的梅毒预防知识知晓率低于国家2015年的目标；在 MSM人群中加强梅毒防治，不仅需要通过宣传教育提高知识知晓率，更重要是采取有效的干预措施减少该人群的无保护性行为。
목적：료해남남성행위인군（MSM）매독예방지식지효정황급기성행위，분석매독예방지식지효정황대위험성행위적영향。방법사용결구성문권，대추선적심수시 MSM취집장소내부합입선표준적 MSM진행면대면조사。결과본차조사공초모 MSM354례，매독예방지식지효솔위81．1％。근6개월，77．4％MSM여남성발생과항교성행위，29．1％여녀성발생과성행위；재유항교성행위적 MSM중，60．6％매차도용안전투；재유녀성성행위적 MSM중，28．2％매차도용안전투。Logistic 회귀분석결과현시，MSM인군적매독예방지식지효정황여상술성행위시부발생균무관。결론MSM인군적매독예방지식지효솔저우국가2015년적목표；재 MSM인군중가강매독방치，불부수요통과선전교육제고지식지효솔，경중요시채취유효적간예조시감소해인군적무보호성행위。
Objective To explore the awareness rate of syphilis prevention knowledge and the rate of risky sex be-haviors among men who have sex with men (MSM),and analyze the associations between the awareness and risky sex be-haviors.Methods MSMconformed to inclusion criteria were recruited from Shenzhen MSMvenues and were interviewed by face-to-face with structural questionnaires.Results In this study 354 MSM were totally recruited.The awareness rate of syphilis prevention knowledge was 81.1%.In the past six months,77.4% of MSM had ever had anal sex behaviors with male sex partners,29.1% had ever had sex with female sex partners,60.6% had used condom consistently during anal sex behaviors,and 28.2% had always used condom during female sex behaviors.None significant association was observed be-tween the awareness of syphilis prevention knowledge and aforementioned four variables of sex behaviors in logistic regression models.Conclusion The awareness rate of syphilis prevention knowledge was lower than the goal set in the National Syphilis Control Plan.Not only publicity to increase the awareness rate,but also effective interventions to reduce unprotected sex be-haviors should be conducted to control the syphilis epidemic among MSM.