厦门市男男性行为人群2010-2014年艾滋病感染状况分析

摘要

Objective To understand HIV infection status and AIDS-related knowledge and behaviors among men who have sex with men ( MSM) and to provide evidence for carrying out the targeted work of AIDS prevention. Methods AIDS-relat-ed information of monitoring the MSM population during 2010 to 2014 was analyzed. MSM persons were recruited by snowballing method. Questionnaire surveys were conducted by face-to-face interview. Each interviewee was detected for antibodies of HIV, HCV and syphilis. Results 1 785 MSM were surveyed. The awareness rate of knowledge about HIV/AIDS ranged from 87. 78%to 98. 27% and showed upward trend. The percentage of interviewee used condom in the last anal sex with men ranged from 65. 31% to 78. 99% and there werenˊt obviously tendency. The positive of HIV antibody rates varied from 3. 47% to 10. 15%and showed upward trend. Conclusion There is a problem that the behaviors of MSM were separated from AIDS-related knowl-edge. We should find out and respond to the causes of the problem for improving intervention efficacy.%目的：了解厦门市男男性行为人群( man who have sex with man, MSM)艾滋病感染及其相关知识、行为情况,为在该人群中开展有针对性的行为干预提供依据。方法分析2010—2014年厦门市男男性行为人群艾滋病哨点监测相关资料。通过滚雪球抽样方法招募监测对象,开展面对面的问卷调查,并采血进行HIV、HCV和梅毒抗体检测。结果5年共监测MSM 1785名。监测对象的艾滋病知识知晓率在87.78%~98.27%波动,呈现上升趋势；最近一次与男性发生肛交时使用安全套的比率在65.31%~78.99%波动,未见趋势性变化；HIV 抗体阳性率最低3.47%,最高10.15%,呈上升趋势。结论厦门市MSM人群存在知识与行为分离的问题,应分析问题产生的原因并采取相应措施,以提高艾滋病预防干预的有效性。