Zhang Bei-chuan, Zeng Yi, Xu Hua, Li Xiu-fang, Zhou Sheng-jian, Li Hui, Liao Liu-mei, Zhang Xiao-mei
The Sex Health Center of the Affiliated Hospital of Medical College, Qingdao University, Qingdao 266003, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2007 Jan;28(1):32-6.
To study the HIV related high-risk behaviors and associated factors on the spread of HIV among men having sex with men(MSM) who lived in mainland China and to provide evidence for developing related policies and intervention measures.
Questionnaires were distributed at gay bars and volunteer activity venues in six big cities of China. Data on 1389 valid cases was collected and urine HIV screening test was provided. Data was analyzed with SPSS 11.0.
The respondents were 27.62 year olds on average with an average age for first intercourse at 19.18. The most commonly available way of finding a sex partner was through internet(43.07%), followed by gay bar and public bathrooms(35.29 % ). 6 months prior to the study, the average number of their male sex partners was 5.69 including 4.37 unfamiliar sex partners and the average number of anal-intercourse was 4.33 with 11.61 per cent of them had experienced group sex. 13 cases of them showed positive results for preliminary urine HIV screening test. In the prior 6 months, 32.46 per cent of those who had experienced intercourse using condom every time while 76.37 per cent of them during the last sex episode. In the previous 6 months, 47.18 per cent of those who had experienced intercourse with women never used condoms.
HIV high-risk behaviors are ubiquitous among MSM and AIDS intervention measures should be significantly strengthened in reaching MSM via a wide variety of conduits, especially internet. Meanwhile, a gay-friendly environment for prevention and control of AIDS is vital.
研究中国内地男男性行为者（MSM）中与艾滋病病毒（HIV）相关的高危行为及其传播的相关因素，为制定相关政策和干预措施提供依据。
在中国6个大城市的同性恋酒吧和志愿者活动场所发放问卷。收集了1389例有效病例的数据，并提供了尿液HIV筛查检测。数据用SPSS 11.0进行分析。
受访者平均年龄为27.62岁，首次性交平均年龄为19.18岁。最常见的寻找性伴侣的方式是通过互联网（43.07%），其次是同性恋酒吧和公共浴室（35.29%）。在研究前6个月，他们男性性伴侣的平均数量为5.69个，其中包括4.37个不熟悉的性伴侣，肛交的平均次数为4.33次，其中11.61%的人有过群交经历。其中13例尿液HIV初步筛查呈阳性。在过去6个月中，每次性交都使用避孕套的占32.46%，而在最近一次性交中使用避孕套的占76.37%。在过去6个月中，与女性发生过性行为的人中有47.18%从未使用过避孕套。
MSM中HIV高危行为普遍存在，应通过多种渠道，特别是互联网，大力加强针对MSM的艾滋病干预措施。同时，营造有利于艾滋病防治的同性恋友好环境至关重要。
