Bao Yu-gang, Zhang Yan-hui, Zhao Jin-kou, Sun Jiang-ping, Tan Hong-zhuan
Department of Epidemiology and Biostatistics, School of Public Health, Central South University, Changsha 410008, China.
Zhonghua Yu Fang Yi Xue Za Zhi. 2009 Nov;43(11):981-3.
To explore the current status of HIV infection and HIV-related knowledge, attitude and practice (KAP) among men who have sex with men (MSM) in 14 cities in China.
A cluster sampling method was administrated and 14 large or medium cities were selected. The respondent-driven sampling (RDS) was also used to conduct a questionnaire survey in 6101 MSM. Blood specimens were collected for HIV and syphilis testing.
A total of 6101 MSM were selected and investigated, with an HIV infection rate of 6.3% (384/6101) and a syphilis infection rate of 14.0% (854/6101). The proportion of MSM knowing correct HIV/AIDS knowledge was 59.7% (3644/6101); 6.2% (378/6101) and 11.2% (683/6101) of the respondents ever had buying sex or selling sex in the last six months respectively; the proportion of consistent condom-using each time while with male partners in the last month was 39.2% (2392/6101). The proportion of condom-using while with male partners was 65.2% (3978/6101) in the last time among MSM.
A high HIV infection rate was observed among MSM with limited HIV/AIDS awareness and high risk behaviors. It is necessary to initiate a rapid response to prevent HIV spreading in MSM.
探讨中国14个城市男男性行为者（MSM）中HIV感染现状及与HIV相关的知识、态度和行为（KAP）。
采用整群抽样方法，选取14个大、中城市。采用应答者驱动抽样（RDS）方法对6101名MSM进行问卷调查。采集血标本进行HIV和梅毒检测。
共选取6101名MSM进行调查，HIV感染率为6.3%（384/6101），梅毒感染率为14.0%（854/6101）。知晓正确HIV/AIDS知识的MSM比例为59.7%（3644/6101）；在过去6个月中，分别有6.2%（378/6101）和11.2%（683/6101）的应答者有过买性或卖性经历；上个月与男性伴侣每次性行为时坚持使用避孕套的比例为39.2%（2392/6101）。MSM中最近一次与男性伴侣性行为时使用避孕套的比例为65.2%（3978/6101）。
MSM中HIV感染率较高，其对HIV/AIDS的知晓有限且存在高危行为。有必要迅速采取应对措施以预防HIV在MSM中传播。
