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[中国14个城市男男性行为人群中的HIV感染状况及知识、态度和行为情况]

[HIV infection and KAP status among men who have sex with men in 14 Chinese cities].

作者信息

Bao Yu-gang, Zhang Yan-hui, Zhao Jin-kou, Sun Jiang-ping, Tan Hong-zhuan

机构信息

Department of Epidemiology and Biostatistics, School of Public Health, Central South University, Changsha 410008, China.

出版信息

Zhonghua Yu Fang Yi Xue Za Zhi. 2009 Nov;43(11):981-3.

Abstract

OBJECTIVE

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.

METHODS

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.

RESULTS

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.

CONCLUSION

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.

摘要

目的

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)。

方法

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。

结果

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)。

结论

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。

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