Jian Dan, Xie Hongfu, Yi Mei, Li Ji, Chen Mingliang, Feng Hao, Cheng Xiaoming, Zhang Guiying
Department of Dermatology, Xiangya Hospital, Central South University, Changsha 410008, China.
Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2010 Jul;35(7):743-8. doi: 10.3969/j.issn.1672-7347.2010.07.016.
To survey on men who have sex with men (MSM) population's sexual behaviors, condom-service condition, HIV related knowledge and other issues among MSM population at sexually transmitted disease (STD) clinics to understand the characteristics of behaviors and offer suggestions for effective health education and behavior intervention.
From January to December, 2009, we used anonymous questionnaires which involved in their mastery of demographic characteristics, sexual behavior, condom-service condition, HIV related knowledge, and so one, to investigate 200 MSM at 3 STD clinics of comprehensive hospital.
The average age of informant was (26.7+/- 8.9) years and 121 individuals (62.6%) had confirmed with STD in recent one year. In the recent 6 months, the average number of homosexual partners was 9.2+/- 4.8 and 102 (52.8%) had heterosexual partners. In the sexual intercourse with homosexual, 123 individuals had anal intercourse (63.7 %) and 117 had oral intercourse (60.6%). In the sexual intercourse with heterosexual, 92 (90.2%) individuals had vaginal intercourse, 37 (36.2%) had anal intercourse, and 59 (57.8%) had oral sex behavior.There were a statistical difference between heterosexual and homosexual sex behaviors (P<0.01). The condom-using frequency had statistic difference in different sexual behaviors(χ²=188.396, P<0.001). There was no linear correlation between HIV related knowledge and condom-using condition in sexual behaviors except the heterosexual anal intercourse.
High AIDS knowledge mastery rate is found in our survey. The respondents get HIV/AIDS knowledge through various ways actively. There is no obvious relation between the mastery of HIV related knowledge and condom-using frequency. The ratio of non-protected sexual behaviors is high in heterosexuals. How to adopt effective methods for behavior intervention to MSM at STD clinic needs to be further studied.
通过对性病门诊男男性行为人群(MSM)的性行为、安全套使用情况、艾滋病相关知识等问题进行调查,了解其行为特征,为有效开展健康教育和行为干预提供建议。
2009年1月至12月,采用匿名问卷调查的方式,对综合医院3家性病门诊的200名MSM进行调查,内容包括人口学特征、性行为、安全套使用情况、艾滋病相关知识等。
调查对象的平均年龄为(26.7±8.9)岁,近1年有121人(62.6%)确诊患有性病。近6个月内,同性性伴平均人数为9.2±4.8个,有异性性伴者102人(52.8%)。在与同性性行为中,有123人(63.7%)发生过肛交,117人(60.6%)发生过口交。在与异性性行为中,92人(90.2%)发生过阴道性交,37人(36.2%)发生过肛交,59人(57.8%)发生过口交。异性性行为与同性性行为存在统计学差异(P<0.01)。不同性行为的安全套使用频率存在统计学差异(χ²=188.396,P<0.001)。除异性肛交外,艾滋病相关知识与性行为中安全套使用情况无线性相关性。
本次调查发现艾滋病知识知晓率较高,被调查者通过多种途径主动获取艾滋病相关知识。艾滋病相关知识掌握程度与安全套使用频率无明显关联。异性性行为中无保护性行为比例较高。如何对性病门诊的MSM采取有效的行为干预措施有待进一步研究。