She M, Zhang H, Wang J, Xu J, Zhang Z, Fan Y, Sun Y, Zhang C
School of Public Health, Anhui Medical University, 81 Meishan Road, Hefei 230032, Anhui Province, China.
Int J STD AIDS. 2013 Apr;24(4):293-300. doi: 10.1177/0956462412472820. Epub 2013 Jun 19.
The aims of this paper were to find out the status of HIV and syphilis infection and to examine the sexual behaviours between men who have sex with men only (MSM/M) and men who have sex with both men and women (MSM/W), as well as to determine the correlates for HIV and syphilis infection among MSM/M and MSM/W, respectively. Among 1693 MSM who participated in the study, the proportions of MSM/M and MSM/W were 82.1% and 17.9%, respectively. The prevalences of HIV infection were 7.0% in MSM/M and 6.6% in MSM/W and the prevalences of syphilis infection were 11.9% and 13.2%, respectively. Among the MSM/M subset, the correlates both for HIV and syphilis infection included having more sexual partners, and being receptive or both insertive and receptive for anal sex. Among the MSM/W subset, living in Chengdu was associated with HIV infection and using condoms inconsistently during anal sex was associated with syphilis infection. The findings of this survey call for interventions tailored according to the needs of different subsets of MSM.
本文旨在了解艾滋病毒和梅毒感染状况，调查仅与男性发生性行为的男性（男男性行为者/男性，MSM/M）和既与男性又与女性发生性行为的男性（男男性行为者/男女，MSM/W）之间的性行为，并分别确定MSM/M和MSM/W中艾滋病毒和梅毒感染的相关因素。在参与研究的1693名男男性行为者中，MSM/M和MSM/W的比例分别为82.1%和17.9%。MSM/M中艾滋病毒感染率为7.0%，MSM/W中为6.6%，梅毒感染率分别为11.9%和13.2%。在MSM/M亚组中，艾滋病毒和梅毒感染的相关因素均包括有更多性伴侣，以及在肛交中接受或既插入又接受。在MSM/W亚组中，居住在成都与艾滋病毒感染有关，肛交时不坚持使用避孕套与梅毒感染有关。本次调查结果呼吁根据不同男男性行为者亚组的需求制定干预措施。
