【摘要】 目的探索针对男男性行为者(MSM)人群特征的有效干预方法。方法建立疾病预防控制中心主导与MSM志愿者骨干实施相结合的MSM人群艾滋病性病防治组织模式,以核心同伴宣传(POL)干预方法为主,结合网络宣传、外展服务等进行MSM宣传教育和安全套使用促进,分别采用应答者驱动招募法(RDS)对MSM人群进行基线、中期及期终评估招募调查,对调查结果进行比较分析。结果基线调查201人,中期200人,期终203人。基线、中期、期终调查比较:艾滋病性病基本知识总知晓率分别为68.6%,76.6%,83.7%,上升趋势明显;不同情况下安全套使用的主观态度有信心分别为49.1%,62.3%,62.9%,近1次不同性伴性行为安全套坚持使用率分别为56.2%,72.8%,82.1%,差异均有统计学意义,上升趋势明显(P<0.05);自认为艾滋病感染风险差异无统计学意义(χ2=9.262,P=0.159)。结论疾病预防控制中心为主导,MSM志愿者骨干实施的组织模式下,通过为期1年的POL为主,结合网络、外展等干预,有效提高了MSM人群的艾滋病性病防治知识水平和安全套使用率。更多还原

【Abstract】 ObjectiveTo explore effective approach of intervention in MSM(man who have sex with men) group.MethodsHealth education and behavial intervention on AIDS/STD were conducted among MSM groups with the adapting of popular opinion leader(POL) model and the network propagada and expanded service.Responder driven sampling was used to collect participants in Dec.2006,July 2007 and Jan.2008,respectively for the intervention evaluation.ResultsTotally 201 MSMs at baseline,200 at midterm and 203 at the end of intervention were surveyed.The awareness rate of the basic knowledge of AIDS and STD was 68.6%,76.6%,83.7%,respectively.The subjective confidence on safty of condom use in different situation was 49.1%,62.3%,62.9%,respectively.The persistent usage rate of condom in the latest sexual activity with different sexual partners was 56.2%,72.8%,82.1%,respectivaly,with significant increase trend(P<0.05).ConclusionThrough one year intervention of POL model,the knowledge of AIDS/STD and the usage rate of condom were effectively increased among the target MSMs group.更多还原