【摘要】 目的探讨男男性行为者(MSM)发生高危性行为时安全套使用对感染艾滋病的影响。方法选取牡丹江市2012-2016年艾滋病哨点监测的MSM为调查对象,进行现场问卷调查,采集5m L血标本进行HIV抗体检测,分析不同性行为对使用安全套的影响以及感染艾滋病的影响因素。结果 2 400名MSM中,最近6个月有99.75%的人与同性之间发生过肛交性行为。单因素分析显示,不同样本来源、文化程度和艾滋病知识水平MSM与同性发生肛交性行为时安全套使用频率差异有统计学意义(χ2值分别为13.599、68.265和15.020,P<0.01),其中大专及以上文化程度(OR=1.173,95%CI=0.788~1.746,P<0.01),艾滋病知识水平高于平均水平(OR=2.002,95%CI=1.521~2.634,P<0.01)的MSM安全套每次坚持使用率较高。结论牡丹江市MSM人群存在多性伴、商业性性行为、双性性行为等危险因素,应采用相应的干预措施。更多还原

【Abstract】 Objective To investigate the influence of condom use on HIV infection among the group of men who had sex with men(MSM). Methods A questionnaire interview was conducted among 2400 MSMs in Mudanjiang from 2012 to 2016.Blood specimens(5 m L) were obtained and tested for the diagnoses of HIV. The influence of different sexual behaviors on condom use and the influencing factors of HIV infection was analyzed. Results 99. 75% of the 2 400 MSMs had anal sex with same-sex people in the last six months. Univariate analysis showed that different samples came from different sources,educational levels and AIDS knowledge levels varied with the frequencies of condom use during anal sex among them with significant differences(χ2= 13. 599,68. 265 and 15. 020 respectively,P < 0. 01). Those of MSMs with the levels of college education or above(OR = 1. 173,95% CI = 0. 788-1. 746,P < 0. 01) and AIDS knowledge(OR = 2. 002,95% CI = 1. 521-2. 634,P < 0. 01) higher than the average levels had higher stick use condom rates. Conclusion There are many risk factors such as multiple sexual partners,commercial sex and bisexual behavior among MSM population in Mudanjiang city. Appropriate interventions should be adopted.更多还原