【作者】 郑迎军；

【导师】 张洪波； 吴尊友； Kyung-Hee Choi；

【作者基本信息】 安徽医科大学 ， 儿少卫生与妇幼保健学， 2006， 硕士

【摘要】 目的 了解合肥市MSM人群活动的地点和种类以及在活动场所MSM人群的特征。了解年轻的MSM高危性行为状况及相关因素及HIV和梅毒的感染情况。 方法 对10名MSM进行半结构问卷调查和对10名MSM进行个人深入访谈，以了解MSM活动的场所和特征，性伴和性行为情况以及性病艾滋病感染情况等。采用现场观察的方法对MSM活动的场所进行观察，获得活动场所的地理位置、布局、活动内容及环境特征信息。对3名酒吧和浴池负责人进行个人深入访谈，了解活动场所及在场所中活动的MSM人群特征。浏览相关的同志网站，以了解在该网站中活动的MSM人群特征。 对进入合肥市三家“同性恋”酒吧中活动的101名YMSM进行匿名问卷调查，调查内容包括社会人口学特征，高危性行为状况和性伴特征，艾滋病知识水平及焦虑和抑郁心理症状等。 采用应答者驱动招募(Respondent-Driven Sampling，RDS)、关键知情人介绍和在MSM活动的网站上发布广告这三种方法对202名YMSM进行招募。由经过培训合格的筛查员对招募来的YMSM进行知情同意，在取得调查对象知情同意之后再进行筛查，筛查合格之后由培训合格的工作人员作为调查员对YMSM进行匿名的面对面问卷调查，问卷调查结束之后，在199名YMSM同意的情况下，采集血液样品5ml进行HIV抗体和梅毒抗体检测。 结果 MSM活动的场所有酒吧、浴池、公园、公厕和同性恋网站。在酒吧中活动的人群相对比较年轻，收入也稳定，有些酒吧也是MB活动的场所。浴池中活动的MSM每个年龄层次都有，MSM主要是寻找性伴并且在浴池发生性行为。公厕中活动的MSM多为年龄较大的，公园中的MSM较为复杂，并且有敲诈和抢劫的现象发生。“同性恋”网站聊天室中的MSM，通常都是寻找偶然性伴的。他们在更多还原

【Abstract】 Objectives To investigate the venues frequented by MSM and the common characteristics among MSM. To analyze MSM high-risk sexual behaviors and the related factors, and obtain the prevalence of HIV and syphilis among YMSM.Methods Sub-structural questionnaires were used in ten MSM, and another ten MSM were interviewed in gay bar to know the characters of venues , sexual partners, sexual behaviors and the prevalence of HIV/STDs among MSM. First hand information of the locations, service lists and the surroundings of their gathering places was collected through our visiting and observation. At the same time, three owners of gay bars and bath-pools were interviewed as well in order to know more details about those MSM and their frequently visiting spots. Gay websites were browsed to get informations about the MSM characteristics.A sample of 101 YMSM who visited three gay bars in Hefei completed an anonymous questionnaire which included the demographic information, sexual behavior, sexual partners, level of knowledge about AIDS risk, suicidal intention, symptoms of anxiety and depression, and so on.Altogether 202 YMSM were recruited through RDS (Respond Driven Sampling), introduction from informative key persons and advertisement on gay website. At first, YMSM who were eligible and willing to participate in the study were provided informed consent. After that, 20-minute face to face questionnaire investigation was administered by our trained interviewers. By the way, based on YMSM’s consent, at the end of the interviews, participants would be asked to be drawed 5ml blood specimen for HIV and syphilis anti-body testing.更多还原