【作者】 冯连贵； 丁贤彬； 吕繁； 潘传波； 易辉容； 刘虹宏； 周超； 卢戎戎； 欧阳琳； 徐世明；

【Author】 FENG Liangui1,DING Xianbin1,LU Fan2,etc. Chongqing Center for disease prevention and control Chongqing 400042 P.R.China

【机构】 重庆市疾病预防控制中心； 中国疾病预防控制中心性艾中心； 重庆市渝中区疾病预防控制中心； 重庆市九龙坡区疾病预防控制中心； 重庆市沙坪坝区疾病预防控制中心；

【摘要】 目的评估重庆市男男性接触者的艾滋病综合干预项目实施效果,为对该人群制定有针对性的干预策略提供科学的依据。方法2006年与2007年对MSM人群采用滚雪球法进行二次面对面的问卷调查,比较干预前后MSM人群知识、行为和HIV及梅毒患病率的变化情况,采用SPSS12.0软件进行统计分析。结果干预后,MSM人群艾滋病防治知识知晓率明显提高,由干预前的74.3%上升到干预后的82.4%(P=0.01);最近一次与男性发生肛交性行为时安全套使用率由56.4%上升到65.5%(P=0.00);最近6个月与男性发生肛交时每次都使用安全套的率也由2006年干预前的的31.8%上升至41.9%(P=0.00)。干预前后HIV感染率分别为10.4%和10.8%,梅毒患病率分别为9.3%和7.3%,干预前后HIV和梅毒的患病率均无统计学差异。结论MSM人群干预后艾滋病防治知识明显提高,安全套使用率也有所提高,干预工作产生明显效果。但MSM人群在坚持使用安全套的比例仍较低,存在知识与行为明显分离现象。因此,持续对MSM人群进行预防艾滋病干预工作,提高其坚持使用安全套的比例,是当前MSM人群干预工作的重点。更多还原

【Abstract】 Objective To assess the effect of the intervention against AIDS among MSM,thus to provide scientific evidence for developing the pertinent strategy of the intervention.Methods MSM recruited through snowballing were investigated by face to face in 2006 and 2007 respectively.Using SPSS 12.0 to compare the change of cognition about AIDS,sexual behavior,prevalence of HIV and Syphilis between before and after intervention. Results The cognition about AIDS among MSM was raised obviously after the intervention. Its rate increased from 74.3%to 82.4%(P=0.01).The rate of condom use among MSM last time increased from 56.4%to 65.5%(P=0.00).The rate of consistent condom use during six months among MSM increased from 31.8%to 41.9%(P=0.00).The rate of condom use during commercial sex with men changed little.The rate of condom use among MSM who had sex with women also changed little.The prevalence of HIV in 2006 and 2007 were 10. 4%and 10.8%.The prevalence of Syphilis in 2006 and 2007 were 9.3%and 7.3%respectively. It was no significant between before and after the intervention.Conclusion The cognition about AIDS among MSM was improved obviously,and effective.However,the rate of consistent condom use was still low,which suggested there was the rate of condom use among MSM also increased.It reflected that the intervention for MSM was segregation phenomenon between their behaviors and knowledge.All the findings imply that it is crucial for AIDS prevention and control among MSM to conduct consistent intervention and raise the rate of consistent condom use among MSM,as well as women.更多还原