【摘要】 目的　了解男同性恋者艾滋病相关知识、态度及危险行为状况 ,为行为干预提供线索。 方法　 采用横断面调查设计 ,对进出某酒吧的男同性恋者进行问卷调查。 结果　 文化程度普遍较高 ,但对艾滋病知识缺乏 ,知识的来源主要通过报纸、杂志和电视。安全套使用率低 ,每次性行为均使用安全套的比例为 1 4 4% ,不使用安全套的原因主要是自己或性伴侣不喜欢用或性行为时身边无安全套。随着艾滋病知识的增加 ,每次都用安全套的比例呈现上升趋势 ,从未使用安全套的比例则呈现明显下降的趋势。 1 1 7%做过艾滋病病毒 (HIV)检测 ,无人获得过HIV检测阳性结果。不做HIV检测的原因主要是自认为感染的可能性不大 ,认为自己是阴性或不想考虑阳性的事。首次性行为年龄中位数为 1 8岁 ;性伴侣数较多 ,平均为 1 0 3个。 40 5 %的调查对象在半年内有过女性性伴侣 ,96 6 %在半年内有过男性性伴侣 ,84 5 %半年内有无保护肛交史。 结论　 该市男同性恋者艾滋病相关知识缺乏 ,危险性行为普遍存在 ,安全套使用率低 ,艾滋病极有可能在此人群中流行 ,应尽快采取措施加强预防更多还原

【Abstract】 Objective To evaluate knowledge and attitude related to HIV/AIDS and describe the high risk behaviors that can cause HIV epidemic among men who have sex with men in China Methods We conducted a cross-sectional survey of 215 MSM with a face to face interview Results Most of the participants were well educated,but had poor knowledge of HIV/AIDS,and they obtained the knowledge by reading newspapers and magazines or by watching TV,and few people received such knowledge from doctors Only 14 4% of the participants reported consistent condom use with their male sex partners The main reasons of not using a condom were: the partners or MSM themselves did not like to use of condom or condoms were not available when they had sex The proportion of consistent condom using increased and the proportion of never using condom declined distinctly with the increasing level of the knowledge of HIV/AIDS Of 215 participants,11 7% had been tested for HIV antibody and no one selfreported to be HIV antibody positive The median age of the first sex was 18 years,average number of male sex partners was 10 3,and 40 5% of the participants had female and 96 6% had male sex partners in the past six months Most of the participants(84 5%)had unprotected anal intercourse with male partners in the past six months Conclusion Poor knowledge of HIV/AIDS and high-risk sexual behaviors were ubiquitous among MSM and potential HIV epidemic may occur in this population It is imperative to carry out targeted interventions for MSM更多还原