【作者】 马桂林； 沈理通； 苏成豪； 郑惠能； 林碧云； 李莉；

【Author】 MA Gui-lin,SHEN Li-tong,SU Cheng-hao,ZHENG Hui-neng,LIN Bi-yun,LI Li.Xiamen Center for Disease Control and Prevention,Xiamen 361021,China

【机构】 厦门市疾病预防控制中心；

【摘要】 目的评价男男性接触(men who have sex with men,MSM)人群艾滋病综合干预效果,为预防控制艾滋病提供科学依据。方法通过滚雪球的方式招募男男性接触者,开展行为干预和面对面的问卷调查,并进行HIV、HCV和梅毒抗体检测,对干预前后的知晓率、高危行为发生率等进行比较以评价效果。结果共开展三轮调查(基线调查、中期评估和期终评估),三次调查中,被调查对象的人口学特征基本一致。按照《中国艾滋病防治督导与评估框架(试行)》的标准,MSM人群的艾滋病知识知晓率从88.8%提高到92.9%,差异无统计学意义(P=0.5);按UNGASS指标,MSM人群的知晓率从43.9%提高到59.7%,差异有统计学意义(P<0.05)。最近一次与男性发生肛交时使用安全套的比率从71.7%增加到76.6%,差异具有统计学意义(P<0.05)。结论通过一年的综合干预,MSM人群安全性行为意识、获取预防服务的比例均有了提高,但仍需长期干预。更多还原

【Abstract】 Objective To evaluate the effect of HIV/AIDS integrated intervention of men who have sex with men(MSM),and provide evidence for preventing and controlling the spread of HIV/AIDS in MSM.Methods MSM persons were recruited by snowballing method.Questionnaire surveys were conducted by face-to-face interview at three times in the procedure of intervention:baseline,midterm and final stage.Each interviewee was also detected for antibodies of HIV,HCV and syphilis.Results There were no statistical differences of the basic characteristics of larithmics of interviewees among the three stages.After a year of integrated intervention in MSM,the awareness rate of knowledge about HIV/AIDS was increased from 88.8%to 92.9%by the standard of Chinese monitoring and evaluating indicator system for HIV/AIDS prevention,and from 43.9%to 59.7%by the standard of UNGASS. The percentage of interviewee’s getting preventive servings was also increased significantly.The percentage of condom use of interviewee in the last anal sex with men was increased from 71.7%to 76.6% and the difference was statistically significant(P<0.05).Conclusions After a year of integrated intervention in MSM,the awareness of safe sexual behavior and the percentage of getting preventive servings were effectively increased.There is a need to intervene in MSM stronger and longer.更多还原