珠海同志互联网社区297名男男性行为人群行为特征分析及HIV／梅毒流行状况

摘要

Objective:To analysis the group behaviors , HIV/Syphilis-related knowledge and the infections of HIV/Syphilis among men who have sex with men ( MSM) from online community in Zhuhai, and provide scientific evidence for developing control measures .Methods:The Internet-Community were used for calling the MSM to join the research , which including HIV/Syphilis counseling and investigation .The blood samples were collected to be used in biological detection . Results:297 MSM were surveyed , the average age of them was 28.41 ±5.32, most persons had college education (45.79%) and were unmarried (90.24%).Only 43.43% of the MSM used condoms each sexual activity in the last 3 months.The total awareness rate of HIV/STD-related knowledge was 67.71%.167 persons joined the biological detection ,of which the positive rate of HIV was 3.59%, and 14.97%showed the positive reaction in serology of syphilis .Conclusion:The high risk behaviors and low STD knowledge awareness are commonly existed among MSM from online community in Zhuhai , and there is a high prevalence of HIV/Syphilis infections in that group.It is particularly important for those persons in health education , especially in STD, in or-der to decrease the prevalence of HIV/STD infections.%目的：了解珠海地区活跃在同志互联网社区的男男性行为（ MSM）人群的艾滋病与梅毒知识知晓情况、行为特征及感染状况，为制订防控措施提供依据。方法：利用同志互联网社区匿名招募MSM，在艾滋病自愿咨询检测（ VCT）门诊现场咨询填写问卷，采集血样进行血清学监测。结果：共调查297人，平均年龄（28.41±5.32）岁，学历以大专及以上为主（45.79％），未婚者占90.24％，3个月内性行为均使用安全套者占43.43％，性病艾滋病知识平均知晓率67.71％。血清学监测167人，其中HIV阳性6人（3.59％），梅毒阳性25人（14.97％）。结论：珠海市来源于互联网社区的MSM人群高危行为普遍存在，梅毒艾滋病感染率较高，性病知识知晓率较低，应大力促进安全性行为，尤其需注意普及性病防治知识，遏制相关疾病的蔓延。