摘要 目的了解株洲市男男性行为人群（men who have sex with men,MSM）的艾滋病相关知识知晓情况、行为特征、安全套使用和HIV感染等情况,为在该人群开展有针对性的干预提供科学依据。方法采用“滚雪球”的方法对辖区内129名MSM开展 一对一匿名问卷调查,使用SPSS 18.0进行资料统计分析[结果]129名MSM人群的平均年龄为26.7±8.4岁,其中30岁以下者占75.9%,且大部分为未婚者,大专及以上学历者占42.6%。MSM人群中HIV阳性者10人,感染率为7.75%,其中有过“O”角色史的MSM人群感染率是“1”角色者的两倍。对艾滋病防治知识知晓率为71.32%,不同文化程度MSM人群的近6个月同性行为中的安全套使用情况的差异统计学意义(p <0.05)。已婚MSM人群在同性性行为时每次使用安全套率要低于未婚人群,差异有统计学意义(p <0.05)。结论HIV在MSM人群中的流行日趋严重并有通过异性婚姻和低年龄性交向一般人群传播的可能。此外,该人群的安全套使用率较低,存在知识和行为分离现象。故开展针对性MSM人群艾滋病干预工作是今后艾滋病防控重点。
Abstract：Objective To provide the scientific basis for targeted intervention in this population,by studying the AIDS related knowledge awareness, the behavior characteristics, condom use and HIV infection among MSM in Zhuzhou City. Method The " snowball" method to investigate 129 MSM, and carry out tracking type " one to one " anonymous questionnaire, using SPSS 18.0 statistics analysis Result The average age of 129 MSM population is (26.7 ± 8.4) years old, among them the following 30 years old accounted for 75.9%, and most of them are unmarried, junior college and above accounted for 42.6%. The survey found that 10 HIV-positive people, the infection rate was 7.75%, there have been "O" MSM infection rate is the role of history, "a" role MSM population. the infection rate of O role MSM group is double the rate of 1 role group.AIDS prevention knowledge awareness rate among MSM was 71.32%, the difference that the condom usage of different cultural level groups about same-sex behavior in the past 6 months was statistically significant ( P <0.05 ).The rate of condom use of married MSM in same-sex sexual behavior is lower than unmarried people, the difference was statistically significant (p <0.05). Conclusion The AIDS epidemic in the MSM population is becoming more and more serious and has spread to the general population through heterosexual marriage and the low age sex may. In addition, the rate of condom use of the
作者简介: 冀乃宏（1965-）,男,副主任医师,主要从事疾病预防控制工作。
引用本文:
冀乃宏, 陈鹏, 叶清红. 株洲市男男同性人群的性行为特征调查分析[J]. 实用预防医学, 2015, 22(12): 1483-1486.
Zhuzhou Center for Disease Control, Prevention. Investigation and analysis of 129 MSM sexual characteristics of Zhuzhou City. , 2015, 22(12): 1483-1486.
2015, Vol. 22 
