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目的了解利用QQ开展男男性行为人群(MSM)艾滋病高危行为一对一网络干预服务的效果。方法建立接受规范化一对一QQ网络干预服务的MSM队列,初期网络干预后做首轮在线评估调查,进行6个月的常规干预后,做第2轮相同评估内容的在线调查。结果 400名调查对象经过6个月的干预后,做过HIV抗体检测的比例从57.3%上升到68.3%(P=0.007),与志愿者交流后表示愿意接受HIV抗体检测服务的比例从67.0%上升到77.5%(P=0.001);最近6个月有肛交性行为者,最近1次肛交安全套使用率从66.4%上升到81.5%(P=0.000),安全套坚持使用率从31.1%上升到59.6%(P=0.000),打算下次发生肛交性行为时使用安全套的比例从83.0%上升到89.5%(P=0.018)。结论艾滋病规范化一对一QQ网络干预对改变MSM人群风险性行为和寻求HIV抗体检测行为改变效果明确,值得在MSM人群艾滋病高危行为干预工作中推广使用。
Objective To understand the effect of using QQ to carry out one-on-one network intervention service of high risk behavior of MSM for MSM. Methods The MSM cohort receiving standardized one-to-one QQ network intervention service was established. After the initial network intervention, the first round of online assessment survey was conducted. After 6 months of routine intervention, the second round of online survey of the same assessment content was conducted. RESULTS: After 6 months’ intervention, 400 respondents increased their HIV antibody testing rate from 57.3% to 68.3% (P = 0.007). After communicating with volunteers, the proportion of respondents willing to receive HIV antibody testing services increased from 67.0% To 77.5% (P = 0.001). In the recent 6 months, there were anal sex partners. The rate of condom use in the last anal intercourse increased from 66.4% to 81.5% (P = 0.000), and condom use was increased from 31.1% to 59.6 % (P = 0.000), and the percentage of condom users who intend to use for anal sex in the next attempt increased from 83.0% to 89.5% (P = 0.018). Conclusions A standardized one-to-one HIV / AIDS network intervention has a clear effect on changing the risk behaviors of MSM population and seeking HIV antibody testing behavior. It is worth to be used in MSM population’s HIV / AIDS risk intervention.