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目的比较主动寻求VCT检测和现场被动检测MSM的相关行为及性病艾滋病毒感染状况,为制定该人群有效的干预措施、提高HIV检测率提供依据。方法通过VCT门诊和开展外展干预活动将接受艾滋病咨询检测的MSM分为主动求询者和现场被动检测者,对其与性病艾滋病传播相关行为和感染状况进行分析。结果主动求询者514例,HIV,梅毒感染率分别为6.81%和6.61%;被动检测者337例,HIV,梅毒感染率分别为5.93%和8.61%,二者比较差异无统计学意义。但二者在文化程度、寻找性伴方式、性行为、与同性性行为安全套使用率及接受预防艾滋病相关服务等方面差异有统计学意义。结论将VCT门诊和性病门诊有机结合起来,大力开展外展工作,对MSM人群提高安全套使用率和艾滋病性病的检测意识有积极的促进作用。同时应充分发挥网络优势,加强VCT宣传,推广安全套使用,提高自我防护意识。
OBJECTIVE To compare the behaviors of VCT detection and passive detection of MSM on the spot with the status of STD and HIV infection and to provide basis for developing effective interventions and improving the HIV detection rate in this population. Methods The MSMs receiving HIV counseling and testing were divided into two groups based on VCT outreach and outreach interventions. The MSMs were divided into two groups: active inquirers and passive examinees, and analyzed their behavior and infection status related to STD and AIDS transmission. Results In 514 cases, the HIV and syphilis infection rates were 6.81% and 6.61% respectively. 337 cases were passive and the prevalence of HIV and syphilis was 5.93% and 8.61% respectively. There was no significant difference between the two. However, there was significant difference between the two in terms of education level, sexual partner search, sexual behavior, condom use rate for same-sex sex and services related to HIV / AIDS prevention. Conclusions VCT clinics and STD clinics are organically combined to vigorously carry out outreach work and have a positive effect on improving condom use rate and AIDS STD detection awareness in MSM population. At the same time, we should give full play to the advantages of the Internet, strengthen VCT publicity, promote the use of condoms, and raise awareness of self-protection.