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《Practical Preventive Medicine》 2012-02
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Cohort Study of Knowledge About AIDS and Related Behavioral Changes Among MSM

WANG Yi,ZHANG Guang-gui,LI Liu-lin,et al.(Mianyang Municipal Center for Disease Control and Prevention,Mianyang 621000,Sichuan,China)  
Objective To investigate the awareness of knowledge about AIDS and the dynamic changes of high-risk sexual behaviors among MSM in Mianyang City. Methods The MSM who did not affected by HIV in Mianyang City were recruited by Responded-driven Sampling(RDS) in 2009.One-year later,a follow-up cohort study was conducted among them to survey the related behaviors.And the awareness of knowledge and the changes of related behaviors were analyzed. Results Among the 155 follow-up men,the average age was(27.0±7.8) years,the average awareness rate of knowledge about AIDS was 97.0% which was significantly higher than the base line(95.5%),(χ2=4.499,P=0.034).Compared with the base line research,the proportions of doing the HIV test in the past one-year and acquiring HIV knowledge from publicity materials and Internet showed a significant increase(χ2=7.315,χ2=4.209,χ2=10.356,P=0.007,P=0.040,P=0.001).The changes of the places where MSM sought sexual partners showed statistically significant(χ2=15.918,P=0.003),MSM bars decreased,while MSM parks and Internet increased.The average times of insertive anal intercourse with male sex partner(s) in the past one-week and the number of sexual partners' living city in the past 6 months decreased to 0.80 and 1.33 during the follow-up from 1.77 and 2.92 of the base line,and the difference was statistically significant(t=4.329,t=24.270,both P=0.000).There were statistically significant differences in the rate of MSM who being "0" in insertive anal intercourse and the rate of condom use during oral sex in the past six months(χ2=4.939,χ2=8.001,P=0.029,P=0.018).The percentage of MSM who being "0" in insertive anal intercourse using condoms each time increased from 42.2% to 51.0%,while the percentage of using condoms each time in oral sex decreased from 11.1% to 3.3%.No statistically significant difference was found in the rate of condom use among the times of insertive anal intercourse with male sex partner(s),female sex behavior,and commercial sex behavior in the past six months,insertive anal intercourse with male sex partner(s),vaginal sexual intercourse,and MSM who being "1" during insertive anal intercourse in the last sex and the past six months. Conclusions The awareness of AIDS of MSM in Mianyang City increased,and the high-risk sexual behaviors had a certain change,but multiple sexual partners and unprotected sexual behaviors were still obvious.Intervention efforts need to be continuously strengthened.
【Fund】: 中美艾滋病防治合作项目(6.3.3A);; 四川省第四轮全球基金/中英艾滋病项目(GF4SC2008012)
【CateGory Index】: R512.91
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