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《Practical Preventive Medicine》 2012-12
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Survey on a Cluster of HIV Infection Among MSMs in a Club and Exploration of its Influencing Factors

LONG Qing-ping,QIN Pei-lan,HUANG Zhen-hao,et al.(Longgang District Center for Disease Control and Prevention,Shenzhen 518172,Guangdong,China)  
Objective To investigate a cluster of HIV infection among MSMs in a club and explore its influencing factors,so as to provide information for implementing behavior interventions.Methods The fingerprint identification system was used to eliminate repeated research objects.The respondents were surveyed by questionnaires and their behaviors were monitored.The contents of the questionnaires included social demographic,knowledge and behavior characteristics.The serologic monitoring items included serologic indices of AIDS,syphilis and hepatitis C infections.The HIV infection status among the MSM crowd and the influencing factors were analyzed by chi-square test and Logistic regression analysis.Results A total of 266 MSMs were monitored.The positive rates of anti-HIV,syphilis antibody and anti-HCV were 16.2%,10.2% and 2.6%,respectively.The proportions of MSMs with the first sexual behavior at the age of 15,15~ and 20~ years were 5.6%,83.1% and 11.3%,respectively.48.5% of the MSMs had males as their first sexual partners and 51.5% had females.As to the sexual orientation,the gays,heterosexuals and bisexuals accounted for 48.5%,7.1% and 35.7%,respectively.And the remainder were uncertain about their sexual orientation(8.7%).The accuracy rate of the answers to AIDS/STD knowledge was 67.3%.The MSMs who had 20,20~ and 30~ sexual partners in half a year accounted for 61.3%,12.0% and 26.7%,respectively.In the respect of the sexual behavior,the anal sex,anal sex oral sex,anal sex vaginal sex,and anal sex oral sex vaginal sex accounted for 35.0%,17.7%,34.2% and 13.1%,respectively.The self awareness rate of the risk to contract HIV infection was 57.5%,while only 22.9% of them used condoms each time when they had high-risk sexual behaviors.As to the frequency of going to the club,71.1% went to the club more than once a month,and 28.9% went less than once a month.The chi-square test and Logistic regression analysis showed that the educational level,the age for the first sexual beha-vior,the use of condoms when having anal sex and the frequency of going to the club,are the factors influencing the cluster of HIV infection among the MSMs(P0.05).Consecutive and intensive intervention produced significant effects on the HIV infection,indicating a statistically lower infection rate after the intervention than that before(P0.01).Conclusions Most of the MSMs in the club are young and have multiple sexual partners.The high-risk behaviors are popular and the condom usage rate is low,which lead to the cluster of HIV infection in a short term.The infection rate is remarkably reduced after the corresponding prevention,control and intervention measures are taken.
【Fund】: 全球基金艾滋病项目(RCC项目)
【CateGory Index】: R512.91
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