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《慢性病学杂志》[ISSN:1674-8166/CN:11-5900/R]

卷:

期数:

2015年05期

页码:

508-510

栏目:

论著

出版日期:

2015-10-15

文章信息/Info

Title:

Effect of health education and prevention intervention on sexually transmitted disease of gay male population

作者:

陈韦冰

深圳市宝安区慢性病防治院，广东 深圳 518133

Author(s):

CHEN Wei-bing

ShenzhenCity, Baoan DistrictHospitalforChronicDiseases,Shenzhen Guangdong,518133,China Correspondingauthor:CHENWei-bing,E-mail：chenweibing0604@163.com

关键词:

男男性行为人群; 艾滋病; 综合干预; 健康教育

Keywords:

Gay male population;  Acquired immune deficiency syndrome (AIDS);  Comprehensive inter-vention;  Health education

分类号:

R193

DOI:

-

摘要:

目的 分析男男性行为人者（MSM）健康教育干预及其效果，探索建立针对MSM人群性病防治的 干预模式。方法 选取2011年1-12月深圳市宝安区MSM100例作为观察对象，进行MSM人群性病防 治的健康教育及高危行为干预。调查干预前后预防艾滋病（AIDS）知识、态度、信念及行为的变化。同时 采集血标本进行HIV抗体、梅毒和尖锐湿疣检测，评估该干预模式的效果。结果 干预后MSM人群答对 6道及以上者由78.0%逐步提高到99.0%，干预前后知识知晓率用χ 2 检验差异具有统计学意义（χ 2＝ 24.840，P＝0.000）；干预前MSM人群肛交行为发生率与干预后比较差异无统计学意义（P>0.05）；干预 后肛交使用安全套使用率明显高于干预前，差异有统计学意义（χ 2＝27.287，P＝0.000）；100例MSM经实 验室检测证实艾滋病阳性3例（3.0%），梅毒阳性4例（4.0%），尖锐湿疣1例（1.0%）。结论 健康教育能 够有效提高MSM人群的艾滋病知识认知水平并相应改变其高危行为，但是存在认知与行为分离的现象， 加强安全性行为的促进是面临的重要问题，同时安全套促进也需要人性化措施。

Abstract:

Objective To analyze the effect of health education on sexually transmitted disease (STD) of gay male, also known as men who have sex with men (MSM) population and to explore the interven-tion model for STD prevention and control among MSM. Methods From2011 January to 2011 De-cember, 100 MSM cases were selected as the observation objects. Health education and behavior inter-vention for STD prevention and control were performed among MSM. A survey was conducted before and after the intervention of acquired immune deficiency syndrome (AIDS) prevention, to learn about the changes in AIDS knowledge, attitude, belief and behavior. At the same time, blood samples were collected for detection of HIV antibody, syphilis and condyloma acuminatum to evaluate the intervention effect. Result After the intervention, the percentage of MSM population who correctly answer at least 6 questions increased from 78% to99%. The difference was statistically significant (χ 2 =24.840, P= 0.000). No statistically significant differences for anal sex before and after intervention was found among MSM (P>0.05). After the intervention, condom usage rate was significantly higher than that before the intervention, which was statistically significant difference (χ 2 =27.287, P=0.000). Among the 100 cases of MSM,3 cases HIV positive, 4 cases of syphilis positive, and 1 case of condyloma acuminatum infec-tion were confirmed by laboratory testing. Conclusions Health education can effectively improve the AIDS cognitive knowledge among MSM population and bring corresponding changes in the high-riskbehavior. However, there is a discrepancy between the cognition and the behavior change. To promote safe sexual behavior is still an outstanding issue. And a more humanized condom promotion is still needed.

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备注/Memo

备注/Memo:

作者简介：陈韦冰，本科，副主任医师，主要从事慢性病防治工作 通信作者：陈韦冰，E-mail: chenweibing0604@163.com

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更新日期/Last Update: 2015-10-16