The Investigation And Analysis Of The Knowledge Attitude And Behavior Of MSM In Jinan

Background: The epidemic and spread of AIDS has been a great problem to the health of people, and has been affected the development of social economic. Till the end of 2005, the total number of HIV in the whole world was 40. 30 millions(36.70-45. 30 millions). As present, there is no vaccine to prevent it and no drug to cure it. The propaganda education and behavioral intervention are still the most important prevention measures.MSM has been the high-risk group of AIDS because of their multiple sexual partners and unprotected intercourse. In our country, quite of MSM have set up their homes or have opposite sex partners. They have been the bridge population that make common people infected HIV. This has been made the further spread of AIDS. An investigation shows that the infection rate of AIDS has been 1.35% in sexual active MSM in China. So the prevention of AIDS to MSM is very important.Objective: to investigate and study the infectious status of AIDS in MSM; to know the knowledge and attitude to AIDS and the behaviors of MSM. To study the influence of intervention measures to high-risk behaviors of MSM, so as to carry out some suitable intervention measures; to search for a mode of prevention and treatment of AIDS in MSM.Measures: MSM questionnaire: to draw up investigation plan, and establish an investigation group. Investigators were trained. The survey was performed strictly according to the workplan. The sample size is 656. Using the unifying investigated questionnaires, identification serial number of sample and database. Serum specimen was collected for anti-HIV antibody detection. Serological investigations: The serum separation was carried out after the collection of serum specimen. And then freezing them in cooling tube of -20℃. Serological test was performed in central laboratory of HIV in Jinan. The method of anti-HIV antibody detection was carried out according to the 'National criterion of AIDS detection', and the instructions are strictly followed.The screen test was performed employing ELISA. Every people with anti-HIV positive reaction in the first ELISA was confirmed in confirmation laboratory with ELISA again. When both of the two detections were anti-HIV positive, we can think that the person was confirmed anti-HIV positive.Epidemiological investigation: specific epidemiological investigation was performed for every people with confirmed anti-HIV positive reaction, to survey the possible source of infection, infection routh and the possible area of transmission.Data processing: EpiData was used for the data input and establishment of database. SPSS11.5 was used for data analysis.Result: our investigation showed that in terms of demographical character , MSM had such features: higher educational background(75% with school degree or higher), younger( the average ages are 26.28, those below 35 account for 90%), half of whom were married or livein. Students and cadre constitute the majority. 63.9% are regarded as gay while 31.1% are bisexual of all the participants. In regard to the knowledge of AIDS, veracity of all the questions was 80%. Only 28. 5% used condom every time when they had anal intercouse with male in late six months, while 18. 1% never. 10 persons were infected by HIV and the infection rate was 1.52%. The correlation analysis results indicated that the earlier one has sexual behavior, the more playmates he has. In addition, the difference of playmate number between two groups was statistically significant (p=0.022). No statistical correlation was found between high risk behavior and knowledge of AIDS, which strongly implied disjunction. The research population was divided into three groups according to their educational degree, of which there was significant difference concerning their playmates (p=0.002). In other word, the higher their educational degree are, the less their playmates. The frequency of condom usage and the number of playmates of groups receiving AIDS consultation was different from those who didn't receive consultation to some extent, but there was no statistical difference. Certain Tendency between companion education and playmate number (p=0. 08). Conclusion:1. As bridge population, MSM were characterized by high-convertness, more playmates, less safety intimacy, higher infectivity rate, so they should be the focus and emphasis in AIDS control and prevention.2. Health education should be strengthened among MSM.3. Since prevention and control of AIDS among MSM involved ethicality, legal system, health, etc, it is necessary for multiple sections to promote cooperation.4. Behavior intervention was the emphasis concerning the prevention and control of AIDS, because it can reduce the infectivity risk among MSM.5. AIDS Epidemic among MSM was not only a biological problem but also a social one. It is very important to perceive MSM phenomena objectively and take comprehensive measures to reduce the infection rate.