Study The Behavior Intervention Of AIDS And Infection Status Of MSM

objectiveThrough a series of educational and behavioral interventions to improve men who have sex with men (MSM) of knowledge about AIDS , prevention the high risk behavior of MSM and reduce the high risk behavior , raise the utilization rate of condoms , provide a scientific basis for reducing the spread of HIV. Through this investigation to learn more about demographic characteristics and high risk behaviors related HIV/AIDS; grasp HIV infection status of MSM, and to provide scientific basis for developing intervention strategies.At the same time, cultivate volunteers who can participate the AIDS prevention work, make a long-term contract with more key men. Establish a stable intervention teams.Subjects and methodsSet up a task implementation group including professionals on AIDS, volunteers , key men . Choose the MSM who have been in Qingdao for 6 months or more and have had sex with men (including oral sex, anal sex) and 18-years-old or above. Through education, outreach services, peer education to advocacy safe behavior , covering 800 persons in all. Chose 200 people respectively before and after the intervention, and investigate their basic demographic characteristics, knowledge of HIV/AIDS-related awareness and behavior characteristics; investigate HIV infection status of MSM before intervention. The data is statisticed with SPSS 8.0.The main results 1. Investigate 216 and 199 persons respectively before and after intervention. Their demographic characteristics essentially the same. A majority of them at age 21 to 30-year-old(accounted for 68.06% and 66.33% respectively before and after the intervention), college education or above(67. 13% , 65.83%), and homosexual (56.94%, 59.80%) , unmarried (69. 85%,71.30 %); A majority of them had their first sexual act at about 20-year-old. (before and after the intervention the average age is 20. 46±4. 27 years and 20. 52±3. 05 years), most of them have sex with men at their first sexual(73.15 %, 79.90%).2. There is multiple partners and to buy or sell sex among them, a considerable proportion of MSM keep sexual relations with women (25. 46%, 20.10%). The total awareness rate of AIDS-related knowledge is 60. 16% before intervention. The percentage of condom use in making anal sex is 45. 27% in the previous 6 months, the percentage of condom use in making oral sex is 13.40% in the previous 6 months, the percentage of condom use in making sex with women is 32. 73%; the averag number of MSM who having sex in the previous 6 months is 4. 3±7.6; and the infection rate of sexual transmitted diseases is 8.33% before intervention. The total awareness rate of AIDS-related knowledge is 87.02% after intervention. The percentage of condom use in making anal sex is 63. 83% in the previous 6 months, the percentage of condom use in making oral sex is 31. 58% in the previous 6 months, the percentage of condom use in making sex with women is 57. 5%; the average number of MSM who having sex in the previous 6 months is 3.7±3.2; and the infection rate of sexual transmitted diseases is 6.03% after intervention. The interventions is sucessful, especially the awareness rate of prevention knowledge and the rate of condom use in making anal sex have increased in a large degree after the intervention.3. HIV infection rate of the MSM is 1.1 %.Conclusion MSM is one of the three population with AIDS high-risk behavior . First of all, the percentage of high risk behavior of MSM is high, a major of them have multiple partners. This was followed by a low rate of condom use, MSM is a large number of people, and a considerable number of them choose to marry with women under social pressure, furthermore buy and sell sex is also common in MSM. In a word MSM has become the focus population of AIDS prevention and control work in China. So prevent and reduce high risk behavior , increase the rate of condom use ,health education and behavioral intervention is effective.Through the intervention activities of putting IEC material and condom, outreach service, lectures and other interventions, to make MSM easy to accept, MSM are able to carry out " Peer education " as volunteers, the above-mentioned measures is effective to change high risk behavior of MSM. Encouraging MSM to participate in VCT, in addition to reducing the high risk behavior of MSM, you can grasp HIV infection characteristics in time.