A Survey Of HIV Infections And Related Factors Among Men Who Have Sex With Men In Xining Qinghai Province

Objective To investigate the HIV infections rate, syphilis infection rate, awareness rate of AIDS and the high-risk behavior factors to spread of AIDS among MSM in Xining, then,to make the prevention and control strategy and provide the scientific basis among MSM population in HIV/AIDS.Method To study this kind of crowd, who living in Xining city and to participate in the AIDS voluntary counseling and testing MSM by using the snowball、key insiders、publishing MSM information network. Before the start, Selection of the MSM crowd of more influence、 Sense of responsibility in Xining city for this survey, they who are professional training and development educators carry out publicity and education, mobilize their peer to acceptance survey at activities of the MSM crowd in Xining city、gay website and QQ, in addition, professionals investigate and test the crowd in their activities or taking the initiative counseling volunteer to CDC, respondents agreed to accept the questionnaire survey, and fill in the informed consent after passing the screening, interviewers who have conducted a unified training face-to-face on an anonymous questionnaire, and extract blood5mL blood for testing HIV and syphilis. Based on flow investigation this crowd, the MSM population of10different levels、 different places individual in-depth interviews and open questionnaire survey, to understand the MSM activities、characteristics、psychological needs、sexual behavior STD infection situation and so on.Results There are Hui and Tibetan minority nationality99in403investigators. The venues of MSM included gay bars, bath-pools, Public Park, Public toilet, video hall, as well as Some gay websites and QQ groups. The mainly MSM came from bath-pools, and then the Han were gay bars and the Hui in Video halls, public park and public toilet.The MSM AIDS-related knowledge and awareness for74.19%.The awareness rate were statistically significant in nationality, degree of education and age.The Han is79.1%and the Tibetan is50%. College above is94.3%and Under degree85.8%, the20years old group is90.9%and above50years old group is52.4%.The last six months87.84%of survey respondents had anal sex with male, only14.13%of the MSM use of condoms each time.48.89%had intercourse with female, only3.56%of the them use of condoms each time, four people had gay commercial behavior. The condom use rate is low not only in MSM but also in heterosexual intercourse in Hui compare to other nationality.Logistic regression analysis showed that the MSM with syphilis, gonorrhea, genital chlamydia trachomatis infection, Condyloma, genital herpes had respectively5.737、9.267、17.694、41.064and12.16times to infected HIV than those without disease.The HIV infection rate was11.66%among MSM population, and9.93%was syphilis, no man infection the hepatitis. The attitude to AIDS patients who are respondents’ colleagues/friends,36.48%advised to dismissed or fired, who are family members,13.9%want to them Leave home and lived to other place, who are child’s classmates17.12%want to school dismissed the AIDS infections or arrange them have a class alone.Conclusion there are different characteristics according to different activity places in Xining’s MSM. There are Tibetan and hui nationality MSM in our province so MSM population could be dicided into various sub-groups. Gonorrhea and syphilis, reproductive tract chlamydia trachomatis infection, acuteness wet wart, genital herpes are risk factors to MSM infected HIV. HIV/AIDS related knowledge rate among MSM population are generally low, especially in minority. There are serious infective in MSM to infected the AIDS and syphilis, The current control method and means can’t change this kind of crowd of high risk behaviors and curb spread speed, existing "awaness separated with behavior" phenomenon. Meanwhile, MSM heterosexual spouses and sex partners had to face the risk to infected the HIV, in this way,HIV virus would be spread to women or the non-gay male spread with the bridge of female sex partners. The AIDS population distribution are change from High-risk groups to the general population.The MSM population have a tolerant attitude to AIDS patient who are mumbers of the family or child. so according to different characteristics MSM, be badly in need of health education and effective intervention measures and methods should we be taken and the expand coverage to intervention.