HIV knowledge and risk factors among men who have sex with men in Ho Chi Minh City, Vietnam
HIV knowledge and risk factors among men who have sex with men in Ho Chi Minh City, Vietnam
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DOI：
10.1097/00126334-200301010-00012
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发表时间：
2003-01-01
影响因子：
3.6
通讯作者：
Colby, DJ
中科院分区：
文献类型：
--
作者：
Colby, DJ
目的：了解越南胡志明市男男性行为者（MSM）的健康风险行为、艾滋病毒/艾滋病知识和预防态度。方法：采用标准化问卷对219名男男性行为者进行横断面调查。结果：与男性发生性行为的男性易于定位，并且愿意回答有关其性行为的详细问题。自我认定的性取向有67%为同性恋，31%为双性恋，1.4%为异性恋。高危性行为很常见。性伴侣的平均数量前一个月为3.3，前一年为14.8。只有32%的人在最后一次性交时使用避孕套，只有40%的人在最后一次性交包括肛交时使用避孕套。81%的人表示在过去一年中与不固定的男性伴侣发生过性关系，22%的人还与女性发生过性关系。除酒精外，很少使用毒品。最正确地识别可能传播艾滋病毒的高危性行为和体液；然而，只有大约一半的人知道，看起来健康的人可能会传播艾滋病毒，或者艾滋病无法治愈。越南的同性恋者自测感染艾滋病毒的风险非常低，不到三分之一的人认为同性恋者感染艾滋病毒的风险增加。结论：胡志明市男男性行为人群是HIV感染的高危人群。可以提高关于艾滋病毒传播和预防的知识。需要专门针对男男性行为者的教育和干预措施，因为针对普通人群的教育可能无法触及男男性行为者或影响他们的行为。
Objectives: To describe health risk behavior, knowledge, and attitudes about HIV/AIDS and its prevention in men who have sex with men (MSM) in Ho Chi Minh City (HCMC), Vietnam.Methods: A cross-sectional survey of 219 MSM using a standardized questionnaire.Results: Men who have sex with men were easy to locate and willing to answer detailed questions about their sexual behavior. Self-identified sexual orientation was 67% homosexual, 31% bisexual, and 1.4% heterosexual. High-risk sexual behavior was common. The mean number of sexual partners was 3.3 in the previous month and 14.8 in the previous year. Only 32% used condoms during their last intercourse, and only 40% used a condom when their last intercourse included anal sex. Eighty-one percent reported sex with nonregular male partners, and 22% also had sex with women in the past year. Drug use other than alcohol was rare. Most correctly identified high-risk sexual behavior and body fluids that could transmit HIV; however, only about half knew that someone who appeared healthy could transmit HIV or that there was no cure for AIDS. Self-rated risk for HIV was very low, and fewer than one third believed that homosexuals in Vietnam are at increased risk for HIV.Conclusion: Men who have sex with men in HCMC are at high risk for HIV. Knowledge about HIV transmission and prevention could be improved. Education and interventions specifically aimed at MSM are needed, because education targeted at the general population may not reach MSM or influence their behavior.