Abstract:
Objective To know the living condition and requirements of AIDS-related health services among men who have sex with men (MSM), and analyze the factor that influences their taking part in HIV test to provide suggestions on improving the in tervention work against AIDS high-risk behaviors.
Methods A cross-sectional survey was performed to collect information about demographic characteristics, living condition, social networks and sexual behaviors, knowledge and attitude towards AIDS/HIV, history of HIV test and HIV infection, etc. A total of 158 eligible MSM of different age and income were investigated face to face and one by one from June to December, 2010.
Results Among the MSM investigated, 66.5% (105/158) were from provinces or cities outside Shanghai, 17.7% (28/158) were bisexual, and 64.1% (97/158), 50.6% (80/158), 51.9% (82/158) and 10.1% (16/158) admitted having regular male sexual partners, many-nights male sexual partners, one-night male sexual partners and female sexual partners respectively. In addition, 71.5% (113/158) of the subjects had the history of HIV test and 57.6% (91/158) were tested in recent two years. Non-conditional logistic regression analysis showed that education (OR=0.29, 95%CI:0.09-0.90) was a factor that significantly obstructed the act of getting HIV tests. Their advices on AIDS prenvention and control included strengthening health education, showing more care and understanding and less discrimination, and promoting free delivery of condoms.
Conclusion More health services such as free HIV tests should be given to MSM. Measures like strengthening health education, showing more care and understanding and less discrimination, and providing free condoms can play an important role in meeting both the physical and psychological needs of MSM and preventing HIV transmission.
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