The aims of this paper were to find out the status of HIV and syphilis infection and to examine the sexual behaviours between men who have sex with men only (MSM/M) and men who have sex with both men and women (MSM/W), as well as to determine the correlates for HIV and syphilis infection among MSM/M and MSM/W, respectively. Among 1693 MSM who participated in the study, the proportions of MSM/M and MSM/W were 82.1% and 17.9%, respectively. The prevalences of HIV infection were 7.0% in MSM/M and 6.6% in MSM/W and the prevalences of syphilis infection were 11.9% and 13.2%, respectively. Among the MSM/M subset, the correlates both for HIV and syphilis infection included having more sexual partners, and being receptive or both insertive and receptive for anal sex. Among the MSM/W subset, living in Chengdu was associated with HIV infection and using condoms inconsistently during anal sex was associated with syphilis infection. The findings of this survey call for interventions tailored according to the needs of different subsets of MSM.

译文

本文的目的是了解艾滋病毒和梅毒的感染状况,并检查仅与男性发生性关系的男性 (MSM/M) 与与男性和女性发生性关系的男性 (MSM/W) 之间的性行为),并分别确定MSM/M和MSM/W中HIV和梅毒感染的相关性。在参与研究的1693名MSM中,MSM/M和MSM/W的比例分别为82.1% 和17.9%。在MSM/M中7.0% HIV感染的患病率,在MSM/W中6.6%,梅毒感染的患病率分别为11.9% 和13.2%。在MSM/M子集中,与HIV和梅毒感染的相关性包括拥有更多的性伴侣,以及对肛交的接受性或插入性和接受性。在MSM/W亚组中,居住在成都与HIV感染有关,在肛交期间不一致使用避孕套与梅毒感染有关。这项调查的结果要求根据MSM不同子集的需求量身定制干预措施。

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