Investigation On The AIDS-related High Risk Behaviors Among Men Who Have Sex With Men In Qujing Of Yunnan Province

Objective To research AIDS related high-risk behavior among MSM (men who have sex with men) in Qujing city; and to determine the focus in the area of AIDS control in Qujing of Yunnan province.Method Survey in April 2009 to October, relying on the MSM outreach services -- South Sunshine Studios which under Qujing Disease Control and Prevention Center, recruited 4 MSM volunteers as an investigator, a "snowball" approach contacts target population, and using the MSM unified monitoring questionnaire of 2009 to face to face questionnaire survey. Supervisor supervised the work of investigators to ensure the quality of the questionnaire.Result 311 respondents an average age of 27.82±6.76 years. Samples mainly from the bar / Tea Bar / club, accounted for 43.1%. Sexual orientation as a homosexual, accounted for 76.2%, no heterosexual. Average age of first sex was 19.78±3.66 and the youngest 14 years old. First sex for male sexual partners accounted for 77.2%. Average age of the first sex with men was 20.21±3.98 years, minimum 14 years of age. Occurred in the past 6 months same-sex anal sex accounted for 90.7 %( 282/311), the average number of same-sex sexual partners was 3.05±2.68 and a maximum of 17, only 24.1% (70/290*) readme used condoms every time. Latest homosexual anal sex condom use rate was 82.1% (238/290*), and there are differences between different groups in using condom. Occurred in the past 6 months the heterosexual sex accounted for 13.2 %( 41/311), the average number of heterosexual partners was 1.05±0.22 and the maximum was 2, only 12.2% (5 / 41) readme used condoms every time. Recent heterosexual sex condom use rate was 22.0% (9 / 41), and the differences between different groups in using condom.In the past six months, the respondents of accepting commercial sex services was 9.3 %( 29/311), the average number of commercial sex partners was 2.67±1.78, and a maximum of 7. Only 24.1% (7 / 29) readme used condoms every time. Latest accepting same-sex commercial sex services condom use rate was 82.8% (24/29).In the past 6 months , those who provide same-sex commercial sex services was 2.3%(7/311), only 28.6% (2 / 7) readme use condoms every time, Latest providing same-sex commercial sex services condom use rate was 85.7% ( 6 / 7). Survey, publicity billboards, television and books were the main sources of AIDS knowledge and information. The awareness rate of AIDS knowledge was 83.0%. 64.0% of the MSM gave correct answers to all questions listed in UNGASS. And there are differences between different groups in erroneous understanting of AIDS transmission and prevention.Conclusion The results show that among the respondents multiple sexual partners and unprotected anal sex are more common. Heterosexual sex condom use rate is low. Same-sex commercial sex behaviors are not uncommon.MSM have largely insufficient knowledge of AIDS. Necessary to adopt effective interventions to prevent AIDS from infecting and spreading in this population.