Survey on the AIDS-related high risk behaviors and associated factors of men who have sex with men in Huainan city

Objective To investigate AIDS related high risk behaviors among men who have sex with men(MSM) and provide evidence for policy development in Huainan.Methods A total of 279 participants were recruited by using snowballing sampling in Huainan city.Structured-questionnaire was used to collect the demographic data,knowledge about HIV/AIDS,sexual behavioral information,condom use and situation about reception of HIV prevention services.Univariate and multivariate stepwise logistic regression analysis was applied in this study.Results Most of the MSM were young,the mean age of these participants was 28.40 years.Among them,78.14% were unmarried,and 68.46% had an education beyond senior middle school.89.90% were aware of AIDS-related knowledge.In the past six months,of 275 respondents,100% MSM had homosexual anal sex,7.72% had commercial homosexual sex,31.05% had sex with female.Among the subjects,62.36% has unprotected anal intercourse with non-commercial male sex partners,38.10% had unprotected intercourse with commercial male sex partners,83.53% had unprotected sex with female partners in the past six months.In multiple logistic regression model,being recruited from county,the number of male-to-male anal sex 1,having had heterosexual sex,having had STD history,having had adequate HIV/AIDS knowledge,having had an HIV test were significantly associated with the condom continual use in homosexual anal sex in the past six months.Conclusion High risk behaviors were prevalent in MSM population in Huainan,and targeted interventions are necessary to prevent HIV spread in MSM.Continuing efforts to improve the coverage of HIV testing and strength the peer education should be maintained in the future preventing program for MSM.