Objective To explore syphilis AIDS prevention knowledge and infection status among MSM population, and provide a scientific basis for syphilis and AIDS prevention and control. Methods Syphilis and AIDS prevention knowledge and syphilis, HIV infection status among MSM population were compared. Results AIDS prevention knowledge ( 97. 3 % ) was significantly better than that of syphilis prevention knowledge (86. 3% ) in MSM population;The serology of syphilis positive rate (18% ) was significantly higher than that of HIV antibody positive rate (3.2%) in MSM population; Conclusion Propaganda and health education on knowledge of syphilis and AIDS should be strengthened. Condom using should be increased to 100% for reducing syphilis, AIDS spread in MSM population.%目的 了解银川市男男性行为者(Men Who Have Sex With Men,MSM)梅毒、艾滋病预防知识及感染状况,为制定MSM人群的梅毒、艾滋病预防控制措施提供科学依据.方法 采用问卷调查和梅毒、HIV血清学筛查,比较MSM人群梅毒、艾滋病预防知识及梅毒、HIV的感染状况.结果 梅毒和艾滋病预防知识总知晓率分别为86.3%和97.3%,二者差异有统计学意义(χ2=31.971,P＜0.01 );梅毒TP-ELISA初筛阳性检出率18.0%,HIV抗体确认阳性检出率3.8%,梅毒阳性检出率明显高于HIV抗体阳性检出率(χ2＝41.902,P＜0.01);近6个月肛交性行为比例为91%.最近一次安全套使用率为80.8%,近6个月与同性性行为坚持使用安全套的比例为44.8%.结论 加强MSM人群梅毒、艾滋病预防知识宣传教育工作,加大100%安全套推广使用干预措施,减少梅毒、艾滋病在MSM人群中的传播和流行.
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