摘要
目的了解绵阳市男男性行为者(MSM)艾滋病感染现状和影响因素。方法采用应答推动抽样法(RDS),招募符合条件的MSM进行相关行为的寻问式匿名调查和检测前咨询、采集血液进行HIV/梅毒等血清学检测,建立随访队列。结果共调查采血400例,艾滋病病毒(HIV)感染率7.8%,梅毒累计感染率23.8%、现症感染率12.7%,HIV合并梅毒现症感染、梅毒累计感染的比例分别为16.7%和40.0%。单因素分析,不同经济收入、寻找性伴场所、近6个月性伴数、近6个月性伴主要来自偶然性伴、首次性交年龄、近6个月性伴最大年龄,是否近1年接受过同伴教育、梅毒感染(累计感染)者HIV感染率,不同年龄、职业、婚姻状况、性取向、经济收入、寻找性伴场所、首次性交年龄、距首次性交时间、近6个月性伴最大年龄,是否近6个月性伴主要是妻子、在家认识性伴者等梅毒感染率(累计感染率)有关。多因素分析,感染HIV的独立影响因素包括浴室/公园/网络为主要性伴场所场所、近6月性伴数≥6、首次性交年龄≥19岁、近6月性伴主要来自偶然性伴。梅毒感染(累计感染)的独立影响因素包括离异/丧偶/同居、性伴最大年龄≥26岁、近6月主要在家里认识性伴、浴室/公园寻找性伴。结论绵阳市MSM人群HIV/梅毒感染率较高,受多性伴、性伴来源、性伴年龄特征等因素影响,应针对性加大干预力度。
Objective To find out the current situation and the factors influencing HIV/Syphilis infection among MSM （ men who have sex with men ） in Mianyang. Methods To adopt the Respondent-driven Sampling （RDS） through which eligible MSM are recruited anonymously to take the HIV/syphilis test by blood, and found the foflow-up cohort of them. Results Four hundred people are surveyed ; infection rate of HIV is 7.8 percent, accumulative infection rate of syphilis is 23.8 percent, current infection rate is 12.7 percent,HIV/syphilis current and accumulative infection rate is 16.7 percent and 40.0 percent. Single factor analy- sis： the difference of the infection rate of HIV/syphilis （accumulative infection） in people of different in- comes, ages, occupations, marriage situation, having different places to find sex partners, having a num- ber of sex partners in the last 6 months, having one night stand with most of the sex partners in the last 6months, age of having the first sex act, having maximum age of the sex partners in the last 6 months has a statistic significance. Multi factors analysis： the independent factors influencing HIV infection rate are find- ing sex partners in public bathrooms, parks, on the Internet, having a number of sex partners more than 6.The independent influencing factors of syphilis infection （accumulative infection） are having divorces, los- ing one＇s husband/wife, maximum age of sex partners is more than 26, knowing sex partners mainly at home/bathhouse/parks. Conclusion The infection rate of HIV/syphilis of MSM in Mianyang is relativelyhigh; the pointed references should therefore be reinforced.
出处
《中国皮肤性病学杂志》
CAS
北大核心
2012年第5期410-414,共5页
The Chinese Journal of Dermatovenereology
基金
中美艾滋病防治合作项目(课题编号:6.3.3A)
