摘要
目的了解海南省海口市男男性行为人群特征及HIV/梅毒感染现状。方法采用滚雪球法对海口市男男性行为人群进行横断面调查,调查对象在完成面对面问卷调查后,抽取5～10 mL血液样本检测HIV及梅毒。结果在完成的248份问卷中,56.5%(140/248)的人为主动参与调查,34.3%(85/248)为网络招募;39.1%(97/248)的人为外省户籍,89.1%(221/248)的人有过肛交性行为,17.7%(44/248)的人存过去6个月与女性发生过性行为,4.8%(12/248)的人与同性有过商业性行为:该人群HIV总感染率为2.0%(5/248),梅毒感染率为10.5%(26/248);本省户籍与外省户籍MSM的HIV感染率分别为2.6%(4/151)和1.0%(1/97),梅毒感染率分别为7.9%(12/151)和14.4%(14/97),差异均无统计学意义;与女性发生过性行为的MSM HIV感染率为4.5%(2/44),梅毒感染率为9.1%(4/44).<20岁、20岁～、30岁～、≥40岁的HIV感染率分别为4.3%(1/23)、1.2%(2/168)、2.3%(1/44)和7.7%(1/13),差异均无统计学意义。结论 <20岁、>40岁、外省户籍、与女性有过性行为的MSM具有较高的HIV感染率,在今后的艾滋病防控工作中应作为重点人群进行干预。
Objective To know the characteristics of men who have sex with men（MSM）in Haikou and the prevalence rate of HIV and syphilis infection among the MSM. Methods A cross-sectional face-to-face questionnaire survey was conucted among MSM recruited with snowball sampling in Haikou city,Hainan province.Blood samples were collected from the MSM for HIV and syphilis detection. Results Totally 248 MSM completed the questionnaire survey with 140 active participants（56.5%）,85（34.3%） recruited through internet,and 97（39.1%） from other provinces.In the last six months,there were 221（89.1%） of the MSM having sex with men,44（17.7%） having sex with women,and 12（4.8%） having commercial sex.HIV prevalence rate in the MSM was 2.0% and syphilis prevalence rate was 10.5%.The HIV prevalence rate of the local MSM and MSM from other provinces were 2.6%（4/151） and 1.0%（1/97）,respectively（P0.05）.The HIV prevalence rate of MSM having sex with women was 4.5%（2/44）and that of syphilis was 9.1%（4/44）.For the MSM at the age of less than 20,20-29,30-39,and above 40 years,the HIV prevalence rate were 4.3%（1/23）,1.2%（2/268）,2.3%（1/44）,and 7.7%（1/13）,respectively（P0.05）. Conclusion The young MSM（20years）,elder MSM（40years）,MSM having commercial sex,and MSM having sex with women have higher prevalence rate of HIV and syphilis and they are the key intervention groups in AIDS prevention.
出处
《中国公共卫生》
CAS
CSCD
北大核心
2011年第4期480-482,共3页
Chinese Journal of Public Health
基金
中盖艾滋病项目(49277)
