摘要
目的了解贵阳市男男性行为(MSM)人群的艾滋病感染状况及相关影响因素。方法采用"分类滚雪球法"对最近6个月与同性发生过口交或肛交性行为、年龄18岁以上、自愿同意接受问卷调查的MSM人群进行HIV、梅毒和HSV-2血清学检测。结果基线调查341人,平均年龄(25.8±6.5)岁,艾滋病防治知晓率为90.91%,近6个月发生肛交性行为者为97.06%,最近1次使用安全套的人数占61.93%,近6个月习惯用安全套使用率为29.91%。HIV感染率21.99%。年龄>24岁、少数民族、同时患有梅毒感染、近1年出现性病相关症状、近6个月性角色为0.5和0、近1年没有做过HIV检测者HIV感染风险较高。6个月和12个月的随访调查新发感染率分别为18.1/100人年和18.8/100人年。结论贵阳市MSM人群艾滋病感染率高,年龄、民族、近1年艾滋病检测、近6个月性角色、最近1年性病症状、梅毒感染状况会对HIV感染率产生影响。
Objective To understand HIV prevalence and associated factors and HIV incidence among MSM in Guiy- ang. Methods HIV, syphilis and HSV-2 serological testing were conducted in people who above 18 age,had oral or anal sex for the last 6 months, voluntarily agree to accept questionnaire according to ＂snowball meth- od＂. Results 341 MSM were surveyed in baseline survey. The average age was （ 25.8 ＋ 6.5 ） years old, prevention awareness was 90.91% , nearly 6 months have anal sex was 97.06%. Recently a number of con- dom use accounted for 61.93% , nearly 6 months each sex were using condoms accounted for 29.91%. In- fection rate of HIV was 21.99%. Older than 24 years old, minority nationality, concurrent syphilis infection, nearly a year of venereal disease related symptoms, sex role being 0.5 and 0, nearly a year without HIV tes- ting were associated with H1V infection. For HIV-negative MSM, 6 months and 12 months of follow-up visits were conducted, new infection rates were 18.1% and 18.8% respectively. Conclusion HIV infection a- mong MSM in Guiyang is very high. Age, ethnicity, HIV testing history in latest year, sex role in last 6 months, venereal disease symptoms in latest year, syphilis infection were associated with HIV prevalence.
出处
《中国皮肤性病学杂志》
CAS
北大核心
2013年第12期1261-1263,共3页
The Chinese Journal of Dermatovenereology
