摘要
目的：了解黄石地区男男同性恋人群（YMSM）中梅毒的新发感染状况及其影响因素。方法：利用黄石地区疾控中心资料及相关娱乐场所资料收集到850名YMSM对象,对850例研究对象进行梅毒感染的本底调查及问卷调查,并进行12个月的随访,在本底调查后第12个月再次对850例研究对象进行梅毒感染调查并进行相关统计分析。结果：本次调查850例研究对象,第一次回收有效调查问卷841份,第12个月随访结束时有8例研究对象失访,至研究结束共收集到833例研究对象的资料;经过数据筛查,剔除不完整数据,最后取得的完整的788例研究对象的数据。788例研究对象中,年龄1865岁,中位年龄31岁;未婚561人,已婚227人,大专以上文化390人,241人月收入〉5000元,308人主要通过互联网的形式寻找同性恋伴侣,254人通过酒吧等娱乐场所结识性伴侣,其他途径占226人。本底调查时共发现45例研究对象梅毒抗体检测阳性,梅毒感染率为5.35%（45/841）,第12个月再次复查时,出现新发感染患者9例,新发感染率为1.08%（2/833）。多因素分析结果：既往性病史（OR=4.029）、最近一次发生男男性行为是否使用安全套（OR=3.571）、最近一年是否做过梅毒抗体检查（OR=2.553）、第一次发生男男性行为的年龄（OR=2.007）、最近一个月发生男男性行为次数（OR=1.683）、第一次发生性行为年龄（OR=1.338）。结论：根据本次研究显示,YMSM人群感染梅毒的高危因素主要是男男性行为不采取安全措施、既往性病史、近一年未参与性病筛查等因素。对预防YMSM人群梅毒感染应根据危险因素、传播途径有针对性的采取措施,降低这一人群梅毒的感染与传播。
Objectives： To understand the syphilis infections status and its influencing factors among MSM population （YMSM） factors in Huangshi. Methods： 850 YMSM objects were investigated with questionnaires for syphilis infection and were followed up for 12 months. A syphilis infection survey was performed in the twelfth months after background investigation for statistics analysis. Results： The survey of 850 subjects, the first recycling 841 valid questionnaires, the end of the twelfth months of follow - up of 8 subjects lost to follow - up, to the end of the studywere collected from 788 cases study of information. This study adopts the research data for the 788 subjects last achieved complete data. 788 subjects, aged 18 - 65 years old, median age 31 years; 561unmarried people, married 227 people, college education 390people, 241 people monthly income of 〉 5000 yuan, 308people for gay couples mainly through the form of the Internet, 254 one meet sex partners through the bars and other entertainment, other ways 226 people. The investigations were found in 45 cases of detection of syphilis antibody positive, the infection rate of syphilis was 5.35% （45/841） ,twelfth months to check again, the emergence of new infections in 9 cases, infection rate was 1.08 % （ 2/833 ）. The results of multivariate analysis ： past history （ OR = 4.029 ）, a recent occurrence of male behavior whether condom use （ OR = 3. 571 ） , a recent years dosyphilis antibody test （ OR = 2. 553 ） , the first male behavior of age （ OR = 2. 007 ） , a recent months have sex with men（ OR = 1. 683 ） , the number of the first sex age （ OR = 1. 338 ）. Conclusion： According to the study, it is found that risk factors of syphilis infection among YMSM mainly include sexual behavior without taking security measures, past history and having not participated in the STD screening for nearly a year. Targeted measures should be taken to prevent YMSM syphilis infection based on risk factors and route of transmission, to reduce
出处
《中国性科学》
2015年第6期63-67,共5页
Chinese Journal of Human Sexuality
