摘要
目的了解对男男性行为HIV感染者（MSM感染者）的干预效果，为有针对性的随访管理提供参考。方法通过全国艾滋病综合防治数据信息系统，将现住址为“浙江省临海市”且为2008年1月1日至2015年12月31日报告并随访满1年的所有MSM感染者纳入分析，分析该人群随访1年前后艾滋病相关危险性行为、配偶／固定性伴变化情况等。结果临海市随访满1年的MSM感染者共96例，其中20—29岁者占40．6％，高中及以上文化程度者占54．2％，未婚者占60．4％。在告知配偶／性伴的MSM感染者中，已婚MSM感染者配偶HIV感染率为2．9％（1／34），明显低于未婚组同性固定性伴的感染率57．1％（4／7），差异有统计学意义（χ^2=11．27，P=0．001）；96例MSM感染者治疗率达95．8％（92／96），治疗后病毒有效抑制率达98．9％（91／92）。经过1年随访，MSM感染者发生艾滋病相关危险性行为的比例由44．8％（43／96）下降至4．2％（4／96），报告时为已婚的MSM感染者由34例（35．4％）下降到27例（28．1％），但同时也有4例由未婚转变为有同性固定性伴。结论临海市MSM感染者经随访干预后，艾滋病相关危险性行为比例下降明显，且MSM感染者无配偶维持率高，同性性伴阳性告知率低，应继续加强MSM感染者的随访管理及干预，特别是仍有危险行为的感染者，以降低MSM感染者HIV二代传播风险。
Objective To learn the intervention effectiveness on HIV infected men who have sex with men （ MSM ） and to provide reference for follow-up management. Methods All HIV-infected MSM who were reported from January 1,2008 to December 31, were enrolled. High risk sexual behaviors and changing 2015 and followed-up for one year in Linhai City status of spouses/sex partners were analyzed to assess the effective of intervention. Results Among the 96 patients who were followed up for one year, 40.6% were aged 20-29 years, 54. 2% had an education of high school or above, 60. 4% were unmarried. 95.8% participants received ART with a viral inhibition ratio of 98.9%. Before and after one year＇s follow-up, the proportion of high-risk sexual behavior declined from 44. 8% to 4. 2%. The proportion of HIV positive status of spouses was higher in unmarried HIV infected MSM than in married HIV infected MSM （2.9% vs 57.1% ）. Conclusion High risk sexual behaviors of HIV-infected MSM in Linhai City declined dramatically after one-year follow-up and intervention. The proportion of married HIV infected MSM who inform their spouses of their HIV infection status and the proportion of HIV positive status of their spouses is higher than unmarried HIV infected MSM. HIV-related health education and follow-up management should be enhanced, particular to the HIV infected individuals who still have risky behavior to reduce the risk of HIV second generation transmission of HIV infected MSM.
出处
《上海预防医学》
CAS
2016年第12期853-855,共3页
Shanghai Journal of Preventive Medicine
关键词
男男性行为人群
艾滋病病毒
危险性行为
干预
men who have sex with men
HIV
high risk sexual behaviors
intervention
