摘要
目的了解依托社会组织对福州市MSM人群进行艾滋病宣传干预,并进行检测,针对其HIV检测结果与问卷调查内容展开分析,提出适合福州市MSM人群干预手段。方法 2016年5~11月在福州市酒吧、浴池、会所等传统活动场所采用"地毯式寻求应答"调查法,并在网络平台上"滚雪球式"发布信息,通过网络邀请其与好友自愿前往网络招募办公室接受调查检测。结果社会组织参与MSM人群总干预的16 149名,接受HIV检测的2 641人,HIV感染率为4.05%,梅毒3.37%。检测率为16.35%,网络招募较其他场所检测率高,不同干预场所检测率差异有统计学意义(P<0.01)。调查人群平均年龄为(28.47±7.75)岁,不同干预场所间年龄、婚姻状况、文化程度、现住址居住时间上差异均有统计学意义(P<0.01);艾滋病知晓率为96.29%,知晓率与MSM活动场所、文化程度差异有统计学意义(P<0.01);网络招募较其他场所检测率高,不同干预场所检测率差异有统计学意义(P<0.01)。不同场所HIV确认率差异有统计学意义(P<0.01),其中浴池确认率最低;不同场所与HIV抗体检测、梅毒检测阳性率差异有统计学意义,丙肝检测阳性率差异无统计学意义;不同场所同性发生性行为差异有统计学意义(P<0.01),最近一次同性性交中使用安全套情况差异有统计学意义(P<0.01),在最近6个月与同性发生性行为安全套使用情况差异有统计学意义(P<0.01);不同干预场所检测率差异有统计学意义(P<0.01),不同场所艾滋病既往检测、既往接受艾滋病宣传干预差异有统计学意义(P<0.01)。结论福州市未来MSM人群干预可依托男男艾滋病干预社会组织的力量与其特有的优势开展艾滋病宣传干预。
Objective To understand the publicity intervention among MSM conducted by social organizations in Fuzhou city,so as to put forward appropriate intervening methods among MSM. Methods During May-November 2016,in the traditionalvenues such as bars, bathing pools and clubs, the method of ＂Blanket Search＂ was applied. On the Internet, mes- sages were posted in a snowballing way to invite respondents and their friends to take tests. Results A total of 16 149 individuals were surveyed,with 2 641 being HIV tested, the HIV infection rate was 4.05% and thesyphilis rate was 16.35 %. The rate of taking tests was 16.35 % with network sources higher than other sources,with statistical difference （ P〈0.01）. The average age of the survey population was 28.47 4±7.75 years old, and there were statistically significant differences in age, marital status, educational level and residence time between different intervention sites （ P〈0.01 ）. The HIV/AIDS awareness rate was 96.29%, and there were statistically significant differences between the awareness rate and MSM activity sites and education level （ P〈0.01）. The detection rate of network recruitment was higher than that of other places, and the detection rate difference of different intervention places was statistically significant （ P〈0.01 ）. There was statistically significant difference in HIV recognition rate in different places （ P〈0.01）, with the lowest rate in bathing pools. There was statistically significant difference in the positive rate of HIV antibody test and syphilis test in different sites,and no significant difference in the positive rate of hepatitis C test. In different placeshomosexual behavior difference was statistically significant（ P〈0.01） ,in thehomosexual behavior with the latest condom difference was staffstically significant （ P〈0.01）,and in the last 6 months homosexual behavior and condom use difference was statistically significant （ P〈0.01）. The difference of detection rate in different interventio
作者
张宏
陈剑惠
林春仲
陈传刚
刘梅艳
ZHANG Hong;CHEN Jian-hui;LIN Chun-zhong;CHEN Chuan-gang;LIU Mei-yan(Fuzhou City Center for Disease Control and Prevention,Fuzhou,Fujian,350004,chin)
出处
《预防医学论坛》
2018年第5期336-340,343,共6页
Preventive Medicine Tribune
关键词
MSM
社会组织干预
艾滋病监测
网络招募
MSM
Social organization intervention
HIV/AIDS surveillance
Internet recruitment
