摘要
目的了解浙江省台州市2016—2019年男男性行为者(MSM)感染人类免疫缺陷病毒(HIV)现状及其相关因素。方法利用台州市2016—2019年艾滋病哨点监测中MSM HIV感染监测数据,对各年MSM的感染现状、HIV知识知晓以及艾滋病相关行为进行分析,通过多因素logistic探讨HIV感染相关因素。结果 2016—2019年台州市哨点监测共调查1 740名MSM,艾滋病知识总体知晓率为88.2%,4年间艾滋病知识知晓率总体呈现上升趋势(Z=2.205,P=0.028),最近6个月发生过同性肛交的占79.0%,其中57.1%在同性肛交时坚持使用安全套,4年间坚持使用安全套比例呈现上升趋势(Z=2.742,P=0.006)。HIV抗体阳性率为11.1%(95%CI:9.6%~12.6%),2016—2019年HIV抗体阳性率差异无统计学意义(Z=-1.481,P=0.138)。多因素logistic回归分析显示,户籍地为外省、最近6个月发生过同性肛交以及梅毒感染是艾滋病感染的危险因素,文化程度为大专及以上、最近6个月同性肛交时坚持使用安全套、最近6个月与异性发生过性行为、接受过HIV干预服务是艾滋病感染的保护因素(P<0.05)。结论 2016—2019年台州市MSM HIV感染水平无差异,但仍处于高水平,存在一定梅毒感染风险,艾滋病相关危险行为持续存在,应进一步加强MSM的艾滋病干预管理。
Objective To understand the infection status of human immunodeficiency virus(HIV) and related factors in men who have sex with men(MSM) in Taizhou, Zhejiang province, from 2016 to 2019. Methods The HIV infection status, AIDS related knowledge awareness and related behaviors in MSM in Taizhou were analyzed using the sentinel surveillance data from2016 to 2019. Influencing factors of HIV infection were analyzed by multivariate Logistic analysis. Results A total of 1 740 MSM were investigated in Taizhou from 2016 to 2019, the overall awareness rate of AIDS related knowledge was 88.2%,showing an increase trend in the past four years(Z=2.205,P=0.028). The MSM who had homosexual anal sex in the past 6 months accounted for 79.0%, and among these MSM, 57.1% used condoms at each anal sex, the condom use rate increased over the 4 years(Z=2.742,P=0.006). The overall HIV antibody positive rate was 11.1%,and there was no significant difference in HIV antibody positive rate between 2016 and 2019(Z=-1.481, P=0.138). Logistic regression analysis showed that homosexual anal sex, being from other provinces and syphilis status in the past 6 months were the risk factors for HIV infection, but education level of college or above, condom use at each homosexual anal sex in the past 6 months, heterosexual sex in the past 6 months and HIV intervention service were the protective factors for HIV infection(P<0.05). Conclusion The HIV infection rate and the prevalence of related risk behaviors in MSM in Taizhou was still high from 2016 to 2019, and risk for syphilis existed. The intervention and management for HIV infection in MSM should be further strengthened.
作者
顾明明
程强
许圆圆
沈伟伟
林海江
陈潇潇
Gu Mingming;Cheng Qiang;Xu Yuanyuan;Shen Weiwei;Lin Haijiang;Chen Xiaoxiao(Taizhou Prefectural Center for Disease Control and Prevention,Taizhou 318000,Zhejiang,China)
出处
《疾病监测》
CAS
2020年第10期893-898,共6页
Disease Surveillance
基金
浙江省台州市科技计划项目(No.1901ky80)。
关键词
男男性行为者
人类免疫缺陷病毒
哨点监测
行为特征
Men who have sex with men
Human immunodeficiency virus
Sentinel surveillance
Behavior characteristic
