摘要
目的了解芜湖市男男性行为者(Men who have Sex with Men,MSM)的HIV、梅毒感染情况和性行为特征。方法选取2018年4—7月招募400名符合条件的MSM作为研究对象,进行问卷调查和血样采集。统计HIV、梅毒感染情况和性行为报告情况,比较不同基本特征研究对象HIV、梅毒感染率的差异;分析性行为特征及其与HIV、梅毒感染率的关系;分析接受艾滋病服务情况及其与HIV、梅毒感染的关系。结果研究对象大专及以上文化者占48.00%,未婚者占65.25%。65.50%的调查对象报告自己的性取向是同性恋,68.25%的人主要通过互联网/交友软件寻找同性性伴。研究对象的HIV和梅毒感染率分别为10.50%、6.50%。研究对象报告最近六个月发生同性肛交性行为时安全套从未使用、有时使用和每次使用的比例分别为6.75%、36.81%和56.44%,报告最近6个月发生过同性商业性行为的比例为8.75%,安全套坚持使用率为40.00%,报告最近6个月发生过异性性行为的比例为28.25%,安全套从未使用、有时使用和每次使用的比例分别为30.97%、32.75%、36.28%。分析发现初中及以下文化的研究对象HIV感染率为19.74%,高于其他文化者;过去一年曾患性病的研究对象HIV感染率为38.46%,高于未曾患性病者(9.56%),差异均有统计学意义(P<0.05);随年龄组增长研究对象的梅毒感染率上升,初中及以下文化、过去一年曾患性病者的梅毒感染率更高,分别为15.79%、23.08%,差异均有统计学意义(P<0.05)。结论芜湖市MSM人群的HIV和梅毒感染率仍处于较高水平,危险的同性性行为和异性性行为普遍存在,需探索利用互联网+与传统场所干预相结合的新方法,重点关注青少年、文化程度低的MSM人群,以控制HIV和梅毒的进一步传播。
Objective To know the prevalence of HIV and syphilis and sexual behaviors among men who have sex with men(MSM)in Wuhu city,Anhui province.Methods 400 MSM those met the inclusion criteria were recruited as study subjects,and they were asked to complete questionnaire and blood sample collection.SPSS 19.0 softwarewas used to analysis the data,the ratesof HIV and syphilis infection and sexual behaviors of subjects were described.χ^(2) test was used to compare rates between different characteristics of subjects.Results Among the subjects,48.00% of them with education level of junior college and above,and 65.25% of them unmarried.65.50% of subjects reported homosexual orientation and 68.25% of them finding homosexual partners primarily through the internet/dating software.The prevalence of HIV and syphilis infection of subjects were 10.50% and 6.50%,respectively.The proportion of never condom use,sometimes condom use and consistent condom use reported in homosexual anal sex among subjectsin past six months were 6.75%,36.81%and 56.44%,respectively.8.75% of them reported commercial homosexual anal sex in the past six months,the rate of consistent condom use was 40.00%.Among the study subjects,28.25%of them reported to have heterosexual behaviorsin past six months,the proportion of never condom use,sometimes condom use,and consistent condom use were 30.97%,32.75% and 36.28%,respectively.Results of data analysis showed that among the subjects with education level of junior high school or below,the incidence of HIV infection was19.74%,which was higher than the subjects with other education level.Among the MSM those who had sexual transmitted diseases(STDs)in last year,the prevalence of HIV was 38.46%,the rate was higher than those without STDs(9.56%),the difference was statistically significant(P<0.05).The prevalence of syphilis infection increased with theage rising,subjects with the education level of junior high school or below and those had STDs in last year reported higher rate of syphilis infection,15.79% and 23.08%,
作者
张正红
豆正东
方艳姣
成国明
张敏
ZHANG Zheng-hong(Department of AIDS&STD prevention and control,Wuhu Center for Disease Prevention and Control,Wuhu,Anhui,241000,China)
出处
《齐齐哈尔医学院学报》
2020年第24期3115-3120,共6页
Journal of Qiqihar Medical University
关键词
男男性行为者
HIV
梅毒
性行为
Men who have sex with Men
HIV
Syphilis
Sexual behavior
