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中国大陆2001—2006年MSM的性行为特征与HIV/现症梅毒感染现状的Meta分析 预览 被引量:27

Sexual behaviors and HIV/syphilis infection among men who have sex with men: a meta analysis of data collected between 2001 and 2006 in the Chinese mainland
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摘要 目的通过2001—2006年开展的针对男男性行为者(MSM)调查的Meta分析,掌握中国大陆MSM的基本情况、性行为特征和艾滋病病毒/性传播感染(HIV/STI)的感染状况、6年间的变化趋势,以及目前相关调查中存在的问题。方法通过相关检索策略查找目前已经发表的针对中国大陆MSM开展的调查文献,进行整理,制作成数据库进行Meta分析。结果目前中国大陆MSM人群近50%拥有大专以上学历,近20%为学生,75%非在婚,25%为流动人群。MSM中近60%性取向为同性恋,首次性行为对象约70%为同性,无保护性行为比例高达75%,自我保护意识差。性行为方式以肛交为主。MSM人群现症梅毒感染率近4%,HIV感染率近2%。2001—2006间的变化无规律性趋势。结论2001—2006年的调查初步掌握了中国大陆MSM人群的特征、性行为方式和特征、现症梅毒和HIV的感染状况。但由于调查方法不统一,调查主要集中在部分大城市,据此结果尚很难对中国大陆的MSM人群的构成、行为学特征和主要STI及HIV感染状况作出一个较为准确的判断。 Objective To examine sexual behaviors, HIV/syphilis infection and their changing trends among MSM in the Chinese mainland during 2001 - 2006. Methods All published data related to the survey among MSM in the mainland were searched and tabulated. Meta-analysis was conducted to obtain overall estimation of different variables on sexual behaviors and HIV/syphilis infection among MSM.Results Nearly 50% of the surveyed MSM had college education. About 20% of them were students;75% were unmarried and the mobile population accounted for 25% .About 60% of them claimed that they were gay and 70 % had their first sex with another man,The rate of unprotected sex was as high as 75 % or more and they had poor self-protection awareness. Anal sex was the fundamental sex behavior. The syphilis infection rate was nearly 4 % among them, while the HIV infection rate was nearly 2 %. An irregular trend was observed between 2001 and 2006. Conclusions Existing data collected in 2001 - 2006 allowed us to understand the basic demographic characteristics of the MSM population, sexual behaviors and the syphilis and HIV infection rate among them. Due to inconsistent methodology employed in the survey which was conducted mainly in big cities,it would be difficult to make an accurate assessment of the overall composition of MSM population, their behavioral characteristics and state of HIV/ syphilis infection in the Chinese mainland, and a national survey using standardized methodology and protocol will be needed in the future.
作者 唐卫明 丁建平 闫红静 还锡萍 羊海涛 赵金扣 TANG Wei-ming , DING Jian-ping , YAN Hong-jing , et al. ( Department of Epidemiology and Biostatistics, School of Public Health, Nanjing Medical University, Nanjing, Jiangsu 210029, China )
出处 《中国艾滋病性病》 CAS 2008年第5期 471-474,488,共5页 Chinese JOurnal of Aids & STD
关键词 男男性行为者 性行为特征 艾滋病病毒感染 梅毒 META分析 MSM Sex behavioral characteristics HIV infection Syphilis Meta analysis
作者简介 唐卫明(1984-),男,江苏省沐阳人,硕士研究生,研究艾滋病流行病学。 通讯作者:赵金扣,现为美国疾病预防控制中心全球艾滋病项目项目主管,Email:jkzhao@hotmail.com
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