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2013-2016年浙江省台州市男男性行为人群艾滋病相关危险行为特征和感染状况分析 被引量:1

An epidemiological analysis on HIV infection status and related risk behaviors in men who have sex with men in Taizhou,Zhejiang,2013–2016
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摘要 目的了解2013—2016年浙江省台州市男男性行为者(MSM)艾滋病病毒(HIV)感染现状和相关行为学特征,为该人群疾病的防治和干预提供依据。方法利用2013—2016年台州市MSM艾滋病哨点监测数据,分析各年HIV感染现状、艾滋病知晓情况和性行为特征,并通过logistics回归分析该人群HIV阳性率及其影响因素。结果纳入哨点监测分析的1 750名研究对象的年龄为(36.50±13.80)岁,在婚或同居者44.80%,本省户籍者67.43%,高中及以上学历者53.78%。该人群HIV、丙型肝炎病毒和梅毒的感染率分别为12.57%、0.29%和7.77%,HIV知晓率为91.14%。所有调查对象中承认最近6个月与同性发生过肛交性行为、与同性发生过商业性行为和与异性发生过性行为的比例分别为89.96%、6.09%和36.40%,其中,坚持使用安全套的比例分别为42.23%、58.33%和21.66%。最近6个月与同性发生肛交性行为时坚持使用安全套的比例逐年上升(χ2趋势=14.207,P〈0.001),承认吸毒的比例也逐年上升(χ2趋势=11.002,P=0.001)。多因素分析显示,高年龄、外省户籍、感染梅毒是HIV感染的危险因素;文化程度高、与同性肛交时坚持使用安全套、知晓HIV知识、接受过干预服务是HIV感染的保护因素。结论近年来台州市MSM人群HIV抗体阳性率一直较高,艾滋病相关危险行为仍较普遍。因此,有关部门亟需加强干预力度,普及疾病预防知识,提高安全套使用率,减少不安全性行为的发生。 Objective To analyze the trend of human immunodeficiency virus(HIV) infection and the prevalence of related risk behaviors in men who have sex with men(MSM) in Taizhou, Zhejiang province, from 2013 to 2016 and provide evidence for the prevention and control of HIV infection. Methods The sentinel surveillance data in MSM in Taizhou from 2013 to2016 were used to analyze the annual prevalence of HIV infection, acquired immure deficiency syndrome(AIDS) related knowledge awareness and sexual behaviors in MSM and logistic regression analysis was used to identify the risk factors for HIV infection. Results The average age of 1 750 MSM was(36.50±13.80) years. Among the MSM, 44.80% were married or cohabited, 67.43% were local residents in the province and 53.78% had education level of high school and above. The prevalence of HIV infection, HCV infection and syphilis were 12.57%, 0.29% and 7.77% respectively, and the AIDS related knowledge awareness rate was 91.14%. Moreover, 89.96%, 6.09% and 36.40% of them reported having anal sex with men,having commercial sex with men and having sex with women in recent 6 months, respectively, with the consistent condom use rates of 42.23%, 58.33% and 21.66%. The rate of consistent condom use in anal sex during recent 6 months increased year by year(χ2 trend=14.207, P〈0.001). The proportion of MSM reporting drug abuse also increased year by year(χ2 trend=11.002,P=0.001). Multivariate analysis found that suffering from syphilis was a risk factor for HIV infection, while consistent condom use, AIDS related knowledge awareness and intervention services were the protective factors. Conclusion The prevalence of HIV infection was high and HIV related behavior was common in MSM in Taizhou in recent years. Efforts to disseminate knowledge of disease prevention, promote consistent condom use and reduce unprotected sex in MSM are urgently needed.
作者 陈潇潇 乔晓彤 沈伟伟 汪剡灵 许圆圆 林海江 Chen Xiaoxiao1, Qiao Xiaotong2, Shen Weiwei1, Wang Jingling1, Xu Yuanyuan1, Lin haijiang1(1. Taizhou Prefectural Center for Disease Control and Prevention, Taizhou 318000, China; 2. Department of Epidemiology, School of Public Health, Fudan University, Shanghai 200032, China)
出处 《疾病监测》 CAS 2018年第10期854-859,共6页 Disease Surveillance
基金 国家卫生健康委卫生技术评估重点实验室2017年开放基金(No.16-251)
关键词 男男性行为者 艾滋病病毒 哨点监测 危险因素 行为特征 Men who have sex with men Human immunodeficiency virus Sentinel surveillance Risk factor Behavior characteristics
作者简介 陈潇潇,女,浙江省台州市人,硕士,副主任医师,主要从事艾滋病防治研究工作;通信作者:林海江,Tel:0576-89315903,Email:tzcdclhj@126.com
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