大连市男男性行为人群艾滋病危险行为调查

赵志杰; 李瑞; 佟伟; 李德钧; 张群; 熊帮洁; 杨文明; 蒋希宏; 张兴晖; 高学谦; 高莹

doi:10.11847/zgggws-2012-28-02-40

大连市男男性行为人群艾滋病危险行为调查

doi: 10.11847/zgggws-2012-28-02-40

大连市疾病预防控制中心艾滋病性病防制所, 辽宁116021

详细信息

作者简介:
赵志杰(1973- ),男,回族,辽宁大连人,副主任医师,本科,主要从事艾滋病预防控制工作。

中图分类号: R512.91
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出版历程
- 接收日期: 2011-08-02
- 刊出日期: 2012-02-10

Survey on AIDS risk behaviors among men who have sex with men in Dalian city

Department of AIDS/STDs Control, Dalian Municipal Center for Disease Control and Prevention, Dalian 116021, China

摘要

摘要: 目的了解辽宁省大连市男男性行为人群(MSM)行为学特征及艾滋病病毒(HIV)、丙型肝炎(HCV)和梅毒感染率,探索HIV感染的影响因素。方法采用定向抽样方法招募MSM,进行面对面的问卷调查,并采血样进行HIV、梅毒和HCV检测。结果共招募932名MSM,HIV抗体阳性率3.43%(32/932),梅毒血清学阳性率12.12%(113/932),HCV抗体阳性率1.07%(10/932);最近6个月,88.73%(827/932)的调查对象曾经与男性发生过肛交;其中每次使用安全套的占52.18%;多因素Logistic回归模型提示,受教育程度低、外地户籍、最近6个月为男性提供商业性服务的男性、梅毒抗体阳性的MSM其HIV感染的风险高;最近1年接受过HIV抗体检测是HIV感染的保护因素。结论大连市MSM HIV感染率高,高危行为普遍存在。
- 艾滋病 /
- 危险性行为 /
- 男男性行为人群
Abstract: Objective To examine the human immunodeficiency virus(HIV)risk behaviors,HIV,hepatitis C virus (HCV),and syphilis infection rates among men who have sex with men(MSM)in Dalian city and to explore the influencing factors of HIV infection among them. Methods A face-to-face questionnaire interview was conducted among MSM recruited with snowball sampling method and the blood samples were collected from the participants for the test fo HIV, syphilis,and HCV. Results A total of 932 MSM were recruited.The prevalence rates of HIV,syphilis,and HCV were 3.42% (32/932),12.12% (113/932),and 1.07% (10/932).In the past 6 months,88.73% (827/932)of the MSM investigated had anal sex with males.Among them,only 52.18% reported consistent condom use during anal intercourse. Multiple logistic regression analyses indicated that lower education background,floating population,commercial sex with men in the past 6 months,and syphilis infection were risk factors of HIV infection.Whereas having HIV test in the last year was a protective factor. Conclusion A high HIV infection rate and high risk behaviors are observed among MSM in Dalian.
- AIDS /
- unsafe sexual behavior /
- MSM

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参考文献(8)

[1]	国务院防治艾滋病工作委员会办公室,联合国艾滋病中国专题组.中国艾滋病防治联合评估报告(2007)[R].北京:国务院防治艾滋病工作委员会办公室,2007.
[2]	中华人民共和国卫生部,联合国艾滋病规划署,世界卫生组织.2009年中国艾滋病疫情[R].北京:中国疾病预防控制中心性病艾滋病预防控制中心,2009.
[3]	李瑞,佟伟,赵志杰,等.1995-2008年辽宁省大连市艾滋病监测结果及流行特征分析[J].疾病监测,2009,24(11):852-855.
[4]	吴尊友.中国艾滋病疫情监测面临的挑战[J].疾病监测,2009,24(11):819-821.
[5]	王晨,梁红元,杨烨,等.北京市男男性行为者HIV感染及影响因素的调查研究[J].中国艾滋病性病,2008,14(6):552-557.
[6]	杨慧,阮师漫,朱艳文,等.济南市男男性行为人群的特征和高危行为分析[J].中国艾滋病性病,2009,15(4):420-421.
[7]	楚振兴,马宁,徐俊杰,等.辽宁省MSMHIV感染现状及其影响因素分析[J].中国公共卫生,2011,27(8):967-969.
[8]	周超,丁贤彬,冯连贵,等.重庆市男男性行为者艾滋病高危行为调查[J].中国公共卫生,2010,26(12):1482-1483.