摘要
目的了解桂林市2012—2016年男男性行为(men who have sex with men,MSM)人群人类免疫缺陷病毒(Human immunodeficiency virus,HIV)感染情况及其影响因素,为制定降低该人群艾滋病感染策略提供依据。方法2012—2016年采用滚雪球抽样方法在桂林市招募1920名MSM开展问卷调查,并抽血进行HIV、梅毒及丙型肝炎病毒(Hepatitis C virus,HCV)检测。利用单因素和多因素logistic回归分析探索HIV感染的危险因素。结果调查人群以20~<30岁为主,构成比为43.5%;未婚比例最大,构成比为72.1%;文化程度以高中或中专为主,构成比为39.1%;艾滋病相关知识知晓率构成比为94.8%。HIV、梅毒和HCV阳性率分别为4.8%(95%CI:3.8%~5.7%)、8.0%(95%CI:6.8%~9.2%)和1.1%(95%CI:0.7%~1.6%)。最近1年是否诊断患过性病是调查人群感染HIV的危险因素。结论桂林市MSM人群HIV、梅毒感染率较高,与艾滋病相关知识高知晓率存在背离现象,提示知行分离、侥幸心理导致感染率升高的可能。在加强HIV防治知识宣传的同时,加大梅毒等性病危害知识的警示性教育力度,顺应网络交友的趋势利用互联网创新宣传模式,降低HIV在该人群中的传播。
Objective To investigate Human immunodeficiency virus(HIV)infection status and corresponding factors among men who have sex with men(MSM)in Guilin from 2012 to 2016,and to provide the basis for development of strategies to reduce the population infected with acquired immune deficiency syndrome(AIDS).Methods Totally 1920 MSM cases were recruited by applying the snowball method for questionnaire survey in Guilin from 2012 to 2016,and the blood drawing was implemented for HIV,syphilis and Hepatitis C virus(HCV)test.Univariate and multivariate logistic regression methods were used to explore risk factors for HIV infection.Results The surveyed population with a constituent ratio of 43.5%was mainly composed of 20-<30 years old group;the unmarried population with a constituent ratio of 72.1%was found to be have the maximum proportion;senior high school or technical secondary school with a constituent ratio of 39.1%dominated in terms of education level;and the constituent ratio for AIDS related knowledge was 94.8%.The positive rate of HIV,syphilis and HCV was 4.8%(95%CI:3.8%-5.7%),8.0%(95%CI:6.8%-9.2%)and 1.1%(95%CI:0.7%-1.6%)respectively.The confirmed diagnosis of sexually transmitted disease in the most recent year was found to be a risk factor for investigated population′s infection of HIV.Conclusion The infection rate of HIV and syphilis among MSM in Guilin is relatively high,and it deviates from high awareness for AIDS-related knowledge,showing that the separation of knowledge and action and fluke psychology may lead to the elevated HIV infection.It is necessary to strengthen the warning education intensity on knowledge for harms of syphilis and other venereal diseases,and utilize reduce the spread of HIV among the population by means of innovative publicity mode for internet based on the trend of online dating while tightening the publicity of prevention and treatment knowledge for HIV.
作者
周玲米
阳冬
莫靖林
付小风
徐芳
潘晓雯
周芸
刘岳龙
汤杰
ZHOU Ling-mi;YANG Dong;MO Jing-lin;FU Xiao-feng;XU Fang;PAN Xiao-wen;ZHOU Yun;LIU Yue-long;TANG Jie(Department of AIDS Prevention and Control,Guilin Center for Disease Control and Prevention,Guangxi Zhuang Autoromous Region 541000,China)
出处
《医学动物防制》
2023年第1期25-29,共5页
Journal of Medical Pest Control
基金
广西壮族自治区卫生健康委员会自筹经费科研课题(Z20210168)
桂林市科学技术局桂林市科学研究与技术开发计划项目(20210227-14)
关键词
HIV/AIDS
MSM
危险因素
哨点监测
梅毒
影响因素
HIV/AIDS
Men who have sex with men(MSM)
Risk factor
Sentinel surveillance
Syphilis
Influencing factor
