摘要
目的了解绵阳市男男性行为者(MSM)艾滋病病毒(HIV)/梅毒新发感染情况及其影响因素。方法 2009年采用应答推动抽样法(RDS)在绵阳招募调查符合条件的HIV阴性的MSM建立随访研究队列,1年后进行相关行为学随访调查和HIV/梅毒等血清学检测。结果在155例随访者中,平均年龄(28.92±7.80)岁,HIV确证阳转9例,新发感染率为5.2/100人年;梅毒阳转13例,新发感染率为7.6/100人年;丙肝无阳转。单因素分析,年龄、婚姻状况、户籍、艾滋病知识知晓、寻找性伴场所、梅毒感染(现症感染)、近6个月性伴最小年龄和近1年接受性病检查/治疗、HIV咨询/检测与HIV新发感染相关,年龄、户籍、首次性行为对象和近6个月以偶然性伴为主与梅毒新发感染相关(P<0.01或P≤0.05)。多因素分析寻找性伴场所(OR=12.346)、梅毒现症感染(OR=6.699)、近1年接受HIV咨询检测(OR=17.123)为HIV新发感染的独立影响因素,户籍(OR=16.860)、首次性行为对象(OR=5.378)、近6个月以偶然性伴为主(OR=7.3531)为梅毒新发感染独立影响因素。结论绵阳市MSM人群HIV/梅毒新发感染率较高,防治形势严峻,应加大防治力度。
Objective To find out the current situation and influencing factors of the new HIV/syphilis infections among MSM（men who have sex with men） in Mianyang.Methods HIV/syphilis negative MSM were recruited anonymously adopted by the Respondent-driven Sampling（RDS）,and their were given the HIV/syphilis test by blood one year later.Results One hundred and fifty-five follow-up persons were surveyed,of whom the average age was（28.92±7.80）,9 of them were HIV positive,newly infection rate was 5.2/100 per person/year;13 of them were syphilis positive,newly infection rate was 7.6/100 per person/year;no hepatitis C infection.Single factor analysis：the difference of the infection rate of HIV/syphilis（accumulative infection） of people with different incomes,ages,occupations,marriage situation,having different places to find sex partners,having a number of sex partners in the last 6 months,having one night stand with most of the sex partners in the last 6 months,age of having the first sex action,having maximum age of the sex partners in the last 6 months were related to HIV/syphilis infection（P〈0.01 or P≤0.05）.Multi factors analysis：places to find sex partners（OR=12.346）,present state infection of syphilis（OR=6.699）,having HIV consultation or test in the last year（OR=17.123） are the independent influencing factors of new HIV infection.Census register（OR=16.860）,first sex activity（OR=5.378）,having one night stand in the last 6 months（OR=7.3531） were the independent influencing factors of new syphilis infection.Conclusion The infection rate of HIV/syphilis of MSM in Mianyang is relative high;the pointed references should therefore be reinforced.
出处
《中国皮肤性病学杂志》
CAS
北大核心
2012年第6期509-512,共4页
The Chinese Journal of Dermatovenereology
基金
中美艾滋病防治合作项目(课题编号:6.3.3A)
四川省第四轮全球基金/中英艾滋病项目(GF4SC2008012)
