摘要
目的了解广州市花都区男男同性恋(Men who have six with men,MSM)的艾滋病(Acquired immunodeficiency syndrome,AIDS)确诊患者流行特征及人口学构成差异,为该特殊人群的艾滋病防治提供理论经验。方法通过哨点监测的方法调查2010—2016年间,该区121名存在男男同性恋行为的艾滋病确诊患者,分析该人群的人口学构成差异、商业性行为、感染途径和伴发主要性疾病。结果 121名男男同性恋艾滋病患者的户籍(χ2=1.93,P=0.59)、年龄(χ2=0.45,P=0.93)、学历(χ2=0.27,P=0.98)、月收入水平(χ2=0.91,P=0.64)构成差异无统计学意义(P>0.05);其中的93人(76.86%)存在商业性行为;主要传播途径为同性传播110例(90.91%),其传播途径构成的差异有统计学意义(χ2=34.14,P=0.04);对象的各类性病构成的差异有统计学意义(χ2=12.56,P=0.03),主要疾病为梅毒(26.63%)、生殖器疱疹(23.08%)、淋病(20.12%)。结论广州市某区男男同性恋艾滋病患者人口学构成较为复杂,广泛存在商业性行为,同性性行为是导致其感染主要原因,梅毒、生殖器疱疹、淋病为其伴发的主要疾病。
Objective To understand the epidemiological characteristics and demographic differences of HIV/AIDS patients diagnosed with MSM in our region,and to provide theoretical experience for HIV/AIDS prevention and control of the special population.Methods 121 MSM"were investigated by sentinel surveillance during 2011-2016.The demographic differences,commercial sexual behaviors,infection pathways and associated major diseases were analyzed.Results 121 cases of MSM AIDS patients compared to the basic situation,Household registration(x2=1.93,P=0.59),age(x2=0.45,P=0.93),education(x2=0.27,P=0.98),monthly income levels(x2=0.91,P=0.64)constitute a significant difference,0f which 76.86%of the objects exist commercial sex,The main transmission route of AIDS was homosexual transmission(90.91%),and the difference was significant(x2=34.14,P=0.04),The difference in the composition of various types of sexually transmitted diseases was statistically significant%2=12.56,P=0.03),The main diseases were syphilis(26.63%),genital herpes(23.08%),gonorrhea(20.12%).Conclusions The demographic composition of male and male homosexual AIDS patients in a district of Guangzhou is complicated.There are widespread commercial sexual behaviors.Homosexual behavior is the main cause leading to their infection.Syphilis,genital herpes and gonorrhea are the major diseases.
作者
罗晓媛
李凯
陈成敏
张英俊
黄福娴
LU0 Xiaoyuan;LI Kai;CHEN Chengmin;ZHANG Yingjun;HUANG Fuxian(Huadu District Center for Disease Control and Prevention,Guangzhou 510800,China)
出处
《公共卫生与预防医学》
2018年第1期130-131,共2页
Journal of Public Health and Preventive Medicine
关键词
男男同性恋
艾滋病
性病
流行特征
Male homosexuality
Acquired immunodeficiency syndrome
Sexually transmitted diseases
Epidemiological characteristics
