中华流行病学杂志
中華流行病學雜誌
중화류행병학잡지
CHINESE JOURNAL OF EPIDEMIOLOGY
2009年
2期
126-130
,共5页
李春梅%萧燕%刘建波%丁贤彬%贾玉江
李春梅%蕭燕%劉建波%丁賢彬%賈玉江
리춘매%소연%류건파%정현빈%가옥강
男男性行为者%艾滋病病毒%梅毒%性传播疾病
男男性行為者%艾滋病病毒%梅毒%性傳播疾病
남남성행위자%애자병병독%매독%성전파질병
Men who have sex with men%Human immunodeficiency virus%Syphilis%Sexually transmitted diseases
目的 了解重庆市男男性行为者(MSM)艾滋病病毒(HIV)和梅毒感染率及其影响因素.方法 通过2006年和2007年两次横断面调查,收集包括人口学、行为学、艾滋病知识、继往性传播疾病相关症状及HIV有关干预接受相关情况信息,并采集血液标本进行HIV和梅毒抗体检测.结果 共调查1773名MSM,HIV和梅毒感染率分别为10.6%和8.4%.在近6个月,约1/3的MSM有多性伴和无保护肛交行为;1/5的MSM有异性性行为.感染HIV的独立危险因素为:大龄(26～35岁:AOR=1.7,95%C1:1.1～2.6;＞35岁:AOR=2.3,95%CI:1.4～3.8)、文化程度低(AOR=2.3,95%CI:1.5～3.5)、多性伴(AOR=1.8,95%CI:1.2～2.8)、浴池/桑拿招募(AOR=2.3,95%CI:1.1～4.7)、有既往性病相关症状(AOR=1.8,95%CI:1.2～2.7)及梅毒感染(AOR=1.7,95%CI:1.1～2.9).结论 重庆市MSM人群HIV及梅毒感染率已达较高水平,多性伴、无保护肛交和异性性行为多见,应采取及时有效的干预措施.
目的 瞭解重慶市男男性行為者(MSM)艾滋病病毒(HIV)和梅毒感染率及其影響因素.方法 通過2006年和2007年兩次橫斷麵調查,收集包括人口學、行為學、艾滋病知識、繼往性傳播疾病相關癥狀及HIV有關榦預接受相關情況信息,併採集血液標本進行HIV和梅毒抗體檢測.結果 共調查1773名MSM,HIV和梅毒感染率分彆為10.6%和8.4%.在近6箇月,約1/3的MSM有多性伴和無保護肛交行為;1/5的MSM有異性性行為.感染HIV的獨立危險因素為:大齡(26～35歲:AOR=1.7,95%C1:1.1～2.6;＞35歲:AOR=2.3,95%CI:1.4～3.8)、文化程度低(AOR=2.3,95%CI:1.5～3.5)、多性伴(AOR=1.8,95%CI:1.2～2.8)、浴池/桑拿招募(AOR=2.3,95%CI:1.1～4.7)、有既往性病相關癥狀(AOR=1.8,95%CI:1.2～2.7)及梅毒感染(AOR=1.7,95%CI:1.1～2.9).結論 重慶市MSM人群HIV及梅毒感染率已達較高水平,多性伴、無保護肛交和異性性行為多見,應採取及時有效的榦預措施.
목적 료해중경시남남성행위자(MSM)애자병병독(HIV)화매독감염솔급기영향인소.방법 통과2006년화2007년량차횡단면조사,수집포괄인구학、행위학、애자병지식、계왕성전파질병상관증상급HIV유관간예접수상관정황신식,병채집혈액표본진행HIV화매독항체검측.결과 공조사1773명MSM,HIV화매독감염솔분별위10.6%화8.4%.재근6개월,약1/3적MSM유다성반화무보호항교행위;1/5적MSM유이성성행위.감염HIV적독립위험인소위:대령(26～35세:AOR=1.7,95%C1:1.1～2.6;＞35세:AOR=2.3,95%CI:1.4～3.8)、문화정도저(AOR=2.3,95%CI:1.5～3.5)、다성반(AOR=1.8,95%CI:1.2～2.8)、욕지/상나초모(AOR=2.3,95%CI:1.1～4.7)、유기왕성병상관증상(AOR=1.8,95%CI:1.2～2.7)급매독감염(AOR=1.7,95%CI:1.1～2.9).결론 중경시MSM인군HIV급매독감염솔이체교고수평,다성반、무보호항교화이성성행위다견,응채취급시유효적간예조시.
Objective To examine tIle prevalence and predictors of HIV and syphilis infections among men who have sex with men(MSM)in Chongqing municipality.China.Methods Cross-sectional studies were conduced in three districts of Chongqing municipality from July to September,2006 and 2007,respectively.Questionnaire-based interviews were conducted to provide information on demographic characteristics,behaviors on sex and drug use,and HIV and sexually transmitted diseases(STD)related health services.Blood samples were tested for HIV and syphilis infections.Results Of 1773 panicipants.10.6%were HIV-positive and 8.4%were sero-positive for syphilis infection.Factors independently associated with HIV infection included older age(26-35 year:AOR=1.7,95%CI:1.1-2.6;＞35 years of age:AOR=2.3,95%CI:1.4-3.8),low level of education(AOR=2.3,95%CI:1.5-3.5),having had multiple male sex partners(AOR=1.8,95%CI:1.2-2.8),venues of recruitment from bathhouses/sauna (AOR=2.3,95%CI:1.1-4.7),with self-reported STD symptoms in the past 12 months(AOR=1.8,95%CI.1.2-2.7)and syphilis infeetion(AOR=1.7,95%CI:1.1-2.9).Conclusion The prevalence rates on both HIV and syphilis infections were considered to be high among MSM in Chongqing city.Unprotected anal sex and multiple sex partners were conqmon in this group.Education,condom promotion.combination of HIV and STD screening,and treatment to the diseases are essential to this population in Chongqing.However,MSM had not hitherto been perceived to be in the epidemic mainstream in this area.
