中华预防医学杂志
中華預防醫學雜誌
중화예방의학잡지
CHINESE JOURNAL OF
2008年
12期
870-874
,共5页
冯连贵%丁贤彬%卢戎戎%潘传波%易辉容%刘宏虹%欧阳琳%徐静
馮連貴%丁賢彬%盧戎戎%潘傳波%易輝容%劉宏虹%歐暘琳%徐靜
풍련귀%정현빈%로융융%반전파%역휘용%류굉홍%구양림%서정
性传播疾病%HIV%危险性行为%危险因素
性傳播疾病%HIV%危險性行為%危險因素
성전파질병%HIV%위험성행위%위험인소
Sexually transmitted diseases%HIV%Unsafe sex%Risk factors
目的 了解重庆市男男性接触人群(MSM)艾滋病病毒(HIV)感染率及其影响因素.方法 2007年7-9月在重庆市渝中区、九龙坡区和沙坪坝区通过滚雪球方式招募1044名MSM进行面对面的问卷调查,以HIV感染状况为应变量,人口学特征、艾滋病防治知识知晓水平、性行为状况、接受干预服务、梅毒感染状况等为自变量进行逐步向前法的logistic回归分析与HIV感染相关的因素.结果 调查的1044名MSM中,艾滋病防治知识知晓率高(89.5%),近6个月与男性发生无保护性的肛交比例为63.8%;梅毒感染率为8.5%(89/1044),HIV感染率为12.5%(131/1044).多因素回归分析发现,年龄较大(OR=1.69,95%CI:1.13～2.52)、文化程度在初中以下(OR=1.89,95%CI:1.17～3.05)、首次性行为年龄在18岁以下(OR=3.11,95%CI:1.20～8.02)、近6个月男性性伴数在10个以上(OR=2.24,95%CI:1.24～4.02)、近6个月与女性有性行为史(OR=2.40,95%CI:1.64～3.51)和梅毒感染(OR=4.52,95%CI:2.77～7.38)是HIV感染的独立危险因素.结论 MSM人群无保护性性行为发生率、梅毒和HIV感染率均高.
目的 瞭解重慶市男男性接觸人群(MSM)艾滋病病毒(HIV)感染率及其影響因素.方法 2007年7-9月在重慶市渝中區、九龍坡區和沙坪壩區通過滾雪毬方式招募1044名MSM進行麵對麵的問捲調查,以HIV感染狀況為應變量,人口學特徵、艾滋病防治知識知曉水平、性行為狀況、接受榦預服務、梅毒感染狀況等為自變量進行逐步嚮前法的logistic迴歸分析與HIV感染相關的因素.結果 調查的1044名MSM中,艾滋病防治知識知曉率高(89.5%),近6箇月與男性髮生無保護性的肛交比例為63.8%;梅毒感染率為8.5%(89/1044),HIV感染率為12.5%(131/1044).多因素迴歸分析髮現,年齡較大(OR=1.69,95%CI:1.13～2.52)、文化程度在初中以下(OR=1.89,95%CI:1.17～3.05)、首次性行為年齡在18歲以下(OR=3.11,95%CI:1.20～8.02)、近6箇月男性性伴數在10箇以上(OR=2.24,95%CI:1.24～4.02)、近6箇月與女性有性行為史(OR=2.40,95%CI:1.64～3.51)和梅毒感染(OR=4.52,95%CI:2.77～7.38)是HIV感染的獨立危險因素.結論 MSM人群無保護性性行為髮生率、梅毒和HIV感染率均高.
목적 료해중경시남남성접촉인군(MSM)애자병병독(HIV)감염솔급기영향인소.방법 2007년7-9월재중경시투중구、구룡파구화사평패구통과곤설구방식초모1044명MSM진행면대면적문권조사,이HIV감염상황위응변량,인구학특정、애자병방치지식지효수평、성행위상황、접수간예복무、매독감염상황등위자변량진행축보향전법적logistic회귀분석여HIV감염상관적인소.결과 조사적1044명MSM중,애자병방치지식지효솔고(89.5%),근6개월여남성발생무보호성적항교비례위63.8%;매독감염솔위8.5%(89/1044),HIV감염솔위12.5%(131/1044).다인소회귀분석발현,년령교대(OR=1.69,95%CI:1.13～2.52)、문화정도재초중이하(OR=1.89,95%CI:1.17～3.05)、수차성행위년령재18세이하(OR=3.11,95%CI:1.20～8.02)、근6개월남성성반수재10개이상(OR=2.24,95%CI:1.24～4.02)、근6개월여녀성유성행위사(OR=2.40,95%CI:1.64～3.51)화매독감염(OR=4.52,95%CI:2.77～7.38)시HIV감염적독립위험인소.결론 MSM인군무보호성성행위발생솔、매독화HIV감염솔균고.
Objective To examine HIV prevalence and its associated factors among men who have sex with men(MSM)and provide the evidence for the intervention program among MSM.Methods A face-to-face questionnaire interview was conducted among MSM recruited by snowball sampling method in Yuzhong,Jiulongpo and Shapingba district of Chongqing from July to September,20017.Totally,1044 MSM were recruited.Associated factors with HIV prevalence were analyzed using forward stepwise logistic regression that HIV status was the dependent variable and demographics,AIDS awareness,sexnal behaviors and the status of the intervention were independent variables.Results A total of 1044 MSM were surveyed.The rate of AIDS awareness was 89.5%among MSM.The rate of unprotected anal sex during the past 6 months was 63.8%.The prevalence of HIV and syphilis was 8.5%(89/1044)and 12.5%(131/1044)respectively.The multivariate analysis identified that the older MSM(OR=1.69,95%CI:1.13-2.52),iunior school education(OR=1.89,95%CI:1.17-3.05),younger than 18 years old of the first sex (OR=3.11,95%CI:1.20-8.02),more than 10 sexual partners(OR=2.24,95%CI:1.24-4.02),the history of having sex with women(OR=2.40,95%CI:1.64-3.51)and syphilis infection(OR=4.52,95%CI:2.77-7.38)were independent risk factors associated with HIV infection.Conclusion The rate of unprotected anal sex was high,so were the prevalence of HIV and syphilis among MSM.It should be urgent to conduct the intervention to stop AIDS rapid transmission among MSM.
