CAJ | 학술논문

目的了解珠三角地区MSM的HIV感染状况及其影响因素.方法 2009-2013年采用全国MSM哨点监测方案调查该地区内6市MSM的HIV感染率,并分析影响因素.结果 2009-2013年珠三角地区6市共调查MSM 8 770例,HIV感染率分别为4.7％、9.7％、10.6％、12.9％和11.4％,呈上升趋势.MSM中危险行为较为普遍,最近6个月肛交每次使用安全套的比例为46.3％.年龄较大、外省籍、不坚持使用安全套、1年内被诊断患过性病及1年内未接受过艾滋病相关干预服务,是该人群感染HIV的危险因素.结论珠三角地区MSM中HIV传播危险行为较为普遍,HIV感染率呈逐年上升趋势.
목적 료해주삼각지구MSM적HIV감염상황급기영향인소.방법 2009-2013년채용전국MSM초점감측방안조사해지구내6시MSM적HIV감염솔,병분석영향인소.결과 2009-2013년주삼각지구6시공조사MSM 8 770례,HIV감염솔분별위4.7％、9.7％、10.6％、12.9％화11.4％,정상승추세.MSM중위험행위교위보편,최근6개월항교매차사용안전투적비례위46.3％.년령교대、외성적、불견지사용안전투、1년내피진단환과성병급1년내미접수과애자병상관간예복무,시해인군감염HIV적위험인소.결론 주삼각지구MSM중HIV전파위험행위교위보편,HIV감염솔정축년상승추세.
Objective To examine the HIV prevalence and associated risk factors among men who have sex with men (MSM) in the Pearl River Delta (PRD) region,in order to provide scientific basis for assessment on HIV prevention programs.Methods Surveillance projects on HIV infection status and risk factors were carried out among MSM in six prefectural PRD cities,based on the national sentinel surveillance program among MSM.Results A total of 8 770 MSM were recruited in the six PRD prefectural cities from 2009 to 2013.The overall prevalence rates of HIV among MSM during 2009 and 2013 were 4.7％,9.7％,10.6％,12.9％ and 11.4％,respectively,appeared an increasing trend.HIV related high-risk behaviors were commonly seen among MSM.The proportion of consistent condom use during anal sex in the last six months was 46.3％.Associated risk factors for HIV infection among MSM would include older age,being non-permenant residents,inconsistent condom use,history of having had sexually transmitted diseases and without having received intervention services in the last year.Conclusion High-risk behaviors were popular in the MSM population that causing the HIV transmission to expand among the MSM population in the major region of PRD.It seemed necessary to reinforce the publicity and education programs as well as effective behavior intervening measures among the MSM group.