重庆市使用新型毒品的男男性行为者感染HIV的影响因素

发布时间：2018-01-17 23:27

本文关键词：重庆市使用新型毒品的男男性行为者感染HIV的影响因素　出处：《中国艾滋病性病》2017年10期 　论文类型：期刊论文

【摘要】：目的了解与分析重庆市使用新型毒品的男男性行为者(MSM)亚人群的艾滋病相关行为以及艾滋病感染状况。方法依托男同社区小组,通过固定检测点咨询、朋友介绍、网络招募、同伴推荐等方式,招募使用新型毒品的MSM,进行问卷调查和艾滋病病毒(HIV)检测。结果共调查200名使用新型毒品的MSM。首次使用毒品的平均年龄为(22.5±3.6)岁。冰毒是调查对象首次和最近半年使用的主要毒品,分别占86.0%和91.0%,最近6个月使用过助性剂的占62.0%。使用新型毒品后发生肛交或口交的比例高达99.5%,而最近半年坚持使用安全套的仅占15.0%。使用新型毒品后,与固定性伴发生性行为时,最近一次使用安全套的比例为24.6%%。此外,使用新型毒品后,56.5%的发生了群交性行为,群交过程中能始终使用安全套的比例仅为6.2%。第一次快检HIV抗体阳性率为37.1%(52/140),确认阳性率为14.3%。HIV感染多因素Logistic回归分析发现,首次吸毒年龄越低[比值比(OR)=2.958,95%可信区间(CI):1.185~7.384],使用新型毒品越频繁(OR=3.664,95%CI:1.847~7.269),近半年安全套使用率越低(OR=3.838,95%CI:1.413~10.985),HIV感染的风险更高。结论使用新型毒品的MSM亚人群不安全性行为非常普遍,亟须采取进一步的综合性防治措施。
[Abstract]:Objective to understand and analyze the AIDS-related behaviors and HIV / AIDS infection among MSM (MSM) subpopulations using new drugs in Chongqing. Friends introduced, online recruitment, peer recommendations, and other ways to recruit the use of new drugs of MSM. Questionnaire survey and HIV / AIDS detection were carried out. Results A total of 200 MSMs using new drugs were investigated. The average age of first use of drugs was 22.5 卤3.6. Methamphetamine was the main drug used for the first time and in the last six months. 86.0% and 91.0, respectively. In the last six months, 62.0. The proportion of anal or oral sex after the use of new drugs was as high as 99.5%. In the last half of the year, only 15.0% of them insisted on condom use. After using new drugs, the last time they had sex with their fixed partners, the proportion of using condoms was 24.6. in addition. 56.5% of them had sex with each other after using new drugs. The rate of condom use was only 6. 2%. The positive rate of HIV antibody in the first quick test was 37. 1% and 52 / 140). The confirmed positive rate was 14.3.Multivariate Logistic regression analysis showed that the lower the age of first drug use, the lower the age of first drug use. [The ratio is 2.958% 95% CI: 1.185 7.384. The more frequently new drugs are used, the more 3.664 are used. 95 CI1: 1.847 / 7.269%, the lower the condom use rate in the past half year, the lower the rate of use of the condom is 3.838 / 95 / 95 CI: 1.41313 / 10.985). Conclusion unsafe sex among MSM subpopulations using new drugs is very common and it is necessary to take further comprehensive prevention and treatment measures.
【作者单位】：重庆市疾病预防控制中心;中国疾病预防控制中心性病艾滋病预防控制中心;
【基金】：重庆市卫计委医学科研项目(2015MSXM093)
【分类号】：R512.91
【正文快照】： 男男性行为者(MSM)是受艾滋病影响的最主要的人群之一。长期以来,该人群中药物滥用的情况也较为严重[1-3]。有研究显示,我国部分地区该人群中使用新型毒品的比例较高,毒、性交织的情况促进了该人群中艾滋病病毒(HIV)的传播,我国艾滋病性病的广泛流行,已对国家公共安全形成严重

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