乌鲁木齐市男男性行为者HIV感染状况及其影响因素

发布时间：2018-03-02 21:22

本文选题：获得性免疫缺陷综合征　切入点：同性恋　出处：《中国全科医学》2015年11期 　论文类型：期刊论文

【摘要】：目的探讨乌鲁木齐市男男性行为者(MSM)HIV感染状况及其影响因素,为针对性开展MSM高危性行为干预提供依据。方法 2013年5—8月在乌鲁木齐市天山区和沙依巴克区通过现场、网络和社会小组方式招募年龄18周岁、自述有同性性行为、自愿接受调查的MSM进行问卷调查、采血和检测。结果共调查857例MSM,维吾尔族HIV阳性检出率为13.1%(14/107),高于汉族的7.2%(32/445)(χ2=3.922,P=0.048)。近6个月内发生同性性行为者804例(93.8%)、仅与固定同性发生性行为者173例(20.2%)、与同性和异性发生性行为者107例(12.5%),发生以上3种性行为时安全套使用率分别为38.3%(308/804)、77.5%(134/173)、28.0%(30/107);近6个月内购买、提供同性商业性行为者分别占3.9%(33/857)、1.8%(15/857),性交时安全套使用率分别为84.8%(28/33)、66.7%(10/15);HIV抗体检出率为8.3%(71/857)。多因素Logistic回归分析显示,近6个月内发生同性性行为〔OR=5.820,95%CI(1.302,26.015)〕、近6个月内与非固定同性性伴发生无保护性性行为〔OR=2.475,95%CI(1.255,4.879)〕、梅毒感染阳性〔OR=4.208,95%CI(1.979,8.947)〕是乌鲁木齐市MSM HIV感染的影响因素。结论乌鲁木齐市MSM高危性行为普遍,不同民族MSM中HIV感染率、性行为方式有差异,人群活动隐蔽、高危性行为频繁和艾滋病预防服务缺乏是MSM HIV感染的主要原因。
[Abstract]:Objective to investigate the HIV infection status and its influencing factors among men who have sex with men in Urumqi, and to provide the basis for the intervention of MSM high-risk sexual behaviors. Methods from May to August, 2013, the HIV infection in Tianshan District and Shayibak District of Urumqi City was passed through the scene. Online and social group recruitment of 18 years of age, self-reported same-sex behavior, voluntary survey of the MSM questionnaire, Results A total of 857 cases of MSM were investigated. The positive rate of HIV in Uygur was 14 / 107, which was higher than that of the Han nationality (7.22 / 445) (蠂 ~ 2 ~ 2 ~ 3.922P ~ (0.048)). In the last 6 months, 804 cases of same-sex sex occurred in 93.8%, only with fixed same-sex sex (173 cases) with 20.2T, and with the same sex and heterosexual sex. The condom use rate of 107 cases of sexual behavior was 38.3 / 804 / 77.50.13.4 / 173/ 28.0 / 107respectively, and purchased in the last six months, and the rate of condom use was 38.3 / 804 / 77.5and 28.0 / 107respectively when the above three kinds of sexual behaviors occurred; in the past six months, the rate of condom use was 38.3% and 28.0% / 107%, respectively. The proportion of those who provided commercial sex with the same sex was 3.9%. The proportion of those who provided commercial sex with the same sex was 3.3% 857% or 1.8%, and the rate of condom use at sexual intercourse was 84.8% and 66.7%, respectively. The detection rate of anti-HIV antibody was 8.3% / 857%. Multivariate Logistic regression analysis showed that. In the last 6 months, the incidence of same-sex sex was 5.820 ~ 95CII 1.30226.0155. in the last 6 months, the incidence of unprotected sex with non-fixed same-sex partners was 1.25554.879C, and the positive rate of syphilis infection was OR4.20895CI1.9798.9477. conclusion the high risk behaviors of MSM in Urumqi are common. The main causes of MSM HIV infection were the infection rate of HIV in different nationalities, the difference of sexual behavior, the covert activity of people, the frequent high risk sexual behavior and the lack of AIDS prevention services.
【作者单位】：新疆医科大学公共卫生学院;新疆维吾尔自治区疾病预防控制中心;
【基金】：国家“十二五”科技重大专项(2013ZX10004907) 中美艾滋病防治合作项目(5U2G PS001188)
【分类号】：R512.91

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