2010-2013年兰州市MSM艾滋病哨点监测分析

发布时间：2018-03-04 02:29

本文选题：男男性行为人群　切入点：艾滋病　出处：《中国艾滋病性病》2015年07期 　论文类型：期刊论文

【摘要】：目的分析兰州市2010-2013年男男性行为人群(MSM)艾滋病哨点监测资料,了解该人群艾滋病相关知识、性行为及艾滋病病毒(HIV)感染现状,为实施有效干预措施和防治对策提供依据。方法收集分析兰州市2010-2013年MSM艾滋病哨点监测数据,每年一个监测期,采用统一设计的调查问卷,对MSM进行调查,并采集血液标本检测HIV、丙型肝炎病毒(HCV)和梅毒抗体。结果 2010-2013年共监测1451名MSM。最近6个月与同性发生肛交性行为的比例从2010年的65.2%上升至2013年的99.3%,差异有统计学意义(χ2=208.90,P0.05);而与同性发生肛交性行为安全套坚持使用率却由2011年的59.9%下降至2013年的29.2%,差异有统计学意义(χ2=74.38,P0.05);最近6个月与同性发生商业性行为的比例从2011年的3.4%上升至2012年的57.3%,差异有统计学意义(χ2=298.99,P0.05);商业性行为每次坚持用套的比例由2010年的66.7%下降至2012年53.9%,差异有统计学意义(χ2=14.69,P0.05);知识知晓率从2010年的89.6%上升至2012年的93.5%,出现"知""行"分离现象。结论兰州市MSM的性活动活跃、性伴多,有女性性伴,安全套坚持使用率低;存在HIV、HCV、梅毒感染和进一步扩大传播的危险。应采取适宜且实用的措施进行干预,以有效阻断艾滋病及相关疾病在这一人群中的传播与流行。
[Abstract]:Objective to analyze the surveillance data of HIV / AIDS sentinel in MSM in Lanzhou City from 2010 to 2013, and to understand the status of AIDS related knowledge, sexual behavior and HIV / AIDS infection in this population. Methods to collect and analyze the surveillance data of MSM AIDS sentinel in Lanzhou from 2010 to 2013. Every year, a survey was conducted on MSM with a unified questionnaire. Blood samples were collected to detect HIV, HCV) and syphilis antibodies. Results A total of 1 451 MSMs were monitored from 2010 to 2013. The proportion of homosexual anal sex in the last six months increased from 65.2% in 2010 to 99.3 in 2013. The difference was statistically significant. There was significant difference (蠂 2 / 208.90 / P 0.05), while the rate of condom persistence was decreased from 59.9% in 2011 to 29.2 in 2013 (蠂 2 / 74.38 / P 0.05; the proportion of commercial sex with the same sex increased from 3.4% in 2011 to 3.4% in 2011). In 2012, the difference was statistically significant (蠂 ~ 2 / 298.99 / P0.05); the proportion of commercial sexual intercourse clasps per stick decreased from 66.7% on 2010 to 53.9 / 2012 (蠂 ~ 214.69 / P 0.05); the rate of knowledge awareness increased from 89.6% in 2012 to 93.5b in 2012, and "knowing" appeared. "Separation phenomenon. Conclusion the sexual activity of MSM in Lanzhou City is active, There are many sex partners, female sex partners, low condom use rate, HIV / HCV infection, syphilis infection and the risk of further spreading. Appropriate and practical measures should be taken to intervene. In order to effectively stop the spread and spread of AIDS and related diseases in this population.
【作者单位】：兰州市疾病预防控制中心;
【分类号】：R512.91

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