河北省2010-2014年男男性行为者HIV及梅毒监测结果分析

发布时间：2018-03-25 20:11

本文选题：男男性行为者　切入点：艾滋病病毒　出处：《中国艾滋病性病》2017年03期

【摘要】：目的了解河北省男男性行为者(MSM)的人口学特征、艾滋病相关高危行为、艾滋病病毒(HIV)感染情况及其影响因素,为探索针对性的干预工作模式提供依据。方法 2010-2014年,每年4-6月招募2 000名调查对象,由经过培训的工作人员进行问卷调查,收集调查对象的人口学特征、高危行为发生情况,采集血样进行HIV、梅毒和丙型肝炎病毒(HCV)抗体检测。结果 2010-2014年,共监测MSM 10 000人,HIV抗体阳性率为5.21%(521例),梅毒阳性率5.80%(580例),HCV阳性率0.33%(33例)。最近6个月与同性发生肛交的比例分别为75.0%、87.2%、90.0%、87.7%、87.6%,发生肛交时一直使用安全套的比例分别为57.8%、49.3%、38.4%、50.6%、42.0%,艾滋病知识知晓率在90%左右。梅毒阳性、高年龄组、已婚是HIV感染的危险因素,高文化程度、高知晓率、有异性性行为、接受过同伴教育是HIV感染的保护性因素。结论 MSM中各种高危行为仍然存在,应加强对MSM的行为干预,制定针对性的干预措施。
[Abstract]:Objective to investigate the demographic characteristics of MSM, AIDS-related high risk behaviors, HIV / AIDS infection and its influencing factors in Hebei Province, and to provide a basis for exploring the intervention model from 2010 to 2014. From April to June each year, 2,000 survey subjects were recruited, and questionnaires were conducted by trained staff to collect the demographic characteristics and high risk behaviors of the survey subjects. Blood samples were collected for detection of HIV, syphilis and hepatitis C virus (HCV) antibodies. Results from 2010 to 2014, The positive rate of HIV antibody was 5.21 / 521, and the positive rate of syphilis was 5.80 / 580 / 0.333.The percentage of anal sex with the same sex in the last six months was 75.0 / 87.20.00.The proportion of condom used at the time of anal intercourse was 57.89.38.48.40.The percentage of anal intercourse was 42.0. The awareness rate of AIDS is about 90%. Syphilis is positive. In high age group, married is the risk factor of HIV infection, high education level, high awareness rate, heterosexual behavior, peer education are the protective factors of HIV infection. Conclusion all kinds of high risk behaviors in MSM still exist. We should strengthen the behavior intervention to MSM and formulate targeted intervention measures.
【作者单位】：河北省疾病预防控制中心;石家庄市裕华区疾病预防控制中心;中国疾病预防控制中心性病艾滋病预防控制中心交流与合作室;
【基金】：河北省医学科学研究重点课题(省卫生厅20090035)~~
【分类号】：R512.91;R759.1;R181.8

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