应用同伴推动抽样法开展杭州市MSM的HIV感染现况及影响因素调查分析

发布时间：2018-05-31 10:32

  本文选题：艾滋病病毒 + 男男性行为人群　； 参考：《中国艾滋病性病》2015年12期

【摘要】：目的了解杭州市男男性行为人群(MSM)的艾滋病病毒(HIV)感染现况及其影响因素。方法采用同伴推动抽样法抽取杭州市MSM,用标准化问卷收集MSM的社会人口学、性行为特征和性伴网络、抑郁症状、生活习惯和社会文化特征、检测史等信息,并采集血液样本进行HIV和梅毒的血清学检测。采用RDSAT软件对数据进行权重处理,并用SPSS软件进行单因素和多因素分析,NETDRAW软件作网络招募图。结果共招募511名MSM,调整后的HIV和现症梅毒感染率分别为8.5%[95%可信区间(CI):5.3%~12.2%]和8.8%(95%CI:3.6%~14.2%)。多因素分析显示:杭州MSM的HIV感染与较低的文化程度[比值比(OR):4.288,95%CI:1.439~12.783]、最近6个月口交人数较多(OR:3.716,95%CI:1.292~10.685)、吸烟史(OR:2.222,95%CI:1.049~4.706)、自我评估可能感染HIV(OR:4.018,95%CI:1.311~12.313)和很可能感染(OR:7.966,95%CI:1.724~36.814),以及现症梅毒阳性(OR:8.056,95%CI:3.118~20.820)等有关。结论杭州市MSM的HIV感染水平较高,需加强对低文化程度、口交人数较多、吸烟、自我评估可能感染HIV,以及现症梅毒阳性者的HIV干预力度,心理支持应作为HIV干预的重要组成部分。
[Abstract]:Objective to investigate the prevalence and risk factors of HIV / AIDS infection among MSM in Hangzhou. Methods Peer-driven sampling was used to collect social demography, sexual behavior and sexual partner network, depression symptoms, life habits, social and cultural characteristics and history of MSM. Blood samples were collected for serological examination of HIV and syphilis. RDSAT software is used to deal with the weight of data, and SPSS software is used to carry out single factor and multi-factor analysis. Results A total of 511 MSMs were recruited. The adjusted infection rates of HIV and syphilis were 8.5% [95% CI: 5.32%] and 8.8% CI: 3.6% respectively. 澶氬洜绱犲垎鏋愭樉绀，

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