江苏省2011-2013年新报告HIV阳性MSM中新发感染状况分析

发布时间：2018-09-04 09:21

【摘要】：目的了解江苏省新报告HIV阳性男男性行为者(men who have sex with men,MSM)的新发感染状况。方法收集2011-2013年江苏省每年新报告的HIV阳性MSM病例及其一般人口学资料、样本来源等相关信息,并收集血清或血浆样本,进行检测,计算新发感染比例,研究新发感染的影响因素。结果 2011-2013年报告的HIV阳性MSM病例中新发感染比例分别为29.70%、27.75%和30.12%,不同年份间差异均无统计学意义(均有P0.05)。病例报告发现的MSM,与30岁的相比,≤30岁的更可能是新发感染(OR=1.646,95%CI:1.400~1.935);与其他就诊者检测相比,通过检测咨询(OR=2.459,95%CI:1.896~3.191)、专题调查(OR=2.624,95%CI:1.975~3.485)及无偿献血人员检测(OR=3.476,95%CI:2.319~5.211)更容易发现HIV新发感染的MSM(均有P0.05)。结论江苏省新报告HIV阳性MSM的新发感染比例较高,应加强主动监测,减少二代传播。
[Abstract]:Objective to investigate the new infection status of HIV positive men who have sex with men in Jiangsu province (men who have sex with men,MSM). Methods the new HIV positive MSM cases reported in Jiangsu Province from 2011 to 2013 were collected, and the general demographic data, sample sources and other relevant information were collected, and the serum or plasma samples were collected for detection, and the rate of new infection was calculated. To study the influencing factors of new infection. Results the percentage of new infection in HIV positive MSM cases reported from 2011 to 2013 was 29.70% and 30.12% respectively. There was no significant difference between different years (P0.05). MSM, found in the case report was more likely to be new infection (OR=1.646,95%CI:1.400~1.935) than that of 30 years old, and the newly infected MSM of HIV was more likely to be found by OR=2.459,95%CI:1.896~3.191, OR=2.624,95%CI:1.975~3.485 and OR=3.476,95%CI:2.319~5.211 (P0.05). Conclusion the rate of new infection with HIV positive MSM is high in Jiangsu Province, and active surveillance should be strengthened to reduce the second generation transmission.
【作者单位】：江苏省疾病预防控制中心性病与艾滋病防制所;
【基金】：国家自然科学基金(81373125) 江苏省预防医学科研项目(Y2013051) 江苏省医学重点人才项目(RC2011083;RC2011086)
【分类号】：R512.91

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