临海市男男性行为HIV感染者干预效果评估

发布时间：2018-10-08 21:15

【摘要】：目的了解对男男性行为HIV感染者(MSM感染者)的干预效果,为有针对性的随访管理提供参考。方法通过全国艾滋病综合防治数据信息系统,将现住址为“浙江省临海市”且为2008年1月1日至2015年12月31日报告并随访满1年的所有MSM感染者纳入分析,分析该人群随访1年前后艾滋病相关危险性行为、配偶/固定性伴变化情况等。结果临海市随访满1年的MSM感染者共96例,其中20~29岁者占40.6%,高中及以上文化程度者占54.2%,未婚者占60.4%。在告知配偶/性伴的MSM感染者中,已婚MSM感染者配偶HIV感染率为2.9%(1/34),明显低于未婚组同性固定性伴的感染率57.1%(4/7),差异有统计学意义(χ~2=11.27,P=0.001);96例MSM感染者治疗率达95.8%(92/96),治疗后病毒有效抑制率达98.9%(91/92)。经过1年随访,MSM感染者发生艾滋病相关危险性行为的比例由44.8%(43/96)下降至4.2%(4/96),报告时为已婚的MSM感染者由34例(35.4%)下降到27例(28.1%),但同时也有4例由未婚转变为有同性固定性伴。结论临海市MSM感染者经随访干预后,艾滋病相关危险性行为比例下降明显,且MSM感染者无配偶维持率高,同性性伴阳性告知率低,应继续加强MSM感染者的随访管理及干预,特别是仍有危险行为的感染者,以降低MSM感染者HIV二代传播风险。
[Abstract]:Objective to investigate the effect of intervention on men with HIV infection (MSM infection), and to provide reference for follow-up management. Methods all MSM infected persons whose current address was "Linhai City, Zhejiang Province" and who had been reported from January 1, 2008 to December 31, 2015, and followed up for one year, were included in the analysis through the National AIDS Comprehensive Prevention and treatment data Information system. AIDS-related risk behaviors, spousal / fixed partners were analyzed before and after 1 year follow-up. Results 96 patients with MSM infection were followed up for more than one year in Linhai, of whom 40.6 were 20 years old, 54.2 were high school and above, and 60.4 were unmarried. Among those infected with MSM who inform their spouse / sexual partner, The infection rate of HIV in spouses of married patients with MSM infection was 2.9% (1 / 34), which was significantly lower than that of unmarried same-sex fixed partners (57.1% (4 / 7). The difference was statistically significant (蠂 ~ 2 / 2 11.27 / P ~ (0.001). The treatment rate of 96 cases of MSM infection was 95.8% (9296%), and the effective inhibition rate of virus after treatment was 98.9% (91 / 92). The rate of AIDS-related risk behaviors among MSM-infected persons decreased from 44.8% (43 / 96) to 4.2% (4 / 96) after one year follow-up, and that of married MSM patients decreased from 34 cases (35.4%) to 27 cases (28.1%), but 4 cases changed from unmarried to same-sex fixed partners. Conclusion the proportion of AIDS-related risk behaviors decreased obviously after follow-up intervention in Linhai city, and the maintenance rate of MSM infected persons without spouse was high, and the positive notification rate of same-sex partners was low, so we should continue to strengthen the follow-up management and intervention of MSM infected persons. Especially those who still have dangerous behavior to reduce the risk of second generation transmission of HIV in MSM infected persons.
【作者单位】：临海市疾病预防控制中心;台州市疾病预防控制中心;
【分类号】：R512.91

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