南京市601名MSM近1年HIV检测情况及影响因素分析

发布时间：2018-11-05 17:42

【摘要】：目的了解南京市男男性行为者(MSM)艾滋病病毒(HIV)抗体的检测情况,并探索南京市MSM近1年做过HIV检测的影响因素。方法 2015年4-6月,通过MSM社区小组动员、同伴推荐和互联网上发布信息等方式,招募601名MSM参加问卷调查和血清学检测。结果 65.1%的MSM曾经做过HIV检测,57.6%近1年检测过HIV。HIV抗体检测阳性72例,阳性率12.0%;其中既往阳性22例,新发现阳性50例。梅毒的阳性检出率为5.8%(35/601)。多因素Logistic回归分析结果显示,近1年做过HIV检测的促进因素是:最主要的交友场所为酒吧/会所/浴池[调整比值比(aOR)=2.158,95%可信区间(CI):1.337~3.484],入圈时长2-4年(aOR=2.132,95%CI:1.306~3.482),入圈时长≥5年(aOR=1.753,95%CI:1.105~2.781),近6个月与同性肛交时每次都用安全套(aOR=2.094,95%CI:1.305~3.359),近1年被诊断过性病(aOR=2.681,95%CI:1.088~6.610),知道疾病预防控制中心(CDC)/医院可以提供免费的HIV检测(aOR=3.247,95%CI:1.718~6.138),知道CDC/医院和MSM社区组织可以提供免费的HIV检测(aOR=7.483,95%CI:3.790~14.775)。结论南京市MSM有着较高HIV阳性检出率和较低的HIV检测率,应继续加强MSM HIV扩大检测工作,以促进MSM定期检测,降低HIV感染风险。
[Abstract]:Objective to investigate the detection of (MSM) (HIV) antibody in men who have sex with men in Nanjing, and to explore the influencing factors of HIV detection in MSM in Nanjing. Methods from April to June 2015, 601 MSM were recruited by MSM community group mobilization, peer recommendation and information posted on the Internet to participate in questionnaire survey and serological examination. Results 65.1% of MSM had been tested for HIV, and 57.6% had tested positive for HIV.HIV antibody in 72 cases, the positive rate was 12.0%, of which 22 cases were positive in the past and 50 cases were new positive. The positive rate of syphilis was 5.8% (35 / 601). The results of multivariate Logistic regression analysis showed that the promotion factors of HIV test in recent year were as follows: the most important place to make friends was bar / clubhouse / bathtub [the adjusted ratio was (aOR) = 2.158% 95% confidence interval (CI): 1.337 (3.484)]. The duration of entering the loop was 2-4 years (aOR=2.132,95%CI:1.306~3.482), the duration of entering the loop was more than 5 years (aOR=1.753,95%CI:1.105~2.781), and the condom (aOR=2.094,95%CI:1.305~3.359) was used every time in the past 6 months when having anal sex with the same sex. Having been diagnosed with sexually transmitted diseases (aOR=2.681,95%CI:1.088~6.610) for nearly a year, I know that (CDC) / hospital can provide free HIV testing (aOR=3.247,95%CI:1.718~6.138). Know that CDC/ hospitals and MSM community organizations can provide free HIV testing (aOR=7.483,95%CI:3.790~14.775). Conclusion MSM has a higher positive rate of HIV and a lower rate of HIV detection in Nanjing. We should continue to strengthen the work of MSM HIV expansion in order to promote the regular detection of MSM and reduce the risk of HIV infection.
【作者单位】：南京市疾病预防控制中心;江苏省疾病预防控制中心;
【分类号】：R512.91

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