临汾市男男性接触人群HIV、TP及HCV感染现状及性行为特征调查

发布时间：2018-06-18 00:22

本文选题：男男性接触者 + 艾滋病　；参考：《山西医科大学》2011年硕士论文

【摘要】：目的：①了解临汾市男男性接触者(MSM)人群社会学特征、_艾滋病防治知识知晓情况、性行为和吸毒行为特征；②了解临汾市MSM人群人类免疫缺陷病毒(HIV)、梅毒螺旋体(TP)、丙型肝炎病毒(HCV)的感染状况。③探讨针对临汾市MSM人群的艾滋病防治干预措施。方法：①在临汾市采用滚雪球法征集调查对象300人,在征得调查对象同意的前提下对调查对象进行一对一的调查。调查内容包括：一般人口学信息,艾滋病防治知识知晓情况,性行为特征及安全套使用情况,吸毒行为特征,最近一年性病患病情况,最近一年艾滋病预防性服务接受情况及艾滋病检测情况。 ②现场采集调查对象静脉血5ml,分离血清。分别进行HIV抗体检测、TP抗体检测及HCV抗体检测。 ③采用Excel 2003建立数据库,SPSS 16.0进行数据的统计分析。结果： ①300例调查对象中,72%来自其他场所(各类型的聚会)。MSM主要为青壮年人群,其中20-39岁的占80.00%；高达50.67%的MSM人群与异性建立了婚姻关系。MSM人群文化程度普遍较高。 ②临汾市所调查的MSM人群中存在HIV、梅毒和HCV感染者,感染率分别为1.33%、1.33%、1.00%。 ③临汾市MSM人群对艾滋病防治知识总体认知水平较高,对艾滋病的三种主要传播途径和相关预防措施的知晓率均在90.00%以上。 ④96.00%的MSM在最近六个月内存在同性肛交性行为,每次使用安全套的比例为53.82%。44.00%的MSM最近一周内曾发生同性肛交性行为,以一周内发生1次者最多,其中80.07%使用了安全套。 23.58%最近六个月曾发生同性商业性行为,其中每次使用安全套比例为46.27%,最近一次有71.64%使用安全套。最近六个月有35.67%的MSM与异性发生性行为,每次使用安全套的比例仅14.02%,最近一次的安全套使用率为24.30%。同性肛交性行为和同性商业性行为时安全套在最近一次性行为使用率和I最近六个月使用频率无差异(X2=2.267,P=0.132；X2=2.310,P=0.129),均显著高于异性性行为时安全套使用率和频率(X2=65.069,P0.001；X2=115.046,P0.001)。 ⑤临汾市MSM人群中未发现吸毒者。 ⑥临汾市MSM最近一年,有10人曾患性病。 ⑦最近一年,有92.33%接受了安全套宣传和发放/艾滋病咨询与检测服务,47.00%接受了同伴教育。46.67%的MSM曾做艾滋病检测。结论： ①临汾市所调查的MSM人群中存在HIV、TP和HCV感染,应及时开展MSM人群艾滋病梅毒丙肝的防治工作。②临汾市MSM人群普遍存在艾滋病高危行为,要针对不同的特点开展该地区艾滋病防制工作。
[Abstract]:Objective to understand the sociological characteristics of MSM in Linfen City and to find out the knowledge of AIDS prevention and treatment, the characteristics of sexual behavior and drug abuse. 2 to understand the infection status of human immunodeficiency virus (HIV), Treponema pallidum (TPN) and hepatitis C virus (HCV) in MSM population of Linfen. 3. To explore the measures of AIDS prevention and treatment for MSM population in Linfen. Methods in Linfen City, 300 subjects were collected by snowball method and investigated one-to-one with the consent of the subjects. The contents of the survey include: general demographic information, knowledge of AIDS prevention and control, sexual characteristics and condom use, drug abuse behavior, and the prevalence of sexually transmitted diseases in the last year. In the last year, HIV / AIDS prevention service acceptance and HIV / AIDS detection were detected. 2 the blood samples were collected from 5 ml venous blood samples and serum samples were isolated. HIV antibody detection TP antibody detection and HCV antibody detection. 3 using Excel 2003 to establish a database SPSS 16.0 for statistical analysis of data. Results: 72% of the 1300 subjects were from other places. Up to 50.67% of MSM people have established marriage relationship with heterosexual. MSM population has generally higher educational level. 2 HIV, syphilis and HCV infection exist in MSM population investigated in Linfen City. The infection rate of MSM in Linfen City was 1.33 and 1.33 respectively. 3 the overall knowledge level of AIDS prevention and control among MSM people in Linfen City was relatively high. The awareness rate of the three main ways of transmission and related preventive measures of AIDS was over 90.00%. 496.00% of MSM had homosexual anal sex in the last six months. The rate of condom use in MSM was 53.82%. 44.00% of MSM had homosexual anal sex in the last week, most of which occurred once in one week, 80.07% of them used condom. 23.58% of MSM had commercial sex of the same sex in the last six months. The rate of condom use was 46.27% and 71.64%. In the last six months, 35.67% of MSM had sex with the opposite sex, and the rate of condom use was only 14.02%. The latest condom use rate was 24.30%. There was no difference in the rate of last sexual intercourse and the frequency of use of condom in the last six months. The rate of condom use was significantly higher than that in heterosexual sex. The rate of condom use was significantly higher than that of heterosexual sex (65.069P0.001). No drug users were found in MSM population in Linfen City. 6 in the last year of MSM in Linfen City, 10 people have been infected with sexually transmitted diseases. 92.33% of MSM received condom publicity and distribution / AIDS counseling and testing services. 47.00% received peer education. 46.67% of MSM had been tested for AIDS. Conclusion: 1 HIV / TP and HCV infection exist in MSM population investigated in Linfen city. The prevention and treatment of HIV / syphilis hepatitis C in MSM population should be carried out in time. Should aim at different characteristics to carry out AIDS prevention and control work in this area.
【学位授予单位】：山西医科大学
【学位级别】：硕士
【学位授予年份】：2011
【分类号】：R181.3

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