HIV抗体阳性MSM的性病感染状况及其影响因素

发布时间：2018-06-17 18:54

  本文选题：艾滋病病毒 + 男男性行为者　； 参考：《中国艾滋病性病》2017年07期

【摘要】：目的了解艾滋病病毒(HIV)抗体阳性的男男性行为者(MSM)的性病感染状况及其影响因素,为MSM的艾滋病防治策略提供科学依据。方法 2016年8-11月,采用方便抽样的方法,在上海、济南两地两家医院内,抽取正在进行抗病毒治疗的HIV阳性MSM进行问卷调查和实验室检测。结果共调查380例HIV阳性MSM,其中梅毒感染者63例,感染率16.6%[95%可信区间(CI):12.9%~20.5%];尖锐湿疣50例,感染率13.2%(95%CI:10.0%~17.1%);生殖器疱疹和淋球菌感染各1例,感染率各为0.3%(95%CI:0~0.8%);未检出生殖道衣原体阳性者。总的性病感染者有98例,感染率为25.8%(95%CI:21.6%~30.0%)。影响性病感染的多因素Logistic回归分析显示,年龄≤29岁[比值比(OR)=4.94,95%CI:1.02~24.47]、CD4~+T淋巴细胞水平低于正常值(OR=2.20,95%CI:1.34~3.60)和不知晓性病知识(OR=1.82,95%CI:1.15~3.25),是感染性病的危险因素。结论抗病毒治疗门诊中的HIV抗体阳性MSM的性病感染率相对较高,建议进一步加强对该人群的性病防范宣传教育以及性病的筛查和诊疗服务,将有助于降低性病感染率,从而减少HIV的传播。
[Abstract]:Objective to investigate the prevalence of sexually transmitted diseases (STDs) in MSM (MSM) patients with positive HIV / AIDS antibody (HIV / AIDS) and to provide a scientific basis for HIV / AIDS prevention and treatment strategies of MSM. Methods from August to November 2016, a questionnaire survey and laboratory tests were conducted in two hospitals in Shanghai and Jinan. Results A total of 380 HIV positive MSMs were investigated, 63 of whom were infected with syphilis, the infection rate was 16.6% [95% CI: 12.9%], 50 cases were condyloma acuminatum, the infection rate was 13.295 CI: 10.0% and 17.1%, 1 case was genital herpes and 1 case gonococcal infection, the infection rate was 0.39 95 CIW 0.8%, and there was no positive chlamydia in genital tract. There were 98 cases of sexually transmitted diseases, the infection rate was 25.8% and 95% CI: 21.6. The multivariate logistic regression analysis showed that the age 鈮，

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