2010-2014年山东省网络型男男性行为者HIV感染及其影响因素

发布时间：2018-06-29 06:05

本文选题：男男性行为者 + 艾滋病　；参考：《现代预防医学》2017年13期

【摘要】：目的了解2010-2014年山东省网络型的男男性行为者(Men Who have Sex with Men,MSM)行为特征、HIV感染及其危险因素,为针对性实施男男性行为人群高危行为干预提供依据。方法 2010-2014年选择全省8个市网络型MSM为研究对象,分析其人口学特点、艾滋病知识、行为特征及HIV感染状况及影响因素。结果共招募网络型MSM 1 640人,平均年龄为(27.43±6.67)岁,以21~30岁年龄组为主,年龄越大,感染率越高;研究对象艾滋病知识知晓率呈上升趋势(P0.05);HIV抗体阳性率分别为0.2%、0.3%、1.0%、2.3%、8.4%;近半年发生同性肛交性行为、每次使用安全套的同性肛交性行为和异性性行为均呈上升趋势(P0.05);单因素分析显示,31~40岁年龄组、本地居住时间在3个月以内、外省籍、最近半年发生过同性肛交性行为、未接受过安全套发放/艾滋病咨询检测的MSM HIV感染率高。多因素Logistic回归分析显示,本地居住时间在3个月以内、外省籍及最近半年与同性发生肛交是HIV感染的危险因素,而接受过安全套发放/艾滋病咨询检测是预防HIV感染的保护因素。结论网络型MSM人群坚持使用安全套水平较低,感染率持续上升,应采取针对性措施强化干预。
[Abstract]:Objective to investigate the behavioral characteristics and risk factors of men who have sex with men with (MSM) in Shandong province from 2010 to 2014, so as to provide evidence for the intervention of high-risk behaviors among men who have sex with men. Methods from 2010 to 2014, 8 cities with MSM were selected as the research objects, and their demographic characteristics, AIDS knowledge, behavioral characteristics, HIV infection status and influencing factors were analyzed. Results the average age was (27.43 卤6.67) years old. The main age group was 2130 years old. The higher the age, the higher the infection rate. The AIDS knowledge awareness rate of the study subjects showed an increasing trend (P0.05) the positive rate of HIV antibody was 0.2and 0.30.32% respectively. Homosexual anal sex and heterosexual sex were on the rise every time condom was used (P0.05). Univariate analysis showed that the age group of 40 years old had sex with the same sex in the last six months, and the local residence time was less than 3 months. MSM HIV infection rate was high without condom distribution / AIDS counseling test. Multivariate logistic regression analysis showed that local residence time was less than 3 months. The risk factors of HIV infection were natives from other provinces and anal sex with the same sex in the last half year. Condom distribution / AIDS counseling and testing is a protective factor to prevent HIV infection. Conclusion the level of condom use is low and the infection rate is rising in the network MSM population, and some measures should be taken to strengthen the intervention.
【作者单位】：济南大学山东省医学科学院医学与生命科学学院;山东省疾病预防控制中心;山东大学公共卫生学院;山东省传染病预防控制重点实验室;
【分类号】：R512.91

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