摘要
目的了解绵阳市MSM人群艾滋病性病感染现状。方法采用RDS对男男性行为者(MSM)人群进行招募和自填式匿名调查和采血检测。结果共调查采血111人,HIV感染率为7.2%,梅毒累计感染率23.4%,梅毒现症感染率17.1%,HIV、梅毒合并感染率26.1%,丙肝感染率0.9%。不同文化程度HIV感染率、不同婚姻状况梅毒感染率和梅毒现症感染率差异均有统计学意义(P<0.05),HIV感染者以初中文化程度最高,梅毒感染者和现症感染者已婚最高;梅毒现症感染率随文化程度上升呈显著下降趋势(P<0.05)。近半年内与MSM朋友是否到过公共浴室、MSM活动公园梅毒累计感染率和HIV、梅毒合并感染率,是否经常浏览MSM网站梅毒累计感染率差异显著,梅毒累计感染者HIV感染的危险性是未感染者的6.51倍。结论绵阳市MSM人群HIV、梅毒感染率相对较高,与社会特征相关,应针对性加大干预力度。
Objective To study the current situation of sexual transmitted disease （STD） and AIDS infection in MSM （men who have sex with men） group in Mianyang City. Methods Research development and statistics （RDS） from respondents was performed to call the people who belong to MSM group to finish anonymous self- administered questionnaires, and blood samples were collected to conduct biological detection. Results Blood samples from 111 respondents were collected, the HIV infection rate was 7.2 %, the accumulative total syphilis infection rate was 23.4 %, with the current infection rate of 17.1%, the concurrent infection rate of 26. 1%, and HCV infection rate of 0.9 %. There was statistically significant difference in HIV infection rate among MSM with different educational levels, syphilis infection rate and syphilis current infection rate among MSM with different marriage status （P〈 0.05 ）. MSM with educational level of junior middle school were the largest group in HIV infection. Married MSM were the most common patients with syphilis infection or current infection. The current infection rate was significantly decreased with the ascending educational level （P〈 0.05 ）. There was significant difference in the accumulative total syphilis infection rate and HIV/syphilis concurrent infection rate between whether went to public bathrooms or MSM parks in the last 6 months, and the accumulative total syphilis infection rate between whether browsed MSM web sites. The risk of HIV infection in the accumulative syphilis infected MSM was 6.51 times than the disinfected MSM. Conclusions The HIV/ syphilis infection rate of MSM group is comparatively high in Mianyang City, and related to social characteristics, so to enforce directional intervention is needed.
出处
《实用预防医学》
CAS
2009年第2期375-377,共3页
Practical Preventive Medicine
基金
卫生部艾滋病防治应用性研究项目资助(WA2005-04)
关键词
MSM
生物检测
社会特征
MSM
Biological monitoring
Social characteristics
