摘要
目的 了解东莞市男男性行为者（MSM）高危行为特征、艾滋病感染情况及其影响因素,为在该人群中开展防控措施提供依据. 方法 利用2010-2012年东莞市MSM哨点监测数据,对人口学与行为学、艾滋病病毒（HIV）感染水平和影响因素进行分析. 结果 共调查984人,平均年龄为（30.36±6.71）岁,以20～ 30岁、未婚、中学学历、省外户籍为主;最近六个月发生过同性、异性性行为比例分别为73.37％和37.5％,同性性行为时坚持使用安全套的比例为35.87％.HIV、梅毒阳性率为14.23％和15.35％.多因素Logistic回归分析显示,梅毒抗体阳性、近一年有性病相关症状、41岁～、酒吧样本和疾控部门监测点样本是HIV感染的影响因素. 结论 东莞市MSM人群HIV、梅毒感染率高,应加强高年龄段（41岁～）及低档会所MSM的干预工作,防止艾滋病疫情蔓延.
Objective To investigate the characteristics of high-risk behaviors,the status of human immunodeficiency virus （HIV） infection and the influencing factors among men who have sex with men （MSM） in Dongguan City so as to provide references for implementing prevention and control measures against acquired immune deficiency syndrome （AIDS） among them.Methods We analyzed the demographic and behavioral information,HIV infection status and the influencing factors among the targeted population by utilizing the data on HIV/AIDS sentinel surveillance in Dongguan from 2010 to 2012.Results A total of 984 individuals were surveyed,with the average age of （30.36 ± 6.71） years,and most were 20-30-year-old,unmarried,middle-school-educated,and out-of-province.During the past six months,73.37% of the survey participants had homosexual intercourse and 37.5 % had heterosexual intercourse.The proportion of consistent condom use during homosexual intercourse was 35.87%.The laboratory based results showed that the prevalence of HIV and syphilis infections was 14.23% and 15.35 %,respectively.Multivariate Logistic regression analysis showed the factors affecting HIV infection were as follows：having a positive result on a syphilis test,suffering from STD-related symptoms during the past year,at 41 years of age or over,and the samples from bars or from HIV/AIDS clinic of Dongguan Municipal CDC.Conclusions The prevalence of HIV and syphilis infections is relatively high among MSM in Dongguan City.Behavioral intervention must be strengthened among MSM aged 41 years and above in low-grade clubs so as to prevent the further spread of HIV and AIDS.
出处
《实用预防医学》
CAS
2014年第4期426-428,共3页
Practical Preventive Medicine
