摘要
目的了解年轻男男性行为者(YMSM)梅毒感染现状及影响因素。方法以四川省绵阳市15～24周岁MSM为对象,采用滚雪球抽样法,在活动现场接受干预前进行匿名调查和血清学检测,建立研究队列。对基线调查数据分别用χ2检验、非条件logistic回归分析进行梅毒感染影响因素单因素及多因素分析。结果共回收合格问卷362份,梅毒累计感染率为10.77%(39/362),梅毒现症感染率为6.08%(22/362),梅毒、HIV合并感染率为2.76%(10/362)。多因素分析结果,年龄≥20岁、月收入>2 000元、公开性取向、有抑郁症状、HIV感染是梅毒感染的危险因素(均P<0.05)。结论 YMSM梅毒感染率高,梅毒对HIV感染协同作用明显,公开性取向及不良心理健康等增大了感染风险。应强化HIV、梅毒联合防治。
Objective To understand the prevalence of syphilis and related factors in men who have sex with men（MSM）.Methods MSM aged 15–24 years were recruited by snowball sampling method in Mianyang of Sichuan to establish a cohort for anonymous questionnaire survey and Treponema pallidum test before intervention. The related factors for syphilis prevalence were analyzed by χ2 test and univariate and multivariate non-conditional logistic regression models. Results A Total of 362 qualified questionnaire were returned, the cumulative prevalence of syphilis was 10.77%（39/362）, the prevalence of syphilis was 6.08%（22/362）, and the co-prevalence of HIV infection and syphilis was 2.76%（10/362）. Multivariate analysis revealed that age ≥20 years, monthly income 〉2 000 yuan（RMB）, open sexual orientation, depressive symptom and HIV infection were the influencing factors for syphilis among the MSM（P〈0.05）. Conclusion The prevalence of syphilis infection rate was high in MSM in Mianyang, Syphilis status had an obvious synergistic effect on HIV infection. Open sexual orientation and unhealthy mental status increased the risk for syphilis. The joint prevention and treatment of HIV infection and syphilis should be strengthened.
作者
王毅
李六林
周万明
樊静
赵西和
唐宇
何静
刘江
周力
张晓军
Wang Yi;Li Liulin;Zhou Wanming;Fan Jing;Zhao Xihe;Tang Yu;He Jing;Liu Jiang;Zhou Li;Zhang Xiaojun(Mianyang Prefectural Center for Disease Prevention and Control,Mianyang 621000,Siehuan,China;Mianyang Gay Care Group,Mianyang 621000,Sichuan,China;Jiangyou County Center for Disease Prevention and Control,Jiangyou 621700,Siehuan,China)
出处
《疾病监测》
CAS
2018年第10期849-853,共5页
Disease Surveillance
基金
四川省财政补助艾滋病防治项目(No.ZC2015007
SCWJWZC2016013)
绵阳市应用技术研究与开发项目(No.15S–01–10)~~
关键词
年轻男男性行为者
横断面调查
梅毒
影响因素
Young men who have sex with men
Cross-sectional survey
Syphilis
Influencing factors
