摘要
目的 了解北京市东城区男男性行为者(men who have sex with men,MSM) HIV感染状况、相关因素及流行趋势,为制定适合本地区的防治策略和干预措施提供依据.方法 对2010-2012年参加北京市东城区艾滋病自愿咨询检测(voluntary counseling and test,VCT)门诊的MSM人群进行问卷调查,内容包括一般人口学信息、既往检测情况、高危性行为史,并采集静脉血进行人类免疫缺陷病毒(HIV)及梅毒检测.问卷录入国家《艾滋病综合管理信息系统》离线数据库,应用SPSS 17.0进行统计分析.结果 共调查402名MSM,小于30岁者占69.40％ (279/402);未婚者占76.37％ (307/402);高中及以下学历者占67.91％ (273/402);外省户籍占91.54％ (368/402);近6个月发生性行为时全程使用安全套者占30.10％ (121/402);既往HIV检测率为58.96％ (237/402);共检出HIV抗体阳性52例、梅毒阳性71例,阳性检出率分别是12.94％ (52/402)和17.66％ (71/402);高危性行为是主要求询原因;文化程度越低HIV和梅毒感染率越高,差异有统计学意义(x2=7.265,P=0.026; x2=16.328,P＜0.01).结论 近年来,主动到北京市东城区VCT门诊咨询检测的MSM人群以年青人、未婚、流动人口、高中及以下学历为主;梅毒感染率高,HIV感染率呈上升趋势.应考虑在现有干预工作的基础上增加针对性有效干预措施.
Abstract
Objective To better understand the current status of HIV and syphilis infection among men who have sex with men (MSM) in Dongcheng district of Beijing and to analyze the epidemic trend and related factors.Methots A questionnaire survey was conducted among MSM who came to the clinic for voluntary counseling and test (VCT) in Dongcheng district of Beijing during 2010 to 2012 to collect basic information as demographic characteristics,sexual behavior and infection history.Blood samples were also collected for HIV and syphilis detection.SPSS 17.0 software was used for data statistical analysis.Results A total of 402 MSM were surveyed.More than half (69.40％) were younger than 30 and were singles (76.37％).67.91％ of MSM were high school graduates or even with lower educa tion level.As high as 91.54％ MSM were not native residents.121 MSM claimed of using condoms during sex intercourse for the past six months and 237 admitted of having been tested for HIV.Blood test revealed that 52 were HIV-positive and 71 were syphilis-positive with the positive rates of 12.94％ and 17.66％,respectively.MSM with lower education were more likely to get HIV and syphilis infection compared to high-educated MSM (x2=7.265,P=0.026; x2 =16.328,P＜0.01).Conclusions Majority of MSM for VCT are young adults,unmarried,usually with high school or lower education level,and with high syphilis infection rate.HIV infection is uprising.Therefore,more effective intervention needs to be added to current intervention methods.
NETL
NSTL
维普
万方数据