男男性接触者HIV/STD感染及性行为调查  

Prevalence of HIV/STD and risk behavior among men who have sex with men in Shenyang

作　　者：王海龙[1] 张旻[1] 胡清海[1] 丁海波[1] 赵彬[1] 徐东兵[1] 金鑫[1] 张晓丽[1] 董西华[1] 范霞[1] 尚红[1] 

机构地区：[1]中国医科大学附属第一医院临床流行病教研室/附属第一医院卫生部艾滋病免疫学重点实验室,沈阳110001

出　　处：《中国公共卫生》2008年第8期995-997,共3页Chinese Journal of Public Health

基　　金：美国国立卫生研究院课题(NA-00001296);辽宁省教育厅重点实验室项目(20060906);第五轮中国全球基金艾滋病项目

摘　　要：目的了解辽宁省沈阳市男男性接触者（MSM）人类免疫缺陷病毒和性传播疾病（HIV／STD）感染的流行状况及影响因素，为进一步干预提供科学依据。方法采用横断面调查方法，对沈阳市MSM进行匿名问卷调查，采集血样检测HIV和梅毒螺旋体；采集尿道、肛门分泌物，检测衣原体及淋球菌。结果共调查231人，采集血样229份。HIV感染率为5．67％，梅毒感染率为28．9％，肛门拭子衣原体检出阳性率为32．8％，尿道拭子衣原体检出阳性率为1．8％，肛门、尿道拭子淋球菌检测均为阴性。首次发生同性性行为的最小年龄为10岁。1年中有男性性伴1～5人者有101人，占43．7％；有6～10人者有54人，占23．4％。40．57％的MSM同时与女性性交。与不同性伴（固定、商业、偶遇）发生性行为时安全套使用比例不同，差异有统计学意义（P〈0．05）。结论沈阳市MSM中HIV、梅毒感染率较高，非保护性性交等危险因素普遍存在，应及时采取措施，控制HIv／STD在MSM中的流行，并防止其向普通人群传播。Objective To investigate the prevalence and influence factors of HIV/STD among MSM （man who have sex with man） in Shenyang city and afford basis for further interference. Methods We investigated MSM in Shenyang by cross research design with anonymous way and collected blood sample to test HIV and syphilis, collected urethral and anus secretion to test chlamydia and gonococcus. Results We collected 231 questionnaires and 229 blood samples of MSM. The infection rate of HIV was 5.67 % and that of syphilis was 28.9 % . The positive rate of chlamydia from anal swab was 32.8 % and that of urethral swab was 1.8 % , The gonococcus from anal and urethral swab was undetected. The most young age was ten years old when one＇s first sex behavior happened. The number of subjects who had one to five male companions in a year was 101 （43.7 % ）. The number of subjects who had six to ten male companions was 54 （23.4 % ）. There was 40.57 % of MSM who had sex behavior with female at last one year. The rate of condom use was different when their sex behavior happened in stable, chance and commerce sex companion, and the difference was of statistic significance. Conclusion The HIV and syphilis prevalence of MSM in Shenyang was high. Unsafe sex behavior and other risk factors exist commonly in MSM. So intervention and control of the HIV/STD prevalence in MSM and preventing the infection from MSM to common people is urgently.

关 键 词：男男性接触者(MSM) 性行为 人类免疫缺陷病毒(HIV) 梅毒 

分 类 号：R167[医药卫生—公共卫生与预防医学]