北京市男男性行为者行为因素和心理状态与HIV感染关系的研究  

Study on the relationship between behavioral factors, psychological status and HIV infection among men who have sex with men in Beijing

作　　者：周振海[1] 李书明[2] 刘英杰[2] 姜树林[2] 张晓曦[2] 李清春[1] 李东亮[2] 罗凤基[2] 阮玉华[1] 邵一鸣 

机构地区：[1]中国疾病预防控制中心性病艾滋病预防控制中心,北京100050 [2]北京市朝阳区疾病预防控制中心

出　　处：《中华流行病学杂志》2010年第3期273-276,共4页Chinese Journal of Epidemiology

基　　金：国际科技合作计划（2007DFC30230）

摘　　要：目的了解北京市男男性行为者（MSM）中HIV感染情况及其影响因素。方法于2008年3—6月，在北京市招募MSM进行问卷调查，了解其社会人口学和行为学特征，并采集血样进行HIV抗体、梅毒抗体、HBsAg和HCV抗体检测。采用χ2检验和logistic回归模型对HIV感染的影响因素进行分析。结果共有550名符合纳入标准的MSM参加本次调查，HIV感染率为4．5％（25／550）。多因素logistic回归分析显示，近1个月与临时男性性伴无保护性肛交（χ2=11.381，P=0．001）、近3个月同性性行为后直肠冲洗（χ2=5．326，P=0．021）、近1个月感到悲伤（z2=8．809，P=0．003）与MSM感染HIV的关系有统计学意义。结论在加强安全性行为预防干预的同时需采取适当的心理干预措施，以控制HIV在该人群中的传播。Objective To study the prevalence and risk factors of human immunodeficiency virus （HIV） among men who have sex with men （MSM） in Beijing. Methods A sample of 550 MSM was recruited between March and June in 2008 in Beijing. Interviewer-administered interviews were conducted to collect information on demographics and behaviors. Blood samples were collected to test for HIV, syphilis, HBsAg and HCV infections. Chi-square test and logistic regression model were used to identify risk factors associated with HIV infection. Results Of the 550 eligible MSM surveyed, HIV prevalence appeared to be 4.5% （25/550）. Data from multivariate logistic regression analysis demonstrated that factors as reporting unprotected anal intercourse with causal male sexual partners in the last month （χ2= 11.381, P=0.001 ）, rectal douching after homosexual anal intercourse in the past three months （χ2= 5.326, P=0.021 ）, feeling sad in the last month （？（2= 8.809, P=0.003） were significantly associated with HIV infection. Conclusion Health education on safer sex behavior and mental health care should be taken to hinder the soeed of HIV transmission amon~ MSM.

关 键 词：男男性行为者 人类免疫缺陷病毒 感染率 影响因素 

分 类 号：R512.91[医药卫生—内科学]