北京地区2001-2010年MSM人群HIV感染状况及综合干预模式的探讨  

Survey of HIV infection among MSM in Beijing from 2001 to 2010 and exploration of models of integrated interventions.

作　　者：吴焱[1] 闫会文[1] 屈文妍[1] 伦文辉[1] 黄海静[1] 吴冬玲[1] 王克荣[1] 李兴旺[1] 徐克沂[1] 

机构地区：[1]首都医科大学附属北京地坛医院皮肤性病科,北京100015

出　　处：《中国艾滋病性病》2011年第4期407-409,共3页Chinese Journal of Aids & STD

基　　金：国家"十一五"科技重大专项(2009ZX10005-014);北京市科委课题(D0906003000091);北京市朝阳区科委课题(SF0905)~~

摘　　要：目的了解北京地区男男性行为人群（MSM）近年来艾滋病病毒（HIV）感染状况,探索控制MSM人群HIV传播的有效干预模式。方法 2001-2010年间,每隔3年对MSM人群进行HIV筛查,调查HIV感染危险因素。通过队列研究方法,在MSM人群中建立3年期随访队列,探讨该人群HIV干预模式。结果北京地区MSM人群HIV感染率从2001年的1.33%递增为2010年的15.33%。同性性经历时间较短、性伴数量多、性伴HIV阳性、性行为中以被动方为主、合并感染梅毒等性病以及合并肛周疾病,是MSM人群感染HIV的高危因素。经干预后,队列人群中HIV检出率为3.2%,同期社会MSM人群HIV检出率为8.7%~15.33%。结论以HIV传染源干预为主的综合干预措施,可能有助于减少该人群HIV的传播。Objective To investigate HIV infection and related risk factors among MSM in Beijing , and explore model of interventions to reduce HIV transmission among them. Methods HIV screening was performed for MSM every 3 years from 2001 to 2010. Risk factors for HIV infection and integrated interventions were surveyed in a 3-year cohort study. Results HIV infection rate among MSM in Beijing was 15.33% in 2010 as compared to 1.33% in 2001. In general, lack of sexual experience, multiple sex partners, HIV positive sex partners, passive role in MSM behavior, co-infection with syphilis and other STDs as well as complications of anal disease were risk factors for HIV infection among MSM. In the MSM cohort, HIV infection rate after interventions was 3.2%, while the figure was 8. 7%-15. 33% in other studies conducted simultaneously for MSM without interventions. Conclusion HIV infection rate increases rapidly year by year. Integrated interventions help to decrease HIV transmission in MSM.

关 键 词：男男性行为人群 艾滋病病毒 综合干预 

分 类 号：R373.9[医药卫生—病原生物学]