廊坊市MSM人群艾滋病性病感染危险因素及感染状况调查  

Survey of the infection risk factors for and status of HIV and venereal disease in Langfang City

作　　者：宋爱华[1] 宋爱军[2] 苏欣[2] 王斌[2] 

机构地区：[1]秦皇岛港口医院,河北066002 [2]廊坊市疾病预防控制中心

出　　处：《医学动物防制》2011年第10期924-926,共3页Journal of Medical Pest Control

摘　　要：目的了解廊坊市MSM人群人口学、行为学特征及HIV、梅毒和其他性病感染率。方法在MSM活动场所开展外展服务,发放健康教育资料和安全套,在知情同意的原则下进行问卷调查同时采集血清标本和尿道分泌物标本并体检。结果调查的205名MSM人群艾滋病知识知晓率仅58.05%(119/205)。第1次发生插入性性行为的最小年龄是16岁,第1次与男性发生性行为最小年龄是17岁,第1个性伴是男性的占30.73%(63/205),商业性男男性行为占MSM人群的37.50%(33/88)。MSM人群37.41%的人每次都使用安全套,6.34%的人从未使用过安全套。49.26%的人未做过HIV抗体检测。56.1%的人获得过预防艾滋病的服务,得到过安全套、润滑剂、同伴教育、艾滋病咨询和艾滋病性病宣传材料。26.83%(55/205)的人最近1年出现过性病相关症状,5.56%(9/162)的人患有尖锐湿疣,HIV感染率6.67%(13/195),梅毒感染率21.54%(42/195),淋病双球菌感染率14.81%(24/162),衣原体感染率38.27%(62/162),支原体感染率45.68%(74/162)。结论廊坊市MSM人群流行因素普遍存在,该人群艾滋病疫情严重,亟需加强干预等预防控制措施,遏制疫情发展。Objective To understand the characteristics of demography and praxiology,and the infection rate of HIV,syphilis and other venereal diseases among MSM in Langfang City.Method Carried out abduction service at MSM activity place,and health education materials and condoms were distributed,under the principle of informed consent,a questionnaire survey was developed,collected serum specimen and urethral secretions,and medical examination were carried out too.Results The HIV awareness rate was only 58.05%（119/205） among 205 surveyed MSM.The first insertion sexual behavior happened at age of 16 years old and the age of having sexual with men was 17,the first sex partner were men accounted for 30.73%（63/205）.Commercial male had sex with male accounted for 37.5%（33/88）.37.41% of MSM used condoms every time and 6.34% of them never used condoms.49.26% had never take HIV antibody testing,and 56.1% received HIV prevention services,they had obtained condoms,lubricants,peer education,AIDS counseling,AIDS and STD propaganda materials.Recently year,26.83%（55/205） of MSM appeared related symptoms of venereal diseases,5.56%（9 / 162） of people with condyloma acuminatum,HIV infection rate was 6.67%（13/195）,the syphilis,gonococcus,chlamydia and mycoplasma infection rates were 21.54%（42/195）,14.81%（24/162）,38.27%（62/162）,and 45.68%（74/162）,respectively.Conclusions Risk factors of MSM in Langfang were widespread,and the AIDS epidemic situation was serious among this crowd,strengthen prevention and control interventions and other measures were urgent need to control the epidemic development.

关 键 词：MSM 艾滋病 性病 危险因素 

分 类 号：R512.91[医药卫生—内科学]