2006-2008年重庆市男男性服务工作者HIV和梅毒感染率及其高危行为分析  

Prevalence of HIV and syphilis and its risk behavior among "money boys" in Chongqing(2006-2008)

作　　者：徐静[1] 贺加[1] 冯连贵[2] 丁贤彬[2] 徐世明[2] 郭晓嘉[2] 郑建琼[2] 

机构地区：[1]重庆市第三军医大学社会医学与卫生事业管理学教研室,重庆400038 [2]重庆市疾病预防控制中心,重庆400042

出　　处：《热带医学杂志》2011年第10期1199-1202,共4页Journal of Tropical Medicine

基　　金：卫生部2007年艾滋病防治应用性研究项目(WA-2007-03)

摘　　要：目的了解重庆市男男性服务工作者(MB)在男男性接触者中艾滋病和梅毒感染率及其高危行为状况,为开展该人群的干预提供科学建议。方法分析2006-2008年男男性服务工作者调查资料,比较分析该人群HIV、梅毒感染率及其高危行为状况。结果 2006-2008年分别调查了男男性服务工作者47、71和54人,最近1次与男性肛交时安全套使用率由2006年的66.0%上升至2008年的75.9%;最近1次因金钱与男性发生肛交性行为时安全套使用率由2006年的70.2%上升至2008年的79.6%;2006-2008年最近6个月因金钱与男性发生无保护性肛交的比例分别为42.6%、40.8%、50.0%。2006-2008年HIV感染率分别为12.8%、9.9%、7.4%;梅毒感染率分别为19.1%、8.5%、5.6%。结论重庆市男男性服务工作者HIV感染率高,高危行为普遍存在,应加强该人群的干预工作。Objective To evaluate the prevalence of HIV and syphilis and its risk factors among money boy（MB）, and to provide scientific proposals for the disease intervention among MB. Methods Data of the cross-sectional survey from 2006 to 2008 were analyzed. The tendency of HIV and syphilis prevalence and its risk behavior were compared. Results A total of 47, 71 and 54 MB were investigated in 2006, 2007 and 2008, respectively. The rate of condom use while having sex with men in the last time was increased from 66.0% in 2006 to 75.9% in 2008. The rate of condom use while having sex with men for money was increased from 70.2% in 2006 to 79.6% in 2008. From 2006 to 2008, the proportion of unprotected anal sex with men for money was 42.6%, 40.8% and 50.0%, respectively. HIV prevalence rate in 2006, 2007 and 2008 was 12.8%, 9.9% and 7.4%, respectively, and the syphilis prevalence was 19.1%, 8.5% and 5.6%, respectively. Conclusions Among MB,HIV prevalence is still high and a high risk behavior was common.There is an immediate need on the disease intervention among MB.

关 键 词：男男性服务工作者 艾滋病病毒 梅毒 感染率 高危行为 

分 类 号：R512.91[医药卫生—内科学] R759.1[医药卫生—临床医学]