兰州市男男性接触人群HIV流行影响因素分析  

The Analysis of Influence Factors of HIV in MSM in Lanzhou

作　　者：陈继军[1] 张晓宇[1] 陈晓燕[2] 刘军[1] 李莹[1] 古丽萍[1] 王艳艳[1] 马斌[1] 

机构地区：[1]兰州市疾病预防控制中心,甘肃兰州730000 [2]甘肃省疾病预防控制中心,甘肃兰州730030

出　　处：《中国皮肤性病学杂志》2011年第12期954-957,共4页The Chinese Journal of Dermatovenereology

基　　金：第五轮中国全球基金艾滋病项目(CHN-506-G06-H)

摘　　要：目的了解兰州市男男性接触人群(MSM)HIV流行影响因素,为制定艾滋病防治策略和干预措施提供科学依据。方法 2006-2010年连续5年采用MSM志愿者"滚雪球"的方法对出入酒吧和洗浴场所的男男性接触者进行问卷调查及血清学检测,并进行卡方检验和多因素Logistic回归分析。结果共调查889人,检出HIV抗体阳性53例,阳性率为5.96%;HIV阳性率呈逐年上升趋势(P=0.006);年龄大(>30岁,OR=3.458,95%CI1.421～8.702)、双性恋(OR=2.047,95%CI1.264～3.123)、首次同性性行为>35岁(OR=2.542,95%CI1.113～5.948)、同性性行为(OR=2.081,95%CI1.014～3.621)、多性伴(OR=3.754,95%CI1.876～7.423)是感染HIV的危险因素;文化程度高(大专及以上文化,OR=0.374,95%CI0.198～0.654)、艾滋病知识(OR=0.549,95%CI0.338～0.910)是感染HIV的保护因素。结论兰州市MSM人群感染及传播HIV的危险行为普遍存在,且具备了艾滋病流行的条件,应采取有效措施加以控制。Objective To survey influence factors of HIV among man who have sex with man （ MSM）, provide scientific basis for the further prevention and interventions of AIDS. Methods From 2006 to 2010, Using MSM volunteers ＂rolling snow ball＂ method ,the questionnaire survey and serological test were carried in the bars and bathing place, Chi square test and multivariate logistic regression analysis were used to analyze the statistic data. Results Among the 889 people investigated, 53 persons were diagnosed as HIV positive and the positive rate was 5.96%. HIV infection rates have change significantly（ P = 0. 006 ） ;The results of multivariate logistic regression analysis indicated that age （ 〉 30 years old group, OR = 3.458,95% CI 1. 421 - 8. 702） , bisexual （ OR = 2. 047,95 % CI 1. 264 - 3.123 ） , age of first sexual behaviour more than 35 years old （ OR = 2. 542,95 % CI 1.113 - 5. 948 ）, the behavior of anal intercourse （ OR = 2.081,95 % CI 1. 014 3. 621 ） and multiple sex partners（ OR=3. 754,95% CI 1. 876 - 7. 423 ） were independently associated with the risk of HIV/AIDS, well education （ OR = 0. 374,95% CI 0. 198 - 0. 654） and the knowledge of HIV/ AIDS （ OR = 0. 549,95 % CI O. 338 - 0.910） were the protective factor of HIV/AIDS prevalence. Conclusion High-risk sexual behaviors were ubiquitous among MSM and made it feasible occurring potential HIV epidemic in this population,It was imperative to carry out targeted interventions for MSM to turn the tide.

关 键 词：男男性接触者 HIV 影响因素 

分 类 号：R512.91[医药卫生—内科学]