HIV检测对MSM人群艾滋病感染风险的影响  

Study on the impact of HIV test on risk of HIV infection among men who have sex with men

作　　者：丁贤彬[1] 冯连贵[1] 卢戎戎[1] 徐静[1] 徐世明[1] 郑建琼[1] 

机构地区：[1]重庆市疾病预防控制中心慢性病预防控制所,重庆400042

出　　处：《热带医学杂志》2011年第11期1294-1297,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：目的分析艾滋病检测对MSM人群知识、行为与感染HIV风险的影响,为调整MSM人群艾滋病防治策略提供依据。方法以过去一年接受过艾滋病检测的MSM人群为干预组,未接受过艾滋病检测的为对照组,比较两组的人口学特征、知识、行为以及梅毒与HIV感染率。结果干预组和对照组分别有423人和528人,平均年龄分别为(26.8±8.0)岁和(26.3±6.2)岁。干预组艾滋病防治知识知晓率高于对照组(χ2=28.9,P<0.001),最近6个月与男性发生无保护性性行为的比例低于对照组(χ2=14.7,P<0.001),HIV感染率明显低于对照组(χ2=15.0,P<0.001)。结论艾滋病检测可以有效提高MSM人群安全套使用率,降低感染艾滋病的风险,应在MSM人群中倡导主动咨询检测,扩大咨询检测覆盖面。Objective To compare the impact of HIV test on knowledge,behavior and HIV infection rate among men who have sex with men（MSM） and provide evidence for adjusting AIDS prevention strategy targeting MSM.Methods MSM participated in the survey were divided into the intervention group（participant received HIV test in last year） and control group（participant didn＇t receive HIV test in last year）.The difference of demographic,knowledge,behavior,and prevalence of HIV and Syphilis between two groups was compared.Results 423 MSM were recruited in the intervention group and 528 in the control group,with an average age of 26.8±8.0 and 26.3±6.2,respectively.Cognition about AIDS in the intervention group was better than that in the control group（χ2=28.9,P〈0.001）.The proportion of unprotected sexual behavior of the intervention group was lower than the control group（χ2=14.7,P〈0.001）.HIV prevalence of the intervention group was lower than the control group（χ2=15.0,P〈0.001）.Conclusion HIV test can promotes condom use and reduces the risk of HIV infection among MSM effectively.It is urgent to advocate and expand the coverage of HIV test among the MSM.

关 键 词：男男性行为者 艾滋病 艾滋病咨询检测 

分 类 号：R512.91[医药卫生—内科学]