男男性行为人群HIV感染者CD_4^+T随访检测与抗病毒治疗状况及影响因素分析  

Status and correlates of standardized follow-up CD^4^+T counting and antiretroviral therapy among HIV-positive men who have sex with men

作　　者：汪敏[1] 张洪波[1] 王君[1] 佘敏[1] 宋丹丹[1] 曹臻[1] 董振鑫[1] 浩浩 沙迦 

机构地区：[1]安徽医科大学公共卫生学院流行病与卫生统计学系,安徽合肥230032 [2]美丽人生健康促进服务中心,上海200134

出　　处：《中华疾病控制杂志》2012年第12期1011-1014,共4页Chinese Journal of Disease Control & Prevention

基　　金：国家自然科学基金(30771850)

摘　　要：目的了解男男性行为人群(men who have sex with men,MSM)HIV感染者中艾滋病规范检测或治疗状况,探讨影响艾滋病规范检测或治疗的因素。方法采用滚雪球的方法在上海市招募200名HIV阳性的MSM进行问卷调查,问卷内容包括规范服务状况与艾滋病相关危险行为等。结果应该接受规范检测与治疗的研究对象共190名,其中有78.4%(149/190)进行了艾滋病规范随访检测与治疗。对艾滋病规范随访检测与治疗相关因素分析显示,艾滋病防治知识得分低于7分者未接受艾滋病规范检测或治疗的危险性是得分在7分及以上者的4.78倍(OR=4.78,90%CI:1.52～15.02);最近1年曾寻求心理支持/物质帮助者存在不规范检测或治疗的危险性是未寻求心理支持/物质帮助者的2.28倍(OR=2.28,90%CI:1.18～4.38);选择性伴不考虑性伴HIV感染状况者存在不规范检测或治疗的危险性是考虑性伴HIV感染状况的0.38倍(OR=0.38,90%CI:0.19～0.76);HIV确诊后10 d及以上告知他人自身感染状况者不规范检测或治疗危险性是10 d以内告知他人者的4.22倍(OR=4.22,90%CI=1.70～10.47)。结论 MSM人群中HIV感染者接受艾滋病规范检测与治疗的报告率偏低,需要强化治疗教育并改善随访管理服务。Objective To know the status and correlates of standardized follow-up CD＋4T counting and antiretroviral therapy among a sample of HIV-positive men who have sex with men（MSM）.Methods A total of 200 HIV-positive MSM were recruited in Shanghai using snowball sampling.Data were collected with a self-administered questionnaire including sociodemographic,HIV/AIDS-related knowledge,CD＋4T counting and antiretroviral therapy in the time.Results Of 200 HIV-positive MSM participants,190 were qualified for standardized follow-up CD＋4T counting and/or antiretroviral therapy and 78.4% of them reported receiving standardized follow-up CD＋4T counting and/or antiretroviral therapy（SCAT）.The results from multiple Logistic regression analysis showed that who had less than 7 score of knowledge related HIV/AIDS were more likely to report non-SCAT（OR=4.78,90%CI：1.52-15.02）.Participants ever sought for psychological counseling or financial help in past year were more likely to report non-SCAT than those who didn＇t（OR=2.28,90%CI：1.18-4.38）.Participants who didn＇t consider HIV-status of sexual partners were less likely to report non-SCAT（OR=0.38,90%CI：0.19-0.76）.Comparing with those disclosure of positive HIV status to somebody else during 10 days,who disclosure of positive HIV status after 10 days were more likely to report non-SCAT（OR=4.22,90%CI：1.70-10.47）.Conclusions This survey revealed that there were some HIV-positive MSM who didn＇t access the service of standardized follow-up CD＋4T counting and antiretroviral therapy.Reinforcing education of antiretroviral therapy and improving health service will be needed.

关 键 词：获得性免疫缺陷综合征 同性恋 男性 随访研究 

分 类 号：R181.3[医药卫生—流行病学] R512.91[医药卫生—公共卫生与预防医学]