深圳市2943例MSM梅毒感染影响因素分析  

Factors associated with syphilis infection among 2943 men who had sex with men in Shenzhen

作　　者：蔡于茂[1] 宋亚娟[1] 洪福昌[1] 

机构地区：[1]深圳市慢性病防治中心,广东深圳518020

出　　处：《中国艾滋病性病》2013年第10期756-759,共4页Chinese Journal of Aids & STD

基　　金：十一.五国家科技重大专项课题(编号:2008ZX10001-005);深圳市科技计划项目(编号:201203114)~~

摘　　要：目的了解深圳市男男性行为人群（MSM）的梅毒感染状况及影响因素。方法整理深圳市MSM的梅毒监测资料，并进行单因素和多因素Logistic回归分析。结果共2943名MSM接受自愿咨询检测，梅毒感染率为20．76％，梅毒合并HIV感染率为4．3；％。多因素Logistic回归分析结果显示，MSM感染梅毒与职业、性角色、半年内女性性伴数、半年内肛交性伴数、合并感染HIV有关。职业为无业／待业与工人者，感染梅毒的风险分别是职员的1．675倍和1．766倍。性角色以主动被动两者兼有者，感染梅毒的风险是主动者的1．450倍。半年内女性性伴数为1个和≥2个者，感染梅毒的风险分别是无女性性伴者的0．873倍和0．589倍；半年内肛交性伴数为2～4个和≥5个者，感染梅毒的风险分别是≤1个者的1．353倍和1．839倍；HIV感染者合并梅毒感染的风险是HIV阴性者的4．991倍。结论深圳市MSM梅毒影响因素复杂，应有针对性地开展预防控制工作。Objective To investigate the prevalence and other factors associated with syphilis among men who have sex with men （MSM） in Shenzhen. Methods Syphilis surveillance data was collected among MSM and ana- lyzed by univariate and multivariate logistic regression analysis. Results A total of 2943 MSM were enrolled and re- ceived voluntary counseling and testing. The infection rates of syphilis and co infected HIV among them were 20.76 % and 4.38 %, respectively. The multivariate logistic regression analysis showed that syphilis infection among MSM was significantly associated with their occupation, role in homosexual behavior, the number of fem0,1e sexual partners and anal sexual partners during the past 6 months and HIV codnfection. The relative risk of syphilis infec- tion for MSM who were jobless or jobseekers and workers were 1. 675 and 1. 766 times compared with those who were office clerks, respectively. The relative risk of syphilis infection for MSM being both inserted and receptive partners was 1. 450 times compared with those who were predominantly inserted partners. The relative risk of syph- ilis infection for MSM with the number of female sexual partners equal to 1 and more than 2 during the past 6 months were 0. 873 and 0. 589 times compared with those without female sexual partners, respectively. The relative risk of syphilis infection for MSM with the number of anal sexual partners ranged from 2 to 4 and more than 5 dur- ing the past 6 months were 1. 353 and 1. 839 times compared with those less than 1, respectively. The relative risk of syphilis infection for MSM co-infected HIV was 4. 991 times compared with those with HIV negative. Conclusion The factors associated with syphilis among MSM in Shenzhen is complicated, targeted prevention of control of syphilis should be aimed to MSM.

关 键 词：男男性行为人群 梅毒 艾滋病病毒 影响因素 

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