2009-2012年辽宁省大连市男男性行为者艾滋病哨点监测分析  

HIV /AIDS sentinel surveillance in men who have sex with men in Dalian,Liaoning,2009-2012

作　　者：赵志杰[1] 万悦竹[1] 周玲[1] 李德钧[1] 常宝龙[1] 

机构地区：[1]大连市疾病预防控制中心,辽宁大连116021

出　　处：《疾病监测》2014年第1期41-43,共3页Disease Surveillance

摘　　要：目的分析大连市2009-2012年男男性行为者(men who have sex with men,MSM)艾滋病哨点监测结果,探索人类免疫缺陷病毒(HIV)感染的影响因素,为实施有效的干预措施和防治对策提依据。方法采用定向抽样方法招募MSM,由经过专业培训的调查员进行面对面的问卷调查,并采血样进行HIV、梅毒和HCV检测。结果 2009-2012年HIV抗体阳性率分别为4.48%、5.00%、5.47%和12.00%,感染率上升趋势明显。多因素logistic回归模型提示,梅毒抗体阳性的MSM其HIV感染的风险高;最近1年接受过HIV抗体检测和坚持使用安全套是HIV感染的保护因素。结论大连市MSM的HIV感染率高,高危行为普遍存在,急需采取有效措施遏制HIV传播。Objective To understand the risk factors for HIV infection in men who have sex with men （ MSM） in Dalian, Liaoning province and provide evidence to conduct targeted intervention and effective prevention and control of HIV infection in MSM. Methods A face to face questionnaire interview was conducted among MSM recruited by ＂snowball＂ sampling method and the blood samples were collected from them for HIV, syphilis and hepatitis C（ HCV） tests. Results The HIV infection rate was 4.48% in 2009,5.00% in 2010,5.47% in 2011 and 12.00% in 2012, which showed a statistically significant increase. Multiple Logistic regression analysis indicated that syphilis was the risk factor of HIV infection, but receiving HIV test in the past year and persistent condom use were the protected factors. Conclusion High HIV infection rate and high risk behaviors were observed among the MSM in Dalian. It is necessary to conduct targeted intervention to prevent the spread of HIV in MSM.

关 键 词：艾滋病 哨点监测 男男性行为人群 

分 类 号：R512.91[医药卫生—内科学]