南昌市MSM人群五种常见STD感染状况及HIV感染影响因素分析  

Study on HIV and five kinds of common STDs infection and its influencing factors among MSM in Nanchang City

作　　者：路亮[1] 徐丹[1] 刘明斌[1] 刘亚涛[1] 周显凤[1] 

机构地区：[1]南昌市疾病预防控制中心艾滋病性病防制科,江西南昌380038

出　　处：《中华疾病控制杂志》2014年第7期617-620,共4页Chinese Journal of Disease Control & Prevention

基　　金：南昌市科技局科技支撑计划(2011-ZCSF-YL-WSYRKJK-024)

摘　　要：目的了解南昌市男男性行为(men who have sex with men,MSM)人群梅毒、尖锐湿疣、淋病、生殖道沙眼衣原体感染、生殖器疱疹5类常见性传播疾病感染状况及人类免疫缺陷病毒(human immunodeficiency virus,HIV)感染的相关危险因素。方法采用扩大的同伴推动抽样法(respondent-driven sampling,RDS),对南昌市436名MSM进行问卷调查及艾滋病/性病筛查,利用SPSS 13.0软件进行统计分析。结果发现HIV筛查阳性42例,阳性率9.6%;其中342人接受了性病筛查,确诊性病患者79人,成功转诊治疗54人。单因素分析结果显示,罹患性病、完全知晓艾滋病知识、同性性行为、多性伴及做过HIV抗体检测是HIV感染的影响因素(均有P<0.05)。多因素Logistic回归分析结果显示,完全完全知晓艾滋病相关知识(OR=0.401)、做过HIV抗体检测(OR=0.343)、罹患性病(OR=4.498)和多性伴(OR=3.076)是HIV感染的独立影响因素。结论南昌市MSM人群HIV/性传播疾病(sexually transmitted diseases,STDs)感染率达到较高水平,性病感染促进了HIV在该人群中流行,应开展针对性的干预措施,有效筛查和控制性病,减少性伴数量,降低MSM人群感染HIV/STDs的风险。Objective To understand HIV and prevalence of five kinds of common sexually transmitted diseases（ STDs） and the influencing factors among men who have sex with men（ MSM） in Nanchang City. Methods Enlarging respondent-driven sampling（ RDS） method was performed,436 MSM were recruited to receive HIV and STDs screening,and a relevant questionnaire survey was conducted. SPSS 13. 0 software was used for statistical analysis. Results A total of 436 MSM were investigated. The rate of HIV infection was 9. 6%. Out of 436 MSM,342 MSM had received STDs screening and diagnosis,the positive rate was 23. 1%（ 79 /342）. The result of univariate analysis implied that infection of STDs,full awareness of AIDS knowledge,homosexual behavior,multiple sexual partners and HIV antibody detection were risk factors of HIV infection（ all P〈0. 05）. Multivariate Logistic regression analysis revealed that full awareness of AIDS knowledge（ OR = 0. 401）,HIV antibody detected in a year（ OR = 0. 343）,STDs infection（ OR = 4. 498） and multiple sexual partners（ OR = 3. 076） were the independent risk factors. Conclusions The HIV and STDs prevalence reached a high level among MSM in Nanchang. STD infections accelerated the spreading of HIV among MSM. Specific intervention measures should be undertaken to screen and control STDs,and reduce the occurrence of multiple sex partner behavior.

关 键 词：性行为 性传播疾病 HIV 危险因素 

分 类 号：R512.91[医药卫生—内科学] R181[医药卫生—临床医学]