济南市男男性行为人群梅毒监测分析  

Surveillance of Syphilis infection among Man Who Have Sex with Men in Jinan City

作　　者：阮师漫[1] 张昌庆[1] 胡艳霞[1] 杨慧[1] 朱艳文[1] 

机构地区：[1]济南市疾病预防控制中心,山东济南250021

出　　处：《现代预防医学》2015年第16期3028-3030,共3页Modern Preventive Medicine

摘　　要：目的了解济南市男男性行为人群梅毒感染状况,为制定防治措施提供依据。方法 2009-2012年每年4-6月份,采用滚雪球抽样方法对男男性行为人群进行问卷调查并采集血液检测梅毒抗体。结果 2009-2012年共调查男男性行为人群1 588人,梅毒阳性率分别是6.2%、6.0%、9.5%和15.0%（χ^2=25.29,P〈0.01）;2012年梅毒阳性率与2009年和2010年分别比较,有显著性升高。分层分析结果显示,21～30岁年龄组男男性行为人群梅毒感染率上升较快,由2009年的4.5%上升到2012年的14.5%,差异有统计学意义（χ^2=18.76,P〈0.01）。梅毒感染与有关因素分析显示,40岁以上年龄组（OR=4.211,P〈0.01）、初中及以下文化程度者（OR=2.387,P〈0.01）感染梅毒风险较大。结论济南市男男性行为人群是梅毒感染高危人群,应重点加大21～30岁年龄组干预力度,控制梅毒的传播。Objective This work was to understand the syphilis infection status among Men who have sex with men（MSM） in Jinan City, and to provide the evidence for making HIV prevention and control strategy. Methods Questionnaire survey by snowball sampling and serological test were conducted among MSM in Jinan City during every April to June from 2009 to 2012. Results A total of 1588 MSM were investigated. The incidence of syphilis were 6.2%, 6.0%, 9.5% and 15.0% from 2009 to 2012（χ2=25.29,P〈0.01）, respectively. The incidence of syphilis in 2012 was significantly higher than that of 2009 and 2010. By stratified analysis,the incidence of syphilis in the age group of 21 ~ 30 years rose from 4.5% in 2009 to 14.5% in 2012, with statistically significant differences（χ^2=18.76, P〈0.01）. Syphilis infection and related factors analysis showed that those over 40 years old（OR=4.211,P〈0.01）, or those with junior high school and lower education level（OR=2.387, P〈0.01） had higher risk in syphilis infection.Conclusion MSM were high risk population in syphilis infection. The intervention for behavior change need to focus on the group of21 ~ 30 years old to control the spread of syphilis.

关 键 词：梅毒 监测 男男性接触人群 

分 类 号：R183[医药卫生—流行病学]