2010-2013年兰州市MSM艾滋病哨点监测分析  

HIV/AIDS sentinel surveillance among men who have sex with men in Lanzhou during 2010-2013

作　　者：古丽萍[1] 李莹[1] 马斌[1] 陈继军[1] 

机构地区：[1]兰州市疾病预防控制中心,兰州730030

出　　处：《中国艾滋病性病》2015年第7期629-631,共3页Chinese Journal of Aids & STD

摘　　要：目的分析兰州市2010-2013年男男性行为人群(MSM)艾滋病哨点监测资料,了解该人群艾滋病相关知识、性行为及艾滋病病毒(HIV)感染现状,为实施有效干预措施和防治对策提供依据。方法收集分析兰州市2010-2013年MSM艾滋病哨点监测数据,每年一个监测期,采用统一设计的调查问卷,对MSM进行调查,并采集血液标本检测HIV、丙型肝炎病毒(HCV)和梅毒抗体。结果 2010-2013年共监测1451名MSM。最近6个月与同性发生肛交性行为的比例从2010年的65.2%上升至2013年的99.3%,差异有统计学意义(χ2=208.90,P<0.05);而与同性发生肛交性行为安全套坚持使用率却由2011年的59.9%下降至2013年的29.2%,差异有统计学意义(χ2=74.38,P<0.05);最近6个月与同性发生商业性行为的比例从2011年的3.4%上升至2012年的57.3%,差异有统计学意义(χ2=298.99,P<0.05);商业性行为每次坚持用套的比例由2010年的66.7%下降至2012年53.9%,差异有统计学意义(χ2=14.69,P<0.05);知识知晓率从2010年的89.6%上升至2012年的93.5%,出现"知""行"分离现象。结论兰州市MSM的性活动活跃、性伴多,有女性性伴,安全套坚持使用率低;存在HIV、HCV、梅毒感染和进一步扩大传播的危险。应采取适宜且实用的措施进行干预,以有效阻断艾滋病及相关疾病在这一人群中的传播与流行。Objective To analyze the data from HIV/AIDS sentinel among men who have sex with men（MSM）in Lanzhou during 2010-2013,understand HIV/AIDS related knowledge,sex behaviors and HIV infection status of the MSM population,and to provide the basis for effective interventions and prevention strategies.Methods Data from HIV sentinel surveillance among MSM in Lanzhou during 2010-2013 were collected and analyzed,a monitoring period per year.MSM were investigated by unified-design questionnaires and blood specimens were collected for HIV,HCV,and syphilis testing.Results 1451 MSM were surveyed during 2010-2013.In the last 6months,the proportion of homosexual anal sex and commercial sex had risen year by year（65.2%-99.3%,χ^2=208.90,P〈0.05）and condoms usage showed downward trend（59.9%-29.2%）,the difference was statistically significant（χ^2= 74.38,P〈0.05）;the ratio of commercial homosexual behaviors in the latest 6 months was rising（3.4%-57.3%）,the difference was statistically significant（χ^2= 298.99,P〈0.05）.However,condom use rate had decreased（66.7%-53.9%）,and the difference was statistically significant（χ^2=14.69,P〈0.05）.Awareness of AIDS related knowledge was increasing（89.6%-93.5%）and the proportion of condom use was declining.A knowledge＂ ＂action＂ separation phenomenon was appeared.Conclusions The MSM population in Lanzhou were sexually active.They had many sexual partners（including female partners）.Condom use rate was low.The risk of HIV,HCV,and syphilis infection existed and was likely to spread further.The appropriate and practical measures should be taken to intervene effectively in blocking the spread of AIDS and related diseases in this population.

关 键 词：男男性行为人群 艾滋病 哨点监测 

分 类 号：R512.91[医药卫生—内科学]