湖北省某市2014年中老年男性HIV感染及与暗娼关系分析  

Association between HIV infection and female sex workers in middle aged and old men in a city in Hubei provine, 2014

作　　者：刘漫[1,2] 肖琛嫦[1] 王棠 刘家发[2] 李十月[1] 燕虹[1] 

机构地区：[1]武汉大学公共卫生学院,430071 [2]湖北省疾病预防控制中心,武汉430079 [3]湖北省卫生和计划生育委员会,武汉430079

出　　处：《中华流行病学杂志》2016年第7期965-969,共5页Chinese Journal of Epidemiology

摘　　要：目的 了解湖北省某市中老年男性HIV感染状况，并分析HIV感染与暗娼的关系，为制定干预措施提供依据。方法 采用分层整群抽样的方法，在该市城郊区和远离城区的街道/乡镇共抽取10个社区/村。采用自行设计的问卷，于2014年12月对抽取社区/村中634名≥50岁男性进行现场调查。结果 该市中老年男性艾滋病相关知识知晓率为13.3%（68/513），63.2%（371/587）认为自己不可能感染艾滋病，9.1%（52/573）可以接受婚外性行为，32.4%（189/583）对“付钱找小姐”表示赞同或无所谓。近半年有过性行为的人中，6.6%（15/228）报告与妻子或同居女友外的人有过性行为，其中63.6%（7/11）报告从未使用安全套，21.8%（128/586）表示身边有熟人朋友付钱找小姐。7例HIV阳性（1.2%，7/601），距离暗娼密集点近的3个调查点HIV阳性检出率分别为4.2%（5/119）、1.1%（1/95）和0.5%（1/192），而距离较远的2个乡镇未检出HIV阳性。13.2%（77/581）报告遇到过暗娼上门提供性服务，其HIV阳性检出率为5.2%（4/77），高于没有遇到过者[0.6%（3/504）]（P=0.007）。结论 该市中老年男性对艾滋病防治知识知晓率低，感染风险认知低，具有一定的高危性行为，该人群HIV阳性检出率较高，且HIV感染可能与其和暗娼发生性交易有关。Objective To understand the HIV infection status in middle aged and old men and the association between HIV infection and female sex workers in a city in Hubei province and provide evidence for the targeted prevention and control of HIV infection. Methods Ten communities/villages were selected through stratified cluster sampling from the suburban and rural areas of the city. A total of 634 men aged≥50 years were surveyed by using self-designed questionnaire in December, 2014. Results The awareness rate of HIV/AIDS related knowledge was 13.3% （68/513）. Among the men surveyed, 63.2% （371/587） thought they couldn＇t be infected with HIV, 9.1% （52/573） believed that extramarital sex is acceptable, and 32.4% （189/583） considered that commercial sexual behavior is just as well. Among the surveyed men reporting sexual behavior in the past 6 months, 6.6% （15/228） had sex with regular sexual partners, in which 63.6% （7/11） never used condoms, 21.8%（128/586） reported that some friends had commercial sexual behaviors. Among 601 men receiving HIV testing, 7 were HIV positive （1.2%）. The HIV detection rates among the men living at 3 communities near red light district were 4.2% （5/119）, 1.1% （1/95） and 0.5% （1/192） respectively; while no HIV infections were found in the men living at 2 towns far away from red light district. Seventy seven of 581 men surveyed （13.2%） reported to meet visiting female sex workers and they had higher HIV positive rate （5.2%, 4/77） than those without such experiences （0.6%, 3/504） （P=0.007）. Conclusion The middle aged and old men in this city had low awareness of HIV/AIDs related knowledge, and high-risk sexual behaviors existed among them. HIV positive rate was relatively high in this population, and HIV infection might be associated with sex service.

关 键 词：艾滋病相关知识 性行为 暗娼 中老年男性 

分 类 号：R512.91[医药卫生—内科学]