成都市艾滋病自愿咨询检测门诊男男性行为者人群特征及HIV感染状况  

Characteristics and HIV infection of MSM in AIDS voluntary counseling and testing clinics in Chengdu City

作　　者：刘伦皓[1] 范双凤[2] 罗映娟[1] 刘莉[1] 胡莹[1] 裴晓迪[1] 梁莉[1] 

机构地区：[1]四川省疾病预防控制中心,四川成都610041 [2]成都市疾病预防控制中心

出　　处：《实用预防医学》2016年第10期1173-1175,共3页Practical Preventive Medicine

基　　金：四川省卫生厅科研课题(130009)

摘　　要：目的了解成都市艾滋病自愿咨询检测(VCT)门诊男男性行为者(MSM)人群特征、HIV感染状况,以便有效地在VCT门诊中开展男男性行为者人群的咨询检测及干预。方法对2014年成都市VCT门诊中接受咨询检测服务的MSM人群登记资料进行分析,描述性分析MSM人群特征,采用非条件logistic回归分析不同人口学特征的HIV感染风险。结果接受VCT服务的1 459名MSM中30岁以下占67.77%,未婚者占66.88%,大专及以上占51.66%;检出HIV抗体阳性率12.16%。多因素分析显示,相对于婚姻状况已婚者,离异或丧偶感染HIV风险更高(OR=9.088),其次为未婚者(OR=2.104);年龄组和婚姻状况存在感染HIV交互作用,30岁及以上且未婚者感染HIV风险更高(OR=2.106);既往接受检测者感染率高于未接受过检测者(OR=1.539);梅毒感染者感染HIV风险高于未感染梅毒者(OR=5.818)。结论成都市VCT门诊的MSM人群HIV阳性检出率相对较高;不同特征的MSM的感染风险不同,应有针对性地开展咨询检测及干预服务。Objective To investigate the characteristics and HIV infection of men who have sex with men （MSM） in AIDS vol- untary counseling and testing （VCT） clinics in Chengdu City so as to effectively conduct counseling, testing and intervention among MSM in VCT clinics. Methods We analyzed the data of registered MSM for counseling and testing service in VCT clinics of Chengdu City in 2014. The characteristics of MSM were descriptively analyzed, and the risk of HIV infection in MSM with different demographic characteristics was analyzed by unconditional logistic regression analysis. Results A total of 1,459 MSM accepted VCT service, of whom MSM aged younger than 30 years, the unmarried and MSM with college degree or above accounted for 67.77%, 66.88% and 51.66% respectively. The positive rate of HIV antibody was 12.16%. Multivariate logistic regression anal- ysis revealed that compared with the married MSM, the divorced or widowed had higher risk of HIV infection （ OR = 9.088）, followed by the unmarried （OR = 2.104）. There existed interaction between age and marital status in HIV infection, and the unmarried MSM aged ≥30 years had higher risk of HIV infection （ OR=2.106}. The infection rate of HIV was higher in MSM ever receiving an HIV testing than in MSM without （OR= 1.539） as well as higher in MSM with syphilis than in MSM without （OR = 5. 818）. Conclusions The positive detection rate of HIV in the MSM in VCT clinics of Chengdu City is relatively high. The risk of HIV infection is different among MSM with different characteristics ; and hence, targeted counseling, testing and interventions should be carried out.

关 键 词：自愿咨询检测 男男性接触者 HIV感染 风险 

分 类 号：R512.91[医药卫生—内科学]