昆明市HIV抗体阳性的男男性行为者动员其性伴接受HIV抗体检测的可行性调查  

Feasibility of their sex partners accepting HIV antibody tests mobilized by MSM infected with HIV

作　　者：李佑芳[1] 章任重[1] 王珏[1] 李琪[2] 李志晴[1] 王玲[1] 潘颂峰[1] 马婧[1] 张琬悦[1] 马艳玲[1] Li Youfang Zhang Renzhong Wang Jue Li Qi Li Zhiqing Wang Ling Pan Songfeng Ma Jing Zhang Wanyue Ma Yanling(Yunnan Center for Disease Control and Prevention, Kunming 650022, China Kunming Medical Unlversity)

机构地区：[1]云南省疾病预防控制中心性病艾滋病防制所,昆明650022 [2]昆明医科大学,昆明650500

出　　处：《中国艾滋病性病》2016年第11期883-886,共4页Chinese Journal of Aids & STD

基　　金：M.A.C(魅可彩妆艺术化妆品)基金~~

摘　　要：目的探索昆明市艾滋病病毒(HIV)阳性男男性行为者(MSM)动员其性伴接受HIV抗体检测的可行性,为扩大检测覆盖面,提高MSM阳性发现率提供依据。方法招募在研究期间检测新发现的和既往发现的HIV抗体阳性MSM的性伴,在签署知情同意和充分咨询并尊重其本人同意后,动员过去1年内与其发生过性行为的性伴接受HIV抗体检测。结果招募HIV阳性MSM作为种子,共118人,其中71名种子成功动员其性伴接受了HIV抗体检测,成功率60.17%(71/118)。动员方式中由种子自己动员其性伴前来检测的占93.42%(71/76),性伴HIV感染率13.16%(10/76)。χ2检验结果显示,既往阳性者与新发现阳性者动员其性伴检测的成功率差异有统计学意义(P<0.001);单因素Logistic分析结果显示,性伴HIV感染影响因素中不同的种子类型差异有统计学意义(P<0.05),既往阳性者其性伴的HIV感染风险低于新发现阳者的性伴。结论HIV抗体阳性的MSM性伴HIV感染率高,HIV阳性MSM动员其性伴接受HIV抗体检测十分必要且可行,应作为一项预防和控制MSM艾滋病传播的有效策略。Objective To explore the feasibility of the sex partners to get HIV antibody tests mobilized by men who have sex with men（MSM）infected with HIV in Kunming so as to expand the coverage of HIV detection services.Method MSM infected with HIV were recruited as＂seeds＂no matter whether they were newly or previously detected during the study period.After signing an informed consent,and receiving adequate counseling,the HIV positive MSM access to the sexual partners the most recent year to persuade them to receive HIV antibody tests.Results There were 118 HIV positive MSM recruited and 71 of them（60.17%）successfully got their sex partners test HIV antibody.The HIV infection rate of their sex partners was 13.16%.Chi-square test showed that the difference was statistically significant（P〈0.001）between the success rate mobilized by newly and previously detected HIV positives.Logistic regression analysis showed that the difference in types of＂seeds＂associated with HIV infected factors of the sex partners was statistically significant.The previously detected HIV positive MSM had the risk of HIV infection lower than the newly detected ones.Conclusion The infection rate of sex partners of HIVpositive MSM are high.It is necessary and feasible for HIV positive MSM to have their sex partners accept HIV antibody tests.

关 键 词：男男性行为者 艾滋病病毒阳性者 性伴检测 可行性 

分 类 号：R373.9[医药卫生—病原生物学]