不同活动场所男男性行为者高危行为特征及HIV感染因素分析  

The Analysis of Behavioral Features of Men Who Have Sex with Men and Infection Factors of HIV in Different Partner-seeking Venues

作　　者：李瑞[1] 柳维林 廖玫珍[3] 董安琪[4] 单士馨 杨特[1] 陶小润[3] 钱跃升[3] 王国永[3] 康殿民[3,4,5] 

机构地区：[1]济南大学和山东省医学科学院医学与生命科学学院,济南250062 [2]青岛市城阳区疾病控制中心,青岛266109 [3]山东省疾病预防控制中心,济南250014 [4]山东大学公共卫生学院,济南250012 [5]山东省传染病预防控制重点实验室,济南250014

出　　处：《成都医学院学报》2016年第5期616-620,共5页Journal of Chengdu Medical College

基　　金：国家十二五重大科技专项资助项目(No:2014zx-10001002-001-003)

摘　　要：目的了解山东省不同活动场所男男性行为者(MSM)行为特征及艾滋病感染状况,为制定有效的防控策略提供依据。方法 2015年4-6月,对济南、青岛、菏泽等8个MSM哨点3 210名MSM进行问卷调查,同时采集其静脉血5mL,实验室检测人类免疫缺陷病毒(human immunodeficiency virus,HIV)抗体。结果不同活动场所MSM在年龄、婚姻状况、本地居住时间、文化程度间比较,差异有统计学意义(P<0.001);HIV抗体检出率为4.5%(146/3 210),VCT点感染率最高,为9.6%(57/594),且高于其他4组(x^2=47.26,P<0.001)。多因素结果显示,外省籍、最近6个月与同性发生肛交行为未坚持使用安全套、未接受HIV干预服务、被诊断患过性病、到VCT咨询检测者与HIV感染高风险有关。结论未来应重点加大对浴室和外省籍MSM的关注,借助网络干预等方式扩大目标人群的干预范围,从而控制MSM人群中HIV的流行。Objective To investigate the behavioral features of men who have sex with men（MSM）in different partner-seeking venues and the infection prevalence of HIV and syphilis in Shandong province and provide basis for working out the effective strategies of prevention and control.Methods The questionnaire was conducted from April to June in 2015 among 3210 MSM from different cities such as Jinan,Qingdao,Heze,etc.and 5 mL blood samples were collected from those subjects.The serological test was used to detect the antibody HIV and syphilis.Results Statistically significant differences were found in age,marriage,living condition,and education background among those MSM of different venues（P0.001）.The positive rate of HIV antibody was 4.5%,but the infection rate of MSM recruited from the points of Voluntary Counseling and Testing（VCT）was 9.6%,which was the highest and significantly different from the other MSM of different venues（x^2=47.26,P0.001）.The positive rate of syphilis antibody was 4.0%,but the infection rate of MSM recruited from the bathrooms was 5.3%,which was the highest and significantly different from the others of different venues（x^2=3.74,P=0.442）.Multivariable analysis showed that there was higher prevalence of HIV among the MSM who came from the other provinces,those who didn′t use condoms when having sex with men in the latest 6 months,those who didn′t receive HIV intervention service,those who was diagnosed with venereal disease,and those who received VCT services.Conclusion The prevalence of HIV among MSM can be lowered in the future by attaching more attention to the MSM of the bathrooms and those who come from other provinces and by making use of various channels to broaden the intervention scope of the target population.

关 键 词：男男性行为者 活动场所 艾滋病病毒 影响因素 

分 类 号：R512.91[医药卫生—内科学]