2006—2016年浙江省宁波市男男性行为人群艾滋病流行特征分析  

Epidemiological characteristics of HIV/AIDS in men who have sex with men in Ningbo,Zhejiang,2006-2016

作　　者：史宏博[1] 洪航[1] 张继红[2] 顾晓敏[1] 姜海波[1] 李思萱[1] 董红军[1] SHI Hong-bo HONG Hang ZHANG Ji-hong GU Xiao-min JIANG Hai-bo LI Si-Xuan DONG Hong-jun(Ningbo municipal Center for Disease Control and Prevention, Ningbo 315010, Zhejiang, China Medical School of Ningbo University, Ningbo 315211, Zhejiang , China)

机构地区：[1]宁波市疾病预防控制中心,浙江宁波315010 [2]宁波大学医学院,浙江宁波315211

出　　处：《疾病监测》2017年第9期735-738,共4页Disease Surveillance

摘　　要：目的分析浙江省宁波市男男性行为人群(MSM)艾滋病疫情特征及流行趋势,为制定MSM防控措施提供参考依据。方法采用2006 2016年宁波市报告的MSM艾滋病病毒感染者/艾滋病患者(HIV/AIDS)疫情数据和MSM艾滋病哨点监测数据,对MSM艾滋病的流行特征、相关知识知晓及高危行为进行流行病学分析。结果截至2016年12月31日,宁波市共报告HIV/AIDS 3 817例,其中MSM 1 315例,占全部报告病例的34.5%。11年间,MSM的HIV/AIDS疫情整体呈上升趋势。1 315例HIV/AIDS人口学分布情况:年龄集中在20~39岁,占70.5%;婚姻以未婚为主,占62.6%;文化程度以高中及以上为主,占61.3%;户籍以外地为主,占61.6%。51.4%的病例由疾控机构发现并报告;样本来源以艾滋病自愿咨询检测(VCT)发现比例最高,占36.7%,其次是性病门诊就诊者、其他就诊者检测和专题调查,分别占15.7%、14.8%和12.5%。2014年和2015年MSM艾滋病相关知识知晓率均在90%以上,HIV感染率在5.2%~10.2%之间,梅毒感染率在4.2%~13.1%之间,丙型病毒性肝炎感染率在0.0%~3.0%之间。结论 MSM仍然是宁波市艾滋病防控需要重点关注的人群,亟须针对MSM特征采取防控措施。Objective To understand the epidemiological characteristics of HIV/AIDS in men who have sex with men（ MSM） in Ningbo,Zhejiang province,and provide evidence for the HIV/AIDS prevention and control of MSM population.Methods The HIV/AIDS epidemiological characteristics,awareness of AIDS related knowledge and high risk behaviors in M SM was analyzed,through the reporting epidemic data and sentinel surveillance in M SM during 2006-2016. Results By the end of 2016,a total of 3 817 HIV/AIDS cases had been reported in Ningbo,1 315 HIV/AIDS cases were transmitted by M SM,accounting for 34. 5%（ 1 315/3 817）. The M SM HIV/AIDS epidemic was on the rise in 11 years. The demographic characteristics of 1 315 HIV/AIDS： M ost of them were between 20 and 39 years old（ 70. 5%）,mainly of them were unmarried（ 62. 6%）,high school and above education（ 61. 3%）,non-local residents（ 61. 6%）. The cases were mainly reported by local CDC（ 51. 4%）. The detection samples were mainly from Voluntary Counsel and Test（ VCT） clinics（ 36. 7%）,followed by STD clinics（ 15. 7%）,other clinics（ 14. 8%） and other survey（ 12. 5%）. The awareness rate of AIDS related knowledge in M SM was over 90% in 2014 and 2015,The HIV infection rate was between 5. 2% and 10. 2%.The syphilis prevalence was between 4. 2% and 13. 1%,and the HCV infection rate was between 0. 0% and 3. 0%.Conclusion M SM are still the high risk of HIV infection should be emphasized,and targeted prevention and control measures are in desperate needed.

关 键 词：男男性行为人群 艾滋病病毒感染者/艾滋病患者 流行特征 

分 类 号：R181.3[医药卫生—流行病学] R512.91[医药卫生—公共卫生与预防医学]