2010—2015年湖北省男男性行为者艾滋病新发感染流行病学特征分析  

Epidemiologicalfeatures of newly infected HIV male who have sex with male in Hubei Province(2010-2015)

作　　者：彭庭海[1] 彭国平[1] 阳凯[1] 申幸福[1] 李玲[1] 蒋洪林[1] 汤恒[1] 刘聪[1] 郭萌[1] 

机构地区：[1]湖北省疾病预防控制中心,武汉430079

出　　处：《公共卫生与预防医学》2017年第5期49-52,共4页Journal of Public Health and Preventive Medicine

基　　金：湖北省科技计划项目(2012DCA14001)

摘　　要：目的分析2010—2015年湖北省男男性行为者(MSM)艾滋病新发感染状况及其特征。方法分析2010—2015年湖北艾滋病病例报告系统及哨点监测中MSM信息,同时收集病例报告系统中新报告MSM HIV感染者首次HIV-1抗体确证阳性样本和MSM哨点监测中新发现HIV感染者样本,进行BED检测,计算新发感染构成和新发感染率。结果 2010—2015年湖北省新报告的HIV/AIDS中,经同性传播构成比从32.87%上升到41.90%,新报告的15~29岁HIV/AIDS中,经同性传播所占比例上升迅速,从46.06%增长至73.31%,同性传播HIV新发感染构成均在60.00%以上,明显高于同期其他传播途径水平;MSM HIV/AIDS和新发感染者以15~29岁的青年为主;婚姻状况以未婚为主;文化程度较高;商业服务、学生和干部职员中同性传播所占比例较高;样本来源以MSM干预和专题调查所占比例较高。2010—2015年湖北省哨点监测中MSM人群的新发感染率较高,且2012—2015年略呈上升趋势,分别为1.53%、1.71%、2.00%和2.58%,安全套使用率较低。结论湖北省MSM人群在新报告HIV/AIDS及新发感染者中所占比重较大,呈上升趋势,湖北省MSM人群新发感染率维持在较高水平,但MSM人群安全套使用率较低,需探索新的行之有效的综合干预措施。Objective To study the incidence and characteristics of newly infected HIV of MSM in Hubei Province during the period from 2010 to 2015. Methods The MSM information gathered by Hubei AIDS Case Reporting System and sentinel surveillance during the period from 2010 to 2015 was analyzed. BED test was performed for the initial HIV - 1 antibody confirmation positive samples of newly reported HIV - infected MSM from the case reporting system, and the samples of newly discovered HIV - infected cases from MSM sentinel surveillance, and the composition of new infection and new HIV infection were calculated. Results The ratio of homosexual transmission-induced infections to newly reported HIV/AIDS infections rose from 32. 87% to 41. 90% in Hubei Province during the period from 2010 to 2015. The ratio of homosexual transmission-induced infections to newly reported HIV/AIDS infections aged 15 ？29 rose rapidly from 46. 06% to 73. 31% ,and the homosexual transmission-induced new HIV infections accounted for over 60. 00%,apparently higher than the transmission level from other routes. As compared with other routes of transmission, MSM HIV/ AIDS and new infections showed the following characteristics： Youths aged 15 ？29 were the principal contributors;most of the infected were unmarried;with higher education background. The ratio of homosexual transmission was higher among the business service men, students and cadres/employees. Samples were mainly from MSM intervention and special investigation. According to the sentinel surveillance results in Hubei Province during the period from 2010 to 2015, the new infection rate among the MSM population was relatively higher,it showed an upward trend from 2012 to 2015,it was 1. 53% ~,1.71% ~,2. 00% and 2. 58% Respectively. The rate of condom use was rather low. Conclusions The MSM population accounted for a higher proportion among the newly reported HIV/AIDS and new infections in Hubei Province, and showed an upward trend. The new infection rate maintai

关 键 词：艾滋病 男男性行为者 新发感染 

分 类 号：R512.91[医药卫生—内科学]