2016年绵阳市男男性行为者艾滋病哨点监测结果分析  

HIV/AIDS Epidemic Status among the Men Who Have Sex with Men in Mianyang,2016

作　　者：王毅[1] 周万明 樊静[2] 赵西和[1] 唐宇 杨红[1] 周力[2] 王思源[2] 

机构地区：[1]绵阳市疾病预防控制中心,四川绵阳621000 [2]绵阳同志关爱小组

出　　处：《预防医学情报杂志》2017年第12期1199-1204,共6页Journal of Preventive Medicine Information

基　　金：社会组织参与艾滋病防治基金项目(项目编号:2015510701PYD014A22)

摘　　要：目的了解男男性行为者(MSM)艾滋病疫情、知识知晓及性行为现状,分析肛交保护性及艾滋病病毒(HIV)感染影响因素。方法 2016-01/06,以绵阳城区MSM为对象,用滚雪球抽样法,在固定场所和知情同意下,进行调查对象招募和行为学及血清学调查。结果共调查440名,艾滋病知识知晓率97.4%,近1年接受预防服务89.6%。近6月男性肛交、商业性行为、异性性行为每次使用安全套比例分别为71.9%、75.5%和28.0%。HIV确诊阳性率7.3%,梅毒累计感染率10.9%、艾滋病现症感染率6.6%。多因素分析结果,年龄、本地居住时间、酒吧寻找性伴、近1周肛交数、HIV感染与近6月肛交保护有关,年龄、文化程度、接受预防服务、近6月肛交保护是HIV感染独立影响因素。结论 MSM艾滋病知识知晓高,安全套使用待进一步提高,HIV感染处较高水平。肛交保护性、HIV感染风险受多种因素影响,应针对性开展行为干预。Objective To understand the status of HIV/AIDS epidemic, related knowledge awareness, sexual behavior and influence factors of anal sex protection, among the men who have sex with man （MSM）. Methods The MSM behavior and serological survey were applied in Mianyang city from January to June 2015 by snowball sampling method in fixed place and informed consent. Results There 440 cases were investigated, which were accounted 97.4% awareness of HIV/AIDS knowledge and 89.6% the prevention services nearly 1 year. Nearly 6 months the condom using of male anal sex, commercial sex and heterosexual sex each use condoms were 71.9%, positive 75. 5% and 28. 0%, respectively. HIV diagnostic rate was 7. 3%, syphilis infection rate was 10.9%, and AIDS rate was 6.6%. Multiple - factors analysis showed the age, local residence time, partner seeking in bar, anal sex nearly 1 week and anal sex protection nearly 6 months were associated with HIV infection; and the age education level, preventive services and analsex protection nearly 6 months were independent protective factors of HIV infection （ P 〈 0.05 ）. Conclusion The HIV/AIDS knowledge level is high among the MSM, the condom use infection at a higher level. Anal sex protective and HIV infection risk is still should be influenced by strengthened and HIV many factors, which should be targeted for behavior intervention.

关 键 词：男男性行为者 艾滋病 哨点 监测 影响因素 

分 类 号：R181.8[医药卫生—流行病学]