山东省男男性行为者哨点毒品滥用者HIV感染状况及影响因素分析  

HIV infection status and influencing factors of drug abusers among MSM under sentinel surveillance in Shandong province

作　　者：段青[1] 廖玫珍[2] 黄鹏翔[2] 李瑞 单士馨 杨特[1] 于海英[2] 张科[2] 康殿民[2,3,4] 

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

出　　处：《中国艾滋病性病》2018年第2期143-147,共5页Chinese Journal of Aids & STD

摘　　要：目的了解山东省男男性行为者（MSM）哨点毒品滥用者艾滋病病毒（HIV）感染状况及其影响因素,为相关部门制定合理的干预措施提供依据。方法从2012-2015年MSM哨点资料中筛选出符合要求的毒品滥用者,分析其一般人口学特征、艾滋病知识/性行为变化、HIV感染状况及其影响因素。结果 2012-2015年MSM哨点毒品滥用者所占比例分别为2.8%（88/3 172）、2.2%（70/3 161）、2.1%（64/3 060）、2.5%（81/3 210）。303名毒品滥用者的HIV阳性率为4.6%（14/303）,梅毒阳性率为7.6%（23/303）;12 300名非毒品滥用者的HIV阳性率为3.7%（452/12 300）,梅毒阳性率为5.0%（611/12 300）。2012-2015年,MSM哨点毒品滥用者艾滋病知识总体知晓率为77.2%（234/303）,知晓率总体呈上升趋势（χ_（趋势）~2=18.2,P〈0.05）;文化程度为大专及以上所占的比例总体呈上升趋势（χ_（趋势）~2=48.6,P〈0.05）;最近6个月商业性行为的发生率呈下降趋势（χ_（趋势）~2=13.1,P〈0.05）;最近6个月的同性肛交性行为的发生率呈下降趋势（χ_（趋势）~2=29.8,P〈0.05）。外省籍毒品滥用者的HIV阳性率高于本省籍的毒品滥用者（χ~2=3.93,P〈0.05）,样本来源为自愿咨询检测（VCT）的毒品滥用者的HIV阳性率高于其他样本来源的毒品滥用者（χ~2=24.83,P〈0.05）,在本地居住时间≥2年的毒品滥用者的HIV阳性率高于在本地居住时间〈2年的毒品滥用者（χ~2=4.91,P〈0.05）,梅毒阳性的毒品滥用者的HIV阳性率高于梅毒阴性的毒品滥用者（χ~2=4.01,P〈0.05）。结论 MSM哨点毒品滥用者梅毒感染率高于非毒品滥用者,提示与之感染途径相似的艾滋病也应引起重视,应进一步加强该人群的干预措施,关注外省籍者和VCT者,推广使用安全套并防范梅毒感染。Objective To describe the HIV infection status and its influencing factors of drug abuse among MSM under sentinel surveillance in Shandong province,and to provide evidence for development of adaptable interventions.Methods Drug abusers were selected based on the data of sentinel surveillance for MSM group during 2012-2015,and analysis was made to know their general demographic characteristics,status of AIDS knowledge,sexual behavior,HIV infection and its influencing factors.Results The rate of drug abusers during 2012-2015 was 2.8% （88/3172）,2.2% （70/3161）,2.1% （64/3060）,and 2.5% （81/3210）respectively.The 303 drug abusers had HIV positive rate of 4.6% （14/303）,and syphilis rate of 7.6% （23/303）.The 12 300 non-drug users had HIV positive rate of 3.7% （452/12300）,and syphilis rate of 5.0% （611/12300）.The AIDS knowledge awareness rate was on the rise（χ~2 trend=18.2,P〈0.05）during the period,as well as the proportion of education level for college students and above（χ~2 trend=48.6,P〈0.05）.The incidence of commercial homosexual behavior last six months decreased（χ~2 trend=13.1,P〈 0.05）,as well as that of homosexual anal sex last six months（χ~2 trend=29.8,P〈0.05）.HIV positive rate of non-resident drug abusers was higher than that of local residents in the provinces（χ~2=3.93,P〈0.05）.HIV positive rate of drug abusers from VCT clinics was higher than those from other sources.（χ~2=24.83,P〈0.05）.The drug abusers with the residence time≥ 2 years in Shangdong had higher HIV infection rate than those with residence time〈 2 years（χ~2=4.91,P〈0.05）,and those infected with syphilis had higher rate of HIV infection than those of non-syphilis drug abusers（χ~2=4.01,P〈0.05）.Conclusion Drug abusers among MSM have a higher rate of syphilis infection than non-drug users according to MSM sentinel surveillance,suggesting that AIDS epidemic should be paid attention too,as it has the same transmission mode as syphilis.We should further strengthen the i

关 键 词：男男性行为者 哨点 毒品滥用者 艾滋病病毒 

分 类 号：R512.91[医药卫生—内科学] R373.9[医药卫生—临床医学]