天津市男性性工作者HIV感染危险因素分析  

Analysis on the risk factors of HIV infection among MSWs in Tianjin

作　　者：张辉[1] 于茂河[2] 李志军[3] 陈韵 杨杰 郭川 徐杰[6] ZHANG Hui;YU Maohe;LI Zhijun;CHEN Yun;YANG Jie;GUO Chuan;XU Jie(Tianjin Hebei District Center for Disease Control and Prevention,Tianjin 300150,China;Tianjin Municipal Center for Disease Control and Prevention,Tianjin 300011;China Office of the Global AIDS Program,US Center for Disease Control and Prevention,Beijing 100600;DXY,Hangzhou,Zhejiang 310052;Tianjin Shenlan Public Health Counselling Service Center,Tianj in 300122;National Center for A IDS / STD Control and Prevention,Chinese Center for Disease Control and Prevention,Beijing 102206)

机构地区：[1]天津市河北区疾病预防控制中心,天津300150 [2]天津市疾病预防控制中心,天津300011 [3]美国疾病预防控制中心全球艾滋病项目中国办事处,北京100600 [4]丁香园,浙江杭州310052 [5]天津深蓝公共卫生咨询服务中心,天津300122 [6]中国疾病预防控制中心性病艾滋病预防控制中心,北京102206

出　　处：《中国艾滋病性病》2018年第8期800-803,共4页Chinese Journal of Aids & STD

基　　金：中美艾滋病防治合作项目(NU2GGH001153)~~

摘　　要：目的了解天津市男性性工作者（MSWs）艾滋病病毒（HIV）感染的危险因素,为开展针对性的有效干预提供依据。方法 2014年12月至2015年6月,依托艾滋病综合干预服务站,通过网络动员和干预现场动员招募MSWs,签署知情同意书,然后进行人口学、性行为、药物滥用等问卷调查及HIV抗体检测。对人口学及各种行为与HIV感染的关系进行单因素和多因素统计分析。结果共调查330名MSWs,平均年龄24.0岁（18~47岁）;91.8%（303名）为未婚/离异/丧偶,96.4%（318名）为汉族,90.6%（299名）来自外省,66.9%（200/299）在天津生活的时间〈3个月。MSWs的HIV感染率为11.5%（38/330）。统计分析显示,少数民族[比值比（OR）=5.348,95%可信区间（CI）：1.565~18.276]、使用伟哥/玛卡等助性剂（OR=2.288,95%CI：1.071~4.887）是HIV感染的危险因素。结论天津市MSWs年龄较小,流动性大,少数民族HIV感染率较高。滥用药物的比例较大,尤其是使用伟哥/玛卡等助性剂和HIV感染关系密切。今后在干预工作中要关注MSWs中的少数民族群体和助性剂的使用问题。Objective To investigate the risk factors of HIV infection among male sex workers（MSWs）in Tianjin and to provide evidence for effective intervention measures.Methods We recruited MSWs through the network mobilization and intervention sites between December 2014 and June 2015,and collected the data of their demographic characteristics,sexual behavior,drug abuse,etc.via questionnaire survey and tested their HIV antibody.The single factor and multiple factors analysis were made accordingly based on the collected data.Results A total of 330 MSWs were surveyed.The average age was 24.0 between 18 and 47 years.91.8% of them were unmarried,divorced or widowed.90.6% were from other provinces.66.9% had lived in Tianjin for less than 3 months,and 96.4% were ethnic Han.The HIV infection rate was 11.5%.Statistical analysis showed that ethnic minorities（OR5.348,95%CI：1.565-18.276）and use of sexual aid such as Viagra and Maca（OR2.288,95% CI：1.071-4.887）were risk factors for HIV infection.Conclusion MSWs in Tianjin are younger and more mobile.The HIV infection rate of ethnic minorities is high.The proportion of drug abuse is high,especially those using sexual aid,which is closely related to HIV infection.We must pay attention to ethnic minorities and those MSWs using sexual aid in the future.

关 键 词：男性性工作者 艾滋病病毒 危险因素 

分 类 号：R373.9[医药卫生—病原生物学]