湖北省艾滋病感染男男性行为人群婚姻及配偶检测情况  

Marital status and spouse′s HIV detection of HIV positive men who have sex with men in Hubei

作　　者：笪琴[1] 彭国平[1] 汤恒[1] 郑武[1] DA Qin;PENG Guoping;TANG Heng;ZHENG Wu Hubei(Provincial Center for Disease Control and Prevention,Wuhan,Hubei 430079,China)

机构地区：[1]湖北省疾病预防控制中心

出　　处：《中国热带医学》2019年第6期538-541,共4页China Tropical Medicine

基　　金：湖北省科技厅计划项目(No.2012DCA14)

摘　　要：目的了解湖北省艾滋病感染者中男男性行为者(men who have sex with men,MSM)人群的婚姻影响因素及配偶检测情况。方法收集湖北省2013-2017年艾滋病感染途径为“同性传播”的病例,比较“已婚/离异”组和“未婚”组之间的差异,纳入Logistic回归分析。分析有婚姻组配偶HIV检测情况。结果湖北省2013-2017年累计报告7 005例MSM感染者,5 996例≥22岁法定结婚年龄,其中12例(0.20%)婚姻状况不详,2 772例(46.23%)有过婚姻(已婚、离异),3 212例(53.57%)未婚。有婚姻组与未婚组在年龄、职业、文化程度、性病史和样本来源上的差异有统计学意义(Ρ均<0.05)。Logistic回归分析:MSM人群大于40岁有婚姻的可能性增大(OR=91.348,95%CI:72.653~114.854);职业中政府/企事业单位(OR=1.571,95%CI:1.192~2.071)和农民/民工(OR=1.454,95%CI:1.158~1.825)有婚姻的可能性较大;初中文化程度有婚姻的可能性最大(OR=2.971,95%CI:2.425~3.639)。有婚姻组配偶HIV检测率为28.90%(801/2 772),阳性率18.73%(150/801)。结论对于MSM人群的异性伴侣和妻子,也应纳入干预和关怀。建议加强针对MSM人群本身特点的干预内容,对医务人员和社会大众进行反歧视教育,促进MSM人群的配偶告知和检测工作。Objective To understand the marital status, influencing factors, and spouse′s HIV detection of HIV positive men who have sex with men (MSM) in Hubei Province. Methods Collected cases of HIV/AIDS infected by "homosexual transmission" in Hubei during 2013-2017, and compared the differences between the "married/divorced" group and the "unmarried" group by Logistic Regression analysis. Analyzed HIV detection of spouses in the "married/divorced" group. Results A total of 7 005 MSM with HIV/AIDS were reported, including 5 996 persons reaching the legal marriage age of 22 years, with 12 persons (0.20%) whose marital status was unknown, 2 772 (46.23%) who had been married/divorced, and 3 212 (53.57%) who were unmarried. The logistic regression analysis indicated that the influencing factors of marriage (more possible of marriage) were the age above 40 years (OR=91.348, 95%CI: 72.653-114.854), those working in government/enterprises/public institutions (OR=1.571, 95%CI: 1.192-2.071), farmers/migrant workers (OR=1.454, 95%CI: 1.158-1.825), and people with junior middle school education level (OR=2.971, 95%CI: 2.425-3.639). Totally 28.90%(801/2 772) of married/divorced spouses had HIV testing, and 18.73%(150/801) of them was positive. Conclusion It is necessary to strengthen the intervention and care for MSM female spouses and promote the notification and HIV testing.

关 键 词：艾滋病 男男性行为者 配偶检测 

分 类 号：R512.91[医药卫生—内科学]