2018年深圳市宝安区358名男男性行为者HIV/TP感染情况及影响因素分析  

Prevalence of HIV/TP Infection and Related Factors Among 358 Men Who Have Sex With Men in Baoan District of Shenzhen City in 2018

作　　者：周宗磊 詹志强[2] 孙群露[2] 章文强[1] 涂玉山[2] 栾荣生[1] ZHOU Zonglei;ZHAN Zhiqiang;SUN Qunlu;ZHANG Wenqiang;TU Yushan;LUAN Rongsheng(West China School of Public Health and West China Fourth Hospital,Sichuan University,Chengdu 610041,Sichuan Province,China;Baoan District Center for Disease Control and Prevention,Shenzhen 518133,Guangdong Province,China)

机构地区：[1]四川大学华西公共卫生学院/四川大学华西第四医院,成都610041 [2]深圳市宝安区疾病预防控制中心,广东深圳518133

出　　处：《预防医学情报杂志》2019年第12期1435-1440,1445,共7页Journal of Preventive Medicine Information

摘　　要：目的了解深圳市宝安区男男性行为者(MSM)的艾滋病病毒(HIV)、梅毒(TP)感染现状,并探讨其相关影响因素。方法本次研究采用非概率抽样方法,借助社会组织招募MSM,采用匿名询问式问卷调查收集深圳市宝安区男男性行为者一般人口学信息、艾滋病知识知晓率及性行为,并采集血样开展HIV/TP检测。非条件Logistic回归模型用于分析MSM感染HIV/TP的影响因素。结果共有效调查358名MSM,平均年龄为(37.19±9.39)岁,未婚占56.15%,省外户籍占86.03%,汉族占91.34%,初中及以下学历占48.04%,同性恋和双性恋者居多,占86.87%。艾滋病知识知晓率为76.54%,最近6个月,81.28%、6.53%和31.28%的MSM分别发生过同性肛交性行为、同性商业性行为以及异性性行为,每次均使用安全套的比例分别为34.36%、63.16%和15.18%。HIV、TP感染率分别为11.73%、21.79%,Logistic回归结果显示,高文化程度是HIV/TP感染的保护因素,而离异/丧偶、近6个月发生同性肛交性行为和较长本地居住时间是HIV/TP感染的危险因素。结论深圳市宝安区MSM的HIV、TP感染率较高,应采取以宣传教育和干预为主的综合措施,从而遏制疫情进一步蔓延。Objective To understand the status of HIV/TP infection among men who have sex with men(MSM) in Baoan district,Shenzhen city and to explore the influencing factors related to HIV/TP infection. Methods With the help of social organizations, MSM were recruited by nonprobability sampling. An anonymous questionnaire survey was conducted on MSM population tocollect the information about general demography,knowledge of AIDS,and sexual behaviors. Blood samples were also collected for AIDS and syphilis tests. The unconditional logistic regression analysis was performed to explore the influencing factors of HIV/TP infection in MSM population.Results 358 MSM were validly investigated in this survey, with an average age of(37.19 ± 9.39)years. Unmarried MSM, MSM whose registered permanent residence was out of Guangdong province, MSM of Han nationality, MSM with educational background of junior high school or below, homosexual and bisexual MSM accounted for 56.15%, 86.03%, 91.34%, 48.04%, 86.87%of the total sample,respectively. The awareness rate of AIDS-related knowledge was 76.54%. In the last six months,81.28%,6.53%,and 31.28% of MSM had homosexual anal intercourse,homosexual commercial intercourse and heterosexual intercourse respectively. The proportion of condom use was34.36%, 63.16%, 15.18% for the above sexual behaviors, respectively. The infection rates of HIV and TP were 11.73% and 21.79%, respectively. Logistic regression analysis suggested that higher education level was a protective factor for HIV/TP infection,while the divorced or widowed status,homosexual anal intercourse in the past six months,and staying in local residence for a long time were the risk factors. Conclusion A relatively high rate of HIV/TP infection was observed among MSM population in Baoan District, Shenzhen City. Comprehensive measures based on propaganda,education and intervention should be taken to curb the further spread of the epidemic.

关 键 词：男男性行为人群 艾滋病 梅毒 影响因素 LOGISTIC回归模型 

分 类 号：R512.91[医药卫生—内科学]