2014-2018年阜阳市男男性行为者HIV感染监测结果分析  

Surveillance of HIV Infection Among Men Who Have Sex With Men in Fuyang City From 2014 to 2018

作　　者：宋秀萍[1] 孙良[1] 胡冰[1] 杨鲁光[1] 丁心平[1] 胡允凯 SONG Xiuping;SUN Liang;HU Bing;YANG Luguang;DING XinPing;HU Yunkai(Fuyang Center for Disease Control and Prevention,Fuyang 236030,Anhui Province,China)

机构地区：[1]阜阳市疾病预防控制中心,安徽阜阳236030

出　　处：《预防医学情报杂志》2019年第8期845-850,共6页Journal of Preventive Medicine Information

基　　金：阜阳市卫生计生委疾病谱调查分析课题(项目编号:2018-248)。

摘　　要：目的了解阜阳市男男性行为人群(MSM)艾滋病知识与行为特征、HIV感染状况及影响因素。方法利用阜阳市2014-2018年艾滋病哨点监测数据,采用单因素分析和多因素Logistic回归分析进行HIV感染的影响因素分析。结果2014-2018年,阜阳市男男性行为人群HIV阳性率为4.75%~10.8%,梅毒阳性率为2.8%~11.3%,艾滋病相关知识知晓率为95.05%,最近1次肛交性行为安全套使用比列为57.5%~73.4%,最近6个月同性肛交性行为每次使用安全套比例为31.9%~60.2%。文化程度,最近6个月同性肛交性行为使用安全套情况,最近1年是否接受安全套宣传、发放、艾滋病咨询检测等预防服务和梅毒感染,是MSM感染HIV的影响因素。最近6个月同性肛交性行为从不使用安全套和梅毒阳性是HIV感染最重要的危险因素,随着文化程度降低感染风险也增大。结论阜阳市MSM艾滋病知识知晓率较高,安全套坚持使用率较低,存在知行分离现象。应加强行为干预,提高安全套的使用率,尤其要加大对文化程度低、梅毒阳性MSM人群的HIV检测和综合干预力度。Objective To understand the situation of awareness of AIDS knowledge and behavioral characteristics,HIV infection status and influencing factors among men who have sex with men(MSM)in Fuyang City.Methods The data of AIDS sentinel surveillance in Fuyang City from2014 to 2018 were used to analyze the influencing factors of HIV infection by univariate analysis and multivariate logistic regression analysis.Results From 2014 to 2018,the HIV positive rate of MSM in Fuyang was 4.75%~10.8%,the syphilis positive rate was 2.8%~11.3%,the awareness rate of AIDS-related knowledge was 95.05%.The proportion of condom use in the last anal sex was 57.5%~73.4%,and the proportion of condom use in the last 6 months was 31.9%~60.2%.Educational level,condom use during anal sex in the last six months,AIDS counseling and syphilis infection were the influencing factors of HIV infection in MSM.Never used condom during anal sex in the last6 months and positive syphilis were the most important risk factors for HIV infection.Conclusion The awareness rate of AIDS knowledge of MSM in Fuyang was high,and the persistence rate of condom use was low.There was a phenomenon of separation of knowledge and practice.Behavioral intervention should be strengthened to increase condom use,especially HIV testing and comprehensive intervention among MSM with low education and positive syphilis.

关 键 词：男男性行为人群 艾滋病 影响因素 疾病监测 

分 类 号：R512.91[医药卫生—内科学]