2004年至2016年唐山市男男性行为者HIV/AIDS流行特征分析  

An Analysis of the Epidemic Characteristics of MSM with HIV/AIDS from 2004 to 2016 in Tangshan City

作　　者：魏学前[1] 毛立超[1] 商秀丽[1] 张志坤[1] 张庆娟[1] WEI Xueqian;MAO Lichao;SHANG Xiuli(Tangshan Center for Disease Control and Prevention,Hebei Tangshan 063000,China)

机构地区：[1]河北省唐山市疾病预防控制中心,河北唐山063000

出　　处：《河北医学》2020年第6期1053-1056,共4页Hebei Medicine

基　　金：河北省卫生计生委重点科研项目,(编号:20181382)。

摘　　要：目的:了解2004年至2016年唐山市报告的男男性行为者(MSM)HIV/AIDS的流行特征,为完善唐山市MSM人群艾滋病防治工作提供科学依据。方法:从艾滋病综合防治信息系统中下载2016年底历史卡片,筛选唐山市报告的男男同性传播病例进行分析。结果:2004年至2016年唐山市共报告男男同性传播病例581例。其中,15~24岁青年最多,占34.4%;未婚者居多,占60.8%;大专及以上文化程度者最多,占34.3%;工人最多,占20.8%。样本来源主要为VCT,占44.1%。同性性伴数在3~4人、5~9人的MSM感染者/病人,年龄越小所占构成比越高(χ2=4.416,P<0.05)。经VCT检出的病例中,年龄越小所占构成比越高;经医疗机构检出的病例中,年龄越大所占构成比越高(χ2=6.035,P<0.05)。结论:近年来,唐山市男男同性传播病例增长较快,MSM人群尤其是中老年MSM人群VCT的利用率较低,应进一步加强对VCT门诊的宣传和建设,同时深入开展医疗机构主动提供HIV咨询检测(PITC)工作,尽多、尽早地发现HIV感染者,减少HIV在MSM人群中的传播。Objective:To describe the epidemic characteristics of MSM with HIV/AIDS from 2004 to 2016 in Tangshan,in order to provide scientific evidence for improving the prevention and control strategy of AIDS among men who have sex with men.Methods:Collect the history data of Tangshan as of 2016 from the information system for prevention and control of AIDS and conduct an analysis of reported homosexual transmission of HIV/AIDS.Results:A total of 581 cases of homosexual transmission were recorded from 2004 to 2016.Young patients 15 to 24 years old accounted for 34.4%.Unmarried patients accounted for 60.8%.Of all patients,34.3%had college degree or above.Workmen accounted for 20.8%.The main data origin was VCT,which contributed 44.1%of the cases.Younger MSM with HIV/AIDS had more homosexual companions(χ2=4.416,P<0.05).More younger MSM with HIV/AIDS were detected by VCT clinic,while more older cases were detected by medical institutions(χ2=6.035,P<0.05).Conclusion:The homosexual transmission of HIV/AIDS were increasing significantly in resent years in Tangshan.VCT clinic has low utilization rate among men who have sex with men,especially in middle-aged MSM.Greater efforts should be made to strengthen the publicity and construction of VCT and meanwhile carry out PITC service in depth in order to find more HIV-infection early and reduce the spread of HIV between men.

关 键 词：男男性行为人群 艾滋病 流行特征 

分 类 号：R512.91[医药卫生—内科学] R181.3[医药卫生—临床医学]