绵阳市县两级男男性行为者HIV感染现状及影响因素分析  

Analysis of HIV infection status and influencing factors among MSM at city and county levels of Mianyang

作　　者：王毅[1] 李六林[1] 樊静[2] 赵西和[1] 王晓丽[3] 刘江[4] 杨干金 李伟 贾修伟 刘晓琴 杜婵娟 谭琴 任延飞 廖平 WANG Yi;LI Liu-lin;FAN Jing;ZHAO Xi-he;WANG Xiao-li;LIU Jiang;YANG Gan-jin;LI Wei;JIA Xiu-wei;LIU Xiao-qin;DU Chan-juan;TAN Qin;REN Yan-fei;LIAO Ping(Mianyang Center for Disease Control and Prevention,Mianyang Sichuan,621000,China;Mianyang Gay Love Group,Mianyang Sichuan,621000,China;Fucheng District Center for Disease Control and Prevention,Mianyang Sichuan,621000,China;Jiangyou City Center for Disease Control and Prevention,Mianyang Sichuan,621700,China;Santai County Center for Disease Control and Prevention,Mianyang Sichuan,622750,China;Anzhou District Center for Disease Control and Prevention,Mianyang Sichuan,622150,China;Beichuan County Center for Disease Control and Prevention,Mianyang Sichuan,621600,China;Zitong County Center for Disease Control and Prevention,Mianyang Sichuan,621000,China;Youxian District Center for Disease Control and Prevention,Mianyang Sichuan,621000,China;High-tech Zone Center for Disease Control and Prevention,Mianyang Sichuan,621000,China;Yanting County Center for Disease Control and Prevention,Mianyang Sichuan,621600,China;Pingwu County Center for Disease Control and Prevention,Mianyang Sichuan,622500,China)

机构地区：[1]绵阳市疾病预防控制中心,四川绵阳621000 [2]绵阳同志关爱小组,四川绵阳621000 [3]绵阳市涪城区疾病预防控制中心,四川绵阳621000 [4]绵阳市江油市疾病预防控制中心,四川绵阳621700 [5]绵阳市三台县疾病预防控制中心,四川绵阳622750 [6]绵阳市安州区疾病预防控制中心,四川绵阳622150 [7]绵阳市北川羌族自治县疾病预防控制中心,四川绵阳621600 [8]绵阳市梓潼县疾病预防控制中心,四川绵阳621000 [9]绵阳市游仙区疾病预防控制中心,四川绵阳621600 [10]绵阳市高新区疾病预防控制中心,四川绵阳621000 [11]绵阳市盐亭县疾病预防控制中心,四川绵阳621600 [12]绵阳市平武县疾病预防控制中心,四川绵阳622500

出　　处：《职业与健康》2020年第12期1659-1663,共5页Occupation and Health

基　　金：社会组织参与艾滋病防治基金项目(2016-2017510701P YDMSM001442-2018)。

摘　　要：目的了解绵阳市县两级男男性行为者(MSM)艾滋病病毒(HIV)感染现状,分析影响因素。方法 2018年2—10月采用滚雪球抽样法,对绵阳市MSM进行相关行为学等调查和血清学检测,并对数据进行分析。结果调查合格问卷1 132份,HIV感染率市级为4.8%,高于县级的2.5%(P<0.05)。市级MSM年龄20~30岁、年龄>30岁、酒吧/茶室/家庭寻找性伴、近6个月肛交>2人及梅毒感染是HIV感染的危险素,知晓艾滋病知识、性生活满意及近6个月肛交有保护是保护因素;县级MSM已婚、近1年诊断性病及酒吧/茶室/家庭寻找性伴是危险因素,接受预防服务及近1次肛交有保护是保护因素(均P<0.05)。结论绵阳市MSM HIV感染率市级高于县级,其影响因素在市县两级既有相同点,也各具特性,应针对性制定防治策略。Objective To understand the human immunodeficiency virus(HIV) infection status among men who have sex with men(MSM) at the city and county levels of Mianyang,analyze influencing factors. Methods From February to October 2018,snowball sampling method was used to take the related behavioral survey and serology testing among MSM in Mianyang City,and the data were analyzed. Results Totally 1 132 valid questionnaires were collected. The HIV infection rate(4.8%) at the city-level was higher than that at the county-level(2.5%)(P<0.05). At the city-level,the age of 20-30 and >30 years old,looking for sexual partner in the bar/tearoom/family,having anal sex with more than two men in the recent six months,and syphilis infection were the risk factors for HIV infection,while the awareness of HIV knowledge,sexual satisfaction,and having anal sex with protection in the recent six months were the protection factors. At the county-level,married,diagnosis of sexually transmitted disease in the past year and looking for sexual partner in the bar/tearoom/family were the risk factors,while receiving preventive services and last anal sex with protection were the protection factors(all P<0.05). Conclusion The HIV infection rate at the city-level is higher than that at the county-level in Mianyang. The influencing factors have the same and different points at the city and county levels,so the targeted prevention strategies should be developed.

关 键 词：男男性行为者 市县两级 艾滋病病毒 影响因素 

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