2016-2019年鞍山市男男性行为人群的HIV感染情况及影响因素分析  

Analysis on HIV infection and influencing factors among MSM population in Anshan City from 2016-2019

作　　者：赵文彬[1] 苏秋菊[1] 尹晔[2] 吴迪 ZHAO Wen-bin;SU Qiu-ju;YIN Ye;WU Di(Department of STD and AIDS Control,Anshan Center for Disease Control and Prevention,Anshan Liaoning,114002,China;Department of Chronic Disease Prevention and Control,Anshan Center for Disease Control and Prevention,Anshan Liaoning,114002,China)

机构地区：[1]鞍山市疾病预防控制中心性病艾滋病防制科,辽宁鞍山114002 [2]鞍山市疾病预防控制中心慢性病防制科,辽宁鞍山114002

出　　处：《职业与健康》2021年第1期51-55,62,共6页Occupation and Health

摘　　要：目的了解鞍山市男男性行为人群(MSM)的人类免疫缺陷病毒(HIV)感染情况及其影响因素,为制定有针对性的防治策略提供参考依据。方法对2016-2019年鞍山市MSM人群艾滋病哨点的监测数据进行分析。结果1600例调查对象,HIV抗体阳性率为9.44%,呈逐年下降趋势(χ^(2)趋势=7.789,P<0.01);梅毒阳性率为6.25%,呈逐年下降趋势(χ^(2)趋势=85.280,P<0.01)。艾滋病知识知晓率为92.69%;最近6个月与同性发生过肛交性行为的比例为94.63%,最近1次与同性发生肛交性行为时安全套使用率为84.08%,最近6个月与同性发生肛交性行为时安全套坚持使用率为65.52%;最近1年接受过预防艾滋病服务的比例为94.63%。文化程度低和感染梅毒的MSM人群感染HIV的风险较高;最近6个月与同性发生肛交性行为时坚持使用安全套的MSM人群感染HIV的风险较低。结论2016-2019年鞍山市MSM人群的HIV感染率仍处于较高水平,对不同特征的MSM人群应该采取有针对性的宣传和干预措施,同时加强性病防治工作,从而进一步控制HIV的传播。Objective To understand the human immunodeficiency virus(HIV)infection and its influencing factors among men who have sex with men(MSM)in Anshan City,provide the basis for the formulation of targeted prevention and control strategies.Methods The AIDS sentinel monitoring data of MSM in Anshan City from 2016-2019 were analyzed.Results Among 1600 respondents,the positive rate of HIV antibody was 9.44%,showing a downward trend year by year(χ^(2) trend=7.789,P<0.01),and the positive rate of syphilis was 6.25%,showing a downward trend year by year(χ^(2) trend=85.280,P<0.01).The awareness rate of AIDS knowledge was 92.69%.In the last six months,94.63%of them had homosexual anal sex.The rate of condom use in the last homosexual anal sex was 84.08%,and the persistent condom use rate in homosexual anal sex in the last six months was 65.52%.In the past year,94.63%of them had received AIDS prevention services.MSM with low education level and syphilis had higher risk of HIV infection.MSM who insist on using condom during homosexual anal sex in the last six months had lower risk of HIV infection.Conclusion The HIV infection rate of MSM in Anshan City from 2016-2019 is still at a high level.It is necessary to take targeted publicity and intervention measures for MSM with different characteristics and strengthen STD prevention and control,to further control the spread of HIV.

关 键 词：男男性行为人群 人类免疫缺陷病毒感染 影响因素 

分 类 号：R181.3[医药卫生—流行病学]