长沙市男男性行为者HIV和梅毒感染现状及影响因素分析  

Prevalence of HIV and syphilis and their associated factors among men who have sex with men in Changsha

作　　者：杜方智 郑志菊[1] 张栩 梁国钧[1] 陈祥生[1] 陈曦[2] 贺健梅[2] 郑军[2] 高守芝[2] 李承西 袁瑛 黄敖 王千秋[1] DU Fangzhi;ZHENG Zhiju;ZHANG Xu;LIANG Guojun;CHEN Xiangsheng;CHEN Xi;HE Jianmei;ZHENG Jun;GAO Shouzhi;LI Chengxi;YUAN Ying;HUANG Ao;WANG Qianqiu(National Center for STD Control,Chinese Center for Disease Control and Prevention,Nanjing 210042,China;Hunan Provincial Center for Disease Control and Prevention,Changsha 410000;Zhongda Sunshine Group,Changsha 410000;Left Bank Rainbow Group,Changsha 410000;The First Hospital of Changsha,Changsha 410000)

机构地区：[1]中国疾病预防控制中心性病控制中心,南京210042 [2]湖南省疾病预防控制中心,长沙410000 [3]中大阳光工作小组,长沙410000 [4]左岸彩虹工作小组,长沙410000 [5]长沙市第一医院,长沙410000

出　　处：《中国艾滋病性病》2021年第2期132-136,共5页Chinese Journal of Aids & STD

基　　金：中美艾滋病防治合作项目(GAP项目)资助;中国医学科学院联合创新团队项目(2016-I2M-3021)。

摘　　要：目的了解长沙地区男男性行为者(MSM)艾滋病病毒(HIV)和梅毒感染状况及其影响因素。方法2018年10月至2019年6月期间,委托非政府组织(NGOs)应用滚雪球的方法招募MSM,开展问卷调查和HIV及梅毒检测。采用多因素Logistic回归模型分析HIV和梅毒感染的影响因素。结果共招募1220名MSM,其中HIV感染91人,感染率为7.46%,梅毒感染76人,感染率为6.23%,现症感染50人。多因素分析结果显示:已婚、近一个月性行为时安全套使用频率低及存在梅毒感染的MSM更可能感染HIV(P均<0.05);年龄越大、近一年未接受过梅毒检测、近一个月性行为时安全套使用频率低及存在HIV感染的MSM更可能感染梅毒(P均<0.05)。结论已婚和年龄较大的MSM仍是重点干预对象,有效促进安全套的使用和扩大MSM中梅毒筛查应持续成为MSM性病艾滋病防治的重要工作。Objective To investigate the prevalence of human immunodeficiency virus(HIV)and syphilis and their associated factors among men who have sex with men(MSM)in Changsha.Methods From October 2018 to June 2019,two non-governmental organizations(NGOs)were commissioned to recruit MSM by snowball sampling method,conducting questionnaire survey,and HIV and syphilis tests.Multivariate Logistic regression model was used to analyze associated factors of HIV and syphilis infection.Results The prevalence of HIV and syphilis were 7.46%and 6.23%among 1220 MSM,respectively.MSM who were married,with a low frequency of condom use in sexual intercourse in the last month,and infected with syphilis were susceptible to HIV infection(all P<0.05).MSM who were older,did not have an syphilis test in the past year,with a low frequency of condom use in sexual intercourse in the last month,and infected with HIV were susceptible to syphilis infection(all P<0.05).Conclusions MSM who are married and older are still the focus of intervention.Effective promotion of condom use and expansion of syphilis screening in MSM should be prioritized in the prevention of HIV and syphilis among MSM group.

关 键 词：男男性行为者 艾滋病病毒 梅毒 危险因素 

分 类 号：R373.9[医药卫生—病原生物学] R759[医药卫生—基础医学]