重庆万州地区男男性行为人群HIV感染情况及其危险因素分析  

Analysis of HIV infection and risk factors among men who have sex with men in Wanzhou,Chongqing

作　　者：刘鑫 陈永宏 陈瑞华 田冰 赵春娥 Liu Xin;Chen Yonghong;Chen Ruihua;Tian Bing;Zhao chun'e(Department of Infectious Diseases,Three Gorges Hospital Affiliated to Chongqing University,Chongqing Wanzhou 404000,China)

机构地区：[1]重庆大学附属三峡医院感染科,重庆万州404000

出　　处：《新发传染病电子杂志》2021年第4期343-347,共5页Electronic Journal of Emerging Infectious Diseases

基　　金：重庆市卫生计生委中医药科技项目(ZY201703067);重庆市万州区科学技术项目(201403016)。

摘　　要：目的对重庆万州地区男男性行为(MSM)人群HIV感染情况进行调查,并分析其危险因素。方法 2020年1-12月在重庆万州地区通过同伴介绍、社会组织外展干预转介、QQ群、微信群等社交平台宣传方式招募在1年内有插入性口交或肛交同性性行为的男性349例进行调查。通过问卷收集可能影响MSM人群HIV感染的因素,对所有调查对象进行抽血检验,根据HIV感染情况将调查对象分为HIV阳性组与HIV阴性组,比较两组调查对象经问卷收集的各因素,并采用多因素Logistic回归分析判断各因素对MSM人群感染HIV的综合影响。结果本次调查共发放问卷349份,回收有效问卷342份,回收有效率为97.99%。在有效调查对象中共有21例(6.14%)被确诊为HIV感染。多因素Logistic回归分析结果显示:年龄增加(OR=1.436,95%CI=1.015~2.032)、有饮酒史(OR=1.446,95%CI=1.053~1.987)、有吸毒史(OR=1.517,95%CI=1.081~2.130)、性角色为0号(OR=1.536,95%CI=1.129~2.089),近6个月性行为时偶尔使用或不使用安全套(OR=1.505,95%CI=1.075~2.109)、近6个月有商业性行为史(OR=1.465,95%CI=1.040~2.065)、有性病史(OR=1.670,95%CI=1.165~2.396)、性伴人数>1位(OR=1.525,95%CI=1.045~2.226)、使用助性剂(OR=1.507,95%CI=1.042~2.178)为重庆万州地区MSM人群HIV感染的危险因素(均P<0.05)。结论重庆万州地区MSM人群HIV感染率较高,此类人群HIV感染主要受年龄、文化程度、饮酒史等因素的影响,可根据上述因素进行针对性干预以降低MSM人群的HIV感染率。Objective To investigate the HIV infection among men who have sex with men (MSM) in Wanzhou,Chongqing,and analyze its risk factors.Methods From January to December 2020,349 men with same-sex sexual behavior of oral or anal sex within one year were recruited in Wanzhou,Chongqing were recruited through peer introduction,social organization outreach intervention and referral,QQ group,wechat group and other social platforms.Collect the factors that may affect the HIV infection of MSM population through questionnaire,take blood test for all respondents,and divide the respondents into HIV positive group and HIV negative group according to the HIV infection.The factors collected by the questionnaire were compared between the two groups of survey subjects,and the multi-factor Logistic regression analysis was used to determine the comprehensive impact of each factor on the HIV infection in the MSM population.Results 349 questionnaires were distributed and 342 valid questionnaires were recovered,with a recovery rate of 97.99%.A total of 21 people (6.14%) were diagnosed with HIV infection.Multivariate Logistic regression analysis showed that age(OR=1.436,95%CI=1.015~2.032),drinking history(OR=1.446,95%CI=1.053~1.987),drug use history(OR=1.517,95%CI=1.081~2.130),sex role No.0(OR=1.536,95%CCI=1.129~2.089),occasional condom use or no condom use in recent 6 months(OR=1.505,95%CI=1.075~2.109),commercial sex history in recent 6 months(OR=1.465,95%CI=1.040~2.065),sexual history(OR=1.670,95%CI=1.165~2.396),number of sexual partners >1(OR=1.525,95%CI=1.045~2.226),and use of booster(OR=1.507,95%CI=1.042~2.178)were risk factors for HIV infection among MSM in Wanzhou,Chongqing (P<0.05).Conclusion The HIV infection rate of MSM population in Wanzhou,Chongqing is high.The HIV infection of this population is mainly affected by age,education level,drinking history and other factors.Targeted intervention can be carried out according to the above factors to reduce the HIV infection rate of MSM population.

关 键 词：男男性行为人群 人类免疫缺陷病毒感染 危险因素 

分 类 号：R512.91[医药卫生—内科学]