2020年河南省艾滋病自愿咨询检测门诊男男性行为就诊者HIV感染情况  

HIV infection among men who have sex with men attending the voluntary counselling and test clinics in Henan,2020

作　　者：马彦民[1] 李宁[1] 张国龙 赵东阳[1] MA Yanmin;LI Ning;ZHANG Guolong;ZHAO Dongyang(Institute for STD and AIDS Prevention and Control,Henan Provincial Center for Disease Control and Prevention,Zhengzhou,450016)

机构地区：[1]河南省疾病预防控制中心,河南郑州450016

出　　处：《河南预防医学杂志》2022年第1期27-30,共4页Henan Journal of Preventive Medicine

基　　金：国家“十三五”科技重大专项(2018ZX10715009);河南省医学科技攻关计划(2018020519)。

摘　　要：目的掌握河南省艾滋病自愿咨询检测门诊就诊男男性行为者人群特征及HIV与梅毒感染状况,为男男性行为(men who sex with men,MSM)人群艾滋病防治策略制定提供科学依据。方法应用艾滋病防治工作信息系统检测咨询数据,分析MSM人群社会人口学特征以及HIV和梅毒感染状况,应用非条件Logistic回归分析HIV感染影响因素。结果8094名MSM人群接受了HIV抗体检测,HIV筛查阳性934人,筛查阳性率11.54%;梅毒检测6961人,阳性180人,阳性检出率2.59%。多因素Logistic回归分析结果显示,年龄、文化程度、梅毒感染以及求询者来源均为MSM人群HIV感染的影响因素。与<20岁年龄组比较,20~29岁年龄组(OR=0.68,95%CI:0.52~0.88)、30~39岁年龄组(OR=0.66,95%CI:0.49~0.89)、40~49岁年龄组(OR=0.61,95%CI:0.43~0.858)HIV感染风险均较低,≥50岁年龄组与<20岁年龄组HIV感染风险差异无统计学意义(OR=1.13,95%CI:0.81~1.58);与初中文化程度以下组相比,高中/中专组(OR=0.56,95%CI:0.46~0.70)、大专及以上(OR=0.84,95%CI:0.61~0.92)HIV感染风险均较低;合并梅毒感染者(OR=11.48,95%CI:8.14~16.20)、未检测梅毒者(OR=4.36,95%CI:3.66-5.21)HIV感染风险较高;社会组织转介(OR=54.81,95%CI:13.36~224.81)和主动求询(OR=22.99,95%CI:5.61~94.13)的MSM感染HIV风险较高危外展检测者高。结论河南省MSM人群HIV筛查阳性率处于较高水平,低年龄者、初中以下文化程度者以及合并梅毒感染是MSM人群中HIV感染的主要危险人群,对MSM人群干预应针对这些特点人群重点开展。Objective To master the characteristics of men who have sex with men(MSM)attending the voluntary counselling and test clinics in Henan,get information about HIV infection among MSM,and provide scientific evidence for AIDS prevention and control policy development.Methods Data from national information system on AIDS prevention and control work were used to analyze the social demographic characteristics,and HIV and syphilis infections among MSM.Non-conditional logistic regression model was used to analyze the factors affecting HIV infection.Results A total of 8094 MSM received HIV antibody test,of which 934 MSM were tested HIV antibody positive with a prevalence of 11.54%;6961 MSM were tested for syphilis,and 180 of them were positive with a prevalence of 2.59%.Logistic regression analysis indicated that age,education,syphilis infection and source of MSM were risk factors of HIV infection.Compared with MSM aged under 20 years,those aged 20-29 years(OR=0.68,95%CI:0.52-0.88),30-39 years(OR=0.66,95%CI:0.49-0.89),40-49 years(OR=0.61,95%CI:0.43-0.858)had less risk of HIV infection.There was not statisically significant of HIV infection risk between MSM older than 50 years and under 20 years.Compared with junior middle school education and below,MSM with high school level(OR=0.56,95%CI:0.46-0.70)and junior college level and above(OR=0.84,95%CI:0.61-0.92)had less risk of HIV infection.MSM coinfection with syphilis(OR=11.48,95%CI:8.14-16.20)and those without detection of syphilis(OR=4.36,95%CI:3.66-5.21)had higher risk of HIV infection than those syphilis test negative.MSM referred from NGOs(OR=54.81,95%CI:13.36-224.81)and those seeking consultant(OR=22.99,95%CI:5.61-94.13)had higher risk of HIV infection.Conclusion HIV infection among MSM in Henan was of higher level.MSM aged under 20 years,those with junior middle school education and coinfected with syphilis were highrisk group for HIV infection.Intervention for MSM should be focused on the group mentioned above.

关 键 词：艾滋病 男男性行为人群 自愿咨询检测 梅毒 

分 类 号：R512.91[医药卫生—内科学]