中国内地2016-2022年浴池男男性行为者HIV感染率Meta分析  

The prevalence of HIV among men who have sex with men recruited from gay bathhouses:a meta-analysis of data collected between 2016 and 2022 in China

作　　者：石蕾[1] 李芹 张怀东 SHI Lei;LI Qin;ZHANG Huai-dong(Fuzhou Center for Disease Control and Prevention,Fuzhou,Fujian 350004,China;不详)

机构地区：[1]福州市疾病预防控制中心检验科,福建福州350004 [2]福建师范大学生命科学学院,福建福州350117

出　　处：《现代预防医学》2022年第20期3816-3821,共6页Modern Preventive Medicine

摘　　要：目的对2016—2022年中国内地浴池男男性行为者(MSM)HIV感染率进行系统的评价。方法检索中国知网数据库(CNKI)、万方数据库、中国生物医学文献数据库(CBM)、维普数据库、Pub Med、Web of Science和Embase数据库中从2016年1月—2022年1月发表的所有相关研究并进行筛选,使用Stata 17.0软件对纳入的文献进行meta分析。结果研究共纳入12篇文献,浴池型MSM的合并HIV感染率为8.7%(95%CI:7.3%~10.1%)。亚组分析显示:30岁以下浴池MSM的合并HIV感染率为6.8%,略高于30岁以上的6.1%;随着调查样本量增大,合并HIV感染率从13.6%降低至7.2%;通过场所招募检测得到的合并HIV感染率为8.3%,低于其他抽样方式检测得到的合并HIV感染率(9.7%);2016年1月之前开展的人群横断面调查合并HIV感染率为9.9%,高于2016年1月之后的合并HIV感染率(8.1%);西南地区的合并HIV感染率最高,为12.0%;一线城市的合并HIV感染率为9.8%,高于非一线城市合并HIV感染率(7.5%)。研究未发现明显发表偏倚。结论近六年,我国内地浴池MSM的合并HIV感染率虽有下降,但仍显著高于我国2001—2018年MSM的合并HIV感染率,应继续加强浴池MSM的艾滋病干预。Objective To systematically review the prevalence of HIV among men who have sex with men(MSM)recruited from gay bathhouses in China between 2016 and 2022.Methods All relevant studies published in CNKI,Wanfang,China Biomedical Literature Database(CBM),VIP,PubMed,Web of Science and Embase database from Jan 2016 to Jan 2022 were searched.Meta-analysis was performed based on the included literature by using Stata 17.0 software.Results A total of 12 papers were included.The pooled prevalence of HIV infection among MSM recruited from gay bathhouses was 8.7%(95%CI:7.3%-10.1%)in China.Subgroup analysis showed that the pooled prevalence of HIV infection under 30 years old was 6.8%,slightly higher than that of over 30 years old(6.1%).The pooled prevalence of HIV infection decreased from 13.6%to 7.2%as the survey sample size increased.The pooled prevalence of HIV infection rate was 8.3%while the cross-sectional survey design studies were performed by on-site recruitment,lower than that obtained by other sampling methods(9.7%).The pooled prevalence of HIV infection rate calculated by cross-sectional survey carried out before January 2016 was 9.9%,higher than that after January 2016(8.1%).The pooled prevalence of HIV infection was the highest in southwestern China(12.0%).The pooled prevalence of HIV infection in first-tier cities was 9.8%,higher than that in other non-first-tier cities(7.5%).No significant publication bias was found.Conclusion In China,the overall HIV prevalence among MSM recruited from gay bathhouses has decreased in the past six years.However,it is still significantly higher than the overall national prevalence of HIV among MSM from 2001 to 2018.HIV control and intervention among MSM with gay bathhouses as the major venue of sexual practice should be further strengthened.

关 键 词：男男性行为者 HIV 浴池 META分析 

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