福州市2016-2021年网络招募15~24岁男男性行为人群艾滋病监测分析  

HIV/AIDS surveillance in men who have sex with men aged 15-24 based on internet in Fuzhou,2016-2021

作　　者：张宏[1,2] 陈剑惠 林春仲[1] 许绍溢 薛洪洪[3] 何鼎盛 陈传刚 刘梅艳[1] Zhang Hong;Chen Jianhui;Lin Chunzhong;Xu Shaoyi;Xue Honghong;He Dingsheng;Chen Chuangang;Liu Meiyan(Department of AIDS Prevention and Control,Fuzhou City Center for Disease Control and Prevention,Fuzhou 350004,China;School of Public Health,Fujian Medical University,Fuzhou 350122,China;Fujian Volunteers Association of STD/AIDS Prevention and Control,Fuzhou 350004,China)

机构地区：[1]福州市疾病预防控制中心艾滋病防治科,福州350004 [2]福建医科大学公共卫生学院,福州350122 [3]福建省性病艾滋病防治志愿者协会,福州350004

出　　处：《中华流行病学杂志》2022年第11期1761-1767,共7页Chinese Journal of Epidemiology

基　　金：福建省卫生健康委员会科技计划项目-医学创新课题(2021CXA044);福建省卫生健康委员会科技计划项目-医学创新课题(2019-cx-9);福州科技局社会发展项目-医疗项目(AFZ2020WS01010126)。

摘　　要：目的:分析福州市15~24岁MSM艾滋病监测数据,了解其HIV感染状况及其相关因素。方法:2016-2021年通过网络方式招募年龄15~24岁最近6个月与男性发生口交/肛交性行为的MSM,分析其社会人口学和行为学特征、HIV感染状况及其相关因素。结果:2016-2021年网络招募15~24岁MSM共4 234人。户籍为福建省外的比例由13.00%(85/654)上升到23.42%(163/696)(趋势 χ^(2)=60.23, P<0.001);通过网络寻找男性性伴的比例由93.27%(610/654)上升到99.71%(694/696)(趋势 χ^(2)=65.20, P<0.001);最近6个月最近1次肛交使用安全套比例由88.16%(484/549)下降至74.11%(415/560)(趋势 χ^(2)=32.32, P<0.001);最近6个月肛交每次使用安全套比例由65.76%(361/549)下降至55.54%(311/560)(趋势 χ^(2)=6.82, P<0.001);既往接受HIV抗体检测比例由5.66%(37/654)上升到25.29%(176/696)(趋势 χ^(2)=98.51, P<0.001)。累计监测15~24岁MSM HIV抗体阳性率为3.64%(154/4 234),历年监测15~24岁MSM的HIV抗体阳性率差异无统计学意义(趋势 χ^(2)=0.50, P=0.453)。初中及以下文化程度、居住时间1~2年者HIV抗体阳性率均呈上升趋势( P<0.05)。HIV感染风险的多因素logistic回归分析结果显示,高中/中专、大专及以上文化程度者分别是初中及以下文化程度者的0.54(95% CI:0.30~0.99)倍、0.29(95% CI:0.17~0.51)倍,本地居住时间1~2年、>2年者是本地居住时间<1年者的0.35(95% CI:0.16~0.74)倍、0.58(95% CI:0.37~0.91)倍,每次肛交坚持使用安全套者是从未使用者的0.18(95% CI:0.08~0.42)倍,未患过性病者是患过性病者的0.25(95% CI:0.13~0.50)倍。 结论:福州市15~24岁MSM存在较高HIV感染风险,应加强对流动和较低文化程度青少年MSM的互联网干预。Objective To analyze HIV/AIDS surveillance data in men who have sex with men(MSM)aged from 15 to 24 years in Fuzhou and understand the HIV infection status in MSM and related factors.Methods From 2016 to 2021,MSM aged 15-24 years who had oral or anal sex with men in the past 6 months were recruited through internet,and their demographic and behavioral characteristics,HIV antibody positive rate and risk factors were analyzed.Results From 2016 to 2021,a total of 4234 MSM aged 15-24 years were surveyed.The proportion of MSM from other provinces increased from 13.00%(85/654)to 23.42%(163/696)(trend χ^(2)=60.23,P<0.001);and the proportion of MSM seeking male partners through internet increased from 93.27%(610/654)to 99.71%(694/696)(trend χ^(2)=65.20,P<0.001);In the last anal sex in the past 6 months,the proportion of MSM using condom decreased from 88.16%(484/549)to 74.11%(415/560)(trend χ^(2)=32.32,P<0.001);and in the past 6 months,the proportion of MSM using condom at each anal sex decreased from 65.76%(361/549)to 55.54%(311/560)(trendχ2=6.82,P<0.001);The proportion of MSM with HIV antibody testing increased from 5.66%(37/654)to 25.29%(176/696)(trend χ^(2)=98.51,P<0.001).The cumulative HIV antibody positive rate in the MSM was 3.64%(154/4234),and there was no significant difference in annual HIV antibody positive rate in the MSM(trend χ^(2)=0.50,P=0.453).The HIV antibody positive rate in the MSM with education level of junior high school or below and the MSM living in Fuzhou for 1-2 years showed an upward trend(P<0.05).The results of multivariate logistic regression analysis showed that the risk for HIV infection in the MSM with education level of high school or technical secondary school was 0.54 times higher than that in those with education level of junior high school or below(95%CI:0.30-0.99),and the risk for HIV infection in the MSM with education level of junior college or below was 0.29 times higher than that in those with education level of junior high school or below(95%CI:0.17-0.51).The risk for HIV

关 键 词：艾滋病病毒 青少年 男男性行为人群 监测 网络招募 

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