河南省开封市1206例男男性行为者HIV感染现状及影响因素  

The status of HIV infection in 1206 men who have sex with men and its influencing factors in Kaifeng of Henan

作　　者：温瑞[1] 孔维宾[1] 孙洁[1] 杨文杰[2] WEN Rui;KONG Weibin;SUN Jie;YANG Wenjie(Kaifeng Center for Disease Control and Prevention,Kaifeng,Henan 475000,China;Henan Center for Disease Control and Prevention,Zhengzhou,Henan 450016,China)

机构地区：[1]开封市疾病预防控制中心,河南开封475000 [2]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11期868-872,共5页Henan Journal of Preventive Medicine

摘　　要：目的调查开封市男男性行为者艾滋病病毒(HIV)感染现状,分析其影响因素,为制定男男性行为者艾滋病综合防治策略提供依据。方法2018年1月至2021年3月采用滚雪球抽样法选取开封市1206例男男性行为者,调查社会人口学资料及相关行为特征。采集血样检测HIV,采用Logistic回归分析HIV感染的影响因素。结果HIV感染率为3.57%(43/1206)。在文化程度、既往男性伴侣总人数、男性伴侣人数、商业性性服务、安全套使用情况等特征上,HIV感染率比较差异有统计学意义(P均<0.05);既往未接受过艾滋病宣教、艾滋病知识低水平、认为自己有感染艾滋病风险的男男性行为者的HIV感染率明显较高,差异有统计学意义(P均<0.05)。初中及以下文化程度(OR=3.065,95%CI=1.525~6.158)、既往男性伴侣总人数≥10人(OR=4.614,95%CI=1.986~10.717)、近6个月内从事商业性性服务(OR=4.721,95%CI=2.581~8.634)、近6个月内男男性行为从未使用安全套(OR=2.620,95%CI=1.416~4.847)、既往未接受艾滋病宣教(OR=4.179,95%CI=1.416~4.847)、艾滋病知识水平低(OR=3.043,95%CI=1.262~7.338)是男男性行为者HIV感染的危险因素。结论男男性行为者是HIV感染的高危人群,应加强有针对性的艾滋病健康教育,推广安全套的使用,以降低HIV在男男性行为者中的传播。Objective To investigate the status of HIV infection among men who have sex with men in Kaifeng,and analyze its influencing factors so as to provide basis for the formulation of comprehensive prevention and control strategies for AIDS among men who have sex with men.Methods A total of 1206 men who have sex with men in Kaifeng were selected by snowball sampling method from January 2018 and March 2021.The sociodemographic data and relevant behavioral characteristics were investigated.Blood samples were collected for HIV testing.Logistic regression analysis was performed to screen the influencing factors of HIV infection.Results The infection rate of HIV was 3.57%(43/1206).There were statistically significant differences in the HIV infection rates among education levels,total number of previous male partners,number of male partners,commercial sex services,and condom use(all P<0.05).The HIV infection rate was significantly higher in those who didn’t receive education about AIDS before,had little knowledge about AIDS,and thought that they had a risk of acquiring AIDS,and the differences were statistically significant(all P<0.05).Junior high school and lower education level(OR=3.065,95%CI=1.525-6.158),the total number of previous male partners≥10(OR=4.614,95%CI=1.986-10.717),being engaged in commercial sex services in the past 6 months(OR=4.721,95%CI=2.581-8.634),not using condoms during sex behaviors with men in the past 6months(OR=2.620,95%CI=1.416-4.847),not receiving education about AIDS(OR=4.179,95%CI=1.416-4.847),and insufficient knowledge of AIDS(OR=3.043,95%CI=1.262-7.338)were risk factors for HIV infection in men who have sex with men.Conclusion Men who have sex with men are a high-risk group of HIV infection.Education about AIDS should be strengthened for this group,and condom use should be promoted to reduce the transmission of HIV among men who have sex with men.

关 键 词：男男性行为者 艾滋病病毒 影响因素 

分 类 号：R466.5[医药卫生—临床医学]