福州市2021年不同性取向MSM人群艾滋病监测结果比较分析  

Comparative analysis of HIV surveillance results among MSM populations of different sexual orientations in Fuzhou City in 2021

作　　者：陈剑惠[1] 张宏[1] 卢大兴 薛洪洪 许绍溢[1] 林春仲 CHEN Jian-hui;ZHANG Hong;LU Da-xing;XUE Hong-hong;XU Shao-yi;LIN Chun-zhong(Fuzhou City Center for Disease Control and Prevention,AIDS Prevention and Control Department,Fujian 350004,China;不详)

机构地区：[1]福州市疾病预防控制中心艾滋病防治科,福建350004 [2]福建省性病艾滋病防治志愿者协会

出　　处：《医学动物防制》2023年第2期159-163,共5页Journal of Medical Pest Control

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);福州科技局社会发展项目-医疗项目(AFZ2020WS01010126);2020年度福建省医药卫生体制改革研究会“卫生健康政策创新研究”课题(2020B03)。

摘　　要：目的 分析福州市2021年不同性取向男男性行为(men who have sex with men, MSM)人群在艾滋病病毒(Human immunodeficiency virus,HIV)传播中的作用和意义。方法 2021年1-12月,通过门诊、网络、相关场所干预等方式招募MSM人群。开展横断面调查,采用金数据和SPSS 25.0软件整理数据并分析。结果 调查MSM人群2 247人,同性性取向MSM 1 808人,构成比为80.46%,双性性取向439人,构成比为19.54%,艾滋病感染率为4.94%。同性和双性性取向MSM在年龄、婚姻状况、学历、艾滋病知晓率差异有统计学意义(χ^(2)=176.740、351.369、42.948、43.896,P均<0.001);同性性取向MSM在是否通过互联网寻找性伴、最近6个月同性肛交行为、最近6个月肛交安全套使用频率高于双性性取向MSM,差异有统计学意义(χ^(2)=40.870、140.806、10.662,P均<0.001);双性性取向MSM在最近一次肛交行为是否使用安全套、最近6个月是否发生异性性行为高于同性性取向MSM,差异有统计学意义(χ^(2)=8.731、454.465,P均<0.001)。结论 福州市2021年同性和双性性取向MSM的行为特点不同,应根据人群行为特征采取针对性的干预策略。Objective To analyze the role and significance of MSM(men who have sex with men) with different sexual orientations in Human immunodeficiency virus(HIV) transmission in Fuzhou in 2021.Methods MSM of homosexual or bisexual orientation were recruited through counseling clinics, the Internet mobilization and interventions in relevant sites from January to December, 2021.A cross-sectional survey was carried out, and jinshuju website and SPSS 25.0 software were used to compile and analyze the data.Results Of 2 247 MSM persons investigated, 1 808(80.46%) were homosexual and 439(19.54%) were bisexual.The HIV infection rate was 4.94%.The differences between MSM of homosexual orientation and bisexual orientation were statistically significant in age, marital status educational background, and AIDS awareness rate(χ^(2)=176.740,351.369,42.948,43.896,average P<0.001).MSM of homosexual orientation showed higher rates than MSM of bisexual orientation in finding sexual partners via the internet, homosexual anal sex behaviors in the last 6 months, and condom use frequency in anal sex in the last 6 months, and the differences were statistically significant(χ^(2)=40.870,140.806,10.662,average P<0.001).MSM of bisexual orientation was higher than MSM of homosexual orientation in the rates of condom use in the last anal sex and sexual behaviours with the opposite sex in the last 6 months, and the differences were statistically significant(χ^(2)=8.731,454.465,average P<0.001).Conclusion The behavioral characteristics of homosexual and bisexual MSM in Fuzhou in 2021 are different.Therefore, targeted intervention strategies should be adopted based on their respective behavioral characteristics.

关 键 词：性取向 MSM 艾滋病 行为特征 监测 分析 

分 类 号：R512.91[医药卫生—内科学]