天津市使用新型毒品的男男性行为者梅毒感染状况调查  

Investigation on syphilis infection among men who have sex with men using recreational drugs in Tianjin

作　　者：时同鑫 崔壮[2] 于泽洋 王肖萌 杨杰 SHI Tongxin;CUI Zhuang;YU Zeyang;WANG Xiaomeng;YANG Jie(Hexi District Center for Disease Control and Prevention,Tianjin 300201,China;Tianjin Medical University,Heping District,Tianjin 300203,China;Tianjin Shenlan Public Health Center,Hongqiao District,Tianjin 300122,China)

机构地区：[1]天津市河西区疾病预防控制中心,天津300201 [2]天津医科大学,天津300203 [3]天津深蓝公卫中心,天津300122

出　　处：《中国麻风皮肤病杂志》2023年第12期878-883,共6页China Journal of Leprosy and Skin Diseases

摘　　要：目的:了解天津市男男性行为者(men who have sex with men,MSM)新型毒品使用者梅毒感染情况。方法:本研究自2020年10月至2021年9月,通过线上与线下招募结合的方式,招募使用新型毒品的MSM。收集参与者基本人口学信息、性行为情况、新型毒品使用等信息。使用统计学检验比较使用新型毒品的MSM中梅毒感染者与非感染者的特征差异。结果:最终纳入研究的使用新型毒品的MSM共计416人,年龄20~70岁,平均(35.17±9.41)岁。梅毒感染者107例,感染率为25.72%。亚硝酸盐吸入剂(Rush Popper)是使用最为广泛的毒品,使用新型毒品的梅毒感染者与非感染者在年龄(P=0.003)、婚姻状况(P=0.024)、工作状态(P=0.001)、自身HIV感染状况认知(P=0.021)以及最近一次肛交安全套使用情况(P=0.020)等变量上的差异具有统计学意义。MSM梅毒感染的多因素分析显示,在最近一次肛交中不使用安全套是该人群感染梅毒的危险因素(OR=2.416)。结论:天津市使用新型毒品的MSM人群中梅毒的感染率处于较高的水平。Objective:To To investigate syphilis infection among new drug men who have sex with men(MSM)in Tianjin.Methods:From October 2020 to September 2021,MSM using new drugs were recruited through a combination of online and offline recruitment.Basic demographic information,sexual behavior,and new drug use were collected.Statistical tests were used to compare the characteristics of syphilis infected and non-infected MSM using novel drugs.Results:A total of 416 MSM using novel drugs were included in the study,ranging in age from 20 to 70 years old,with an average age of 35.17±9.41 years old.107 patients were infected with syphilis,the infection rate was 25.72%.The most common drug was Rush Popper.There were statistically significant differences in age(P=0.003),marital status(P=0.024),working status(P=0.001),awareness of HIV status(P=0.021),and condom use during last anal sex(P=0.020)among patients with syphilis and non-infected persons.Failure to use a condom during the most recent anal intercourse was a risk factor for syphilis in this population(OR=2.416).Conclusion:The infection rate of syphilis in MSM using new drugs in Tianjin is at a high level.

关 键 词：梅毒 男男性行为者 新型毒品 艾滋病 

分 类 号：R759.1[医药卫生—皮肤病学与性病学]