2017-2021年河南省开封市艾滋病监测哨点男男性行为人群的人口学特征及艾滋病病毒和梅毒螺旋体感染状况  

Demographic characteristics and infection status of HIV and treponema pallidum among men who have sex with men from AIDS sentinel surveillance in Kaifeng of Henan,2017-2021

作　　者：孔维宾[1] KONG Weibin(Kaifeng Center for Disease Control and Prevention,Kaifeng,Henan 475004,China)

机构地区：[1]开封市疾病预防控制中心,河南开封475004

出　　处：《现代疾病预防控制》2023年第12期918-921,共4页MODERN DISEASE CONTROL AND PREVENTION

摘　　要：目的了解男男性行为者(MSM)的人口学特征及艾滋病病毒(HIV)和梅毒螺旋体(TP)感染状况,为MSM人群相关疾病防治策略的制定提供科学依据。方法利用2017-2021年开封市艾滋病监测哨点的监测结果,对MSM人群的人口学特征及HIV和TP感染状况进行流行病学描述性分析。结果共监测2000人次,其中1875人次(93.8%)知晓艾滋病相关知识,95人次(4.8%)HIV阳性,73人次(3.7%)TP阳性。多因素分析显示,与近6个月与同性发生肛交性行为时非每次都使用安全套者比较,每次使用安全套者感染HIV的概率低(OR=0.072,95%CI:0.043~0.122);与不知晓艾滋病相关知识者比较,知晓者感染HIV的概率低(OR=0.154,95%CI:0.091~0.263);与近6个月与同性发生肛交性行为时非每次都使用安全套者比较,每次使用安全套者感染TP的概率低(OR=0.427,95%CI:0.261~0.700);与年龄≤28岁者比较,29~40岁(OR=0.427,95%CI:0.239~0.762)和41~48岁(OR=0.135,95%CI:0.018~0.998)者感染TP的概率低。结论开封市MSM人群安全套使用率较高,与同性发生肛交性行为时每次都使用安全套者感染HIV和TP的概率明显低于非每次使用安全套者。Objective To understand the demographic characteristics and infection status of HIV and treponema pallidum(TP)among men who have sex with men(MSM)in Kaifeng so as to provide scientific evidence for the formulation of relevant disease prevention strategies among MSM.Methods Using the sentinel surveillance data of MSM in Kaifeng from 2017 to 2021,the demographic characteristics and infection status of HIV and TP were analyzed with the method of descriptive epidemiology.Results Of the 20 people monitored,1875(93.8%)people were aware of AIDS related knowledge,95(4.8%)were HIV positive,and 73(3.7%)were TP positive.Multivariate analysis showed that compared with those who have not used condoms every time during anal sex with the same sex in the past 6 months,those who use condoms every time had a lower probability of HIV infection(OR=0.072,95%CI:0.043~0.122);compared with those who do not know about AIDS,those who know about AIDS were less likely to be infected with HIV(OR=0.154,95%CI:0.091~0.263);compared to those who have not used condoms every time during anal sex with the same sex in the past 6 months,those who use condoms every time had a lower probability of TP infection(OR=0.427,95%CI:0.261~0.700);compared with those aged≤28 years,those aged 29-40(OR=0.427,95%CI:0.239~0.762)and 41-48(OR=0.135,95%CI:0.018~0.998)years had a lower probability of TP infection.Conclusions MSM in Kaifeng have a high rate of condom use,and the probability of HIV and TP infection among those who use condoms every time they have anal sex with the same sex is lower than that among those who do not use condoms every time.

关 键 词：男男性行为者 艾滋病病毒感染 梅毒螺旋体感染 哨点监测 影响因素 

分 类 号：R512.91[医药卫生—内科学] R181.8[医药卫生—临床医学]