2017—2021年西宁市高危人群艾滋病哨点监测结果分析  

Analysis of the results of HIV sentinel surveillance to high-risk population in Xining City from 2017 to 2021

作　　者：黄胜南 赵长成[2] 赵英 李云章[2] 李伟[1,2] HUANG Shengnan;ZHAO Changcheng;ZHAO Ying;LI Yunzhang;LI Wei(Department of Public Health,Faculty of Medicine,Qinghai University,Xining,Qinghai 810001,China;不详)

机构地区：[1]青海大学医学部公共卫生系,青海西宁810001 [2]西宁市疾病预防控制中心

出　　处：《医学动物防制》2024年第8期804-807,共4页Journal of Medical Pest Control

基　　金：青海省重大传染病防治项目艾滋病防治项目(2021449)。

摘　　要：目的分析2017—2021年西宁市艾滋病哨点监测男男性行为者、吸毒者、性病门诊男性就诊者的HIV感染状况与流行趋势,为制定艾滋病防治策略及干预措施提供依据。方法2017—2021年4—7月监测期内以重复横断面调查的方法对西宁市男男性行为者、吸毒者、性病门诊男性就诊者进行监测,通过问卷调查和血样收集调查对象社会学、行为学和血清学信息。计数资料采用频数和率表示,组间比较采用χ^(2)检验,组间变化趋势采用趋势χ^(2)检验。检验水准=0.05。结果2017—2021年,男男性行为者HIV抗体总阳性率从19.20%下降至6.15%;吸毒者HIV抗体总阳性率从0.25%上升至1.42%;性病门诊男性就诊者的HIV抗体总阳性率从2.72%上升至3.64%。从2017—2021年男性性行为者“近6个月有过同性肛交性行为”的比例呈下降趋势(χ_(趋势)^(2)=88.709,P<0.001);吸毒者“注射毒品”的比例呈下降趋势(χ_(趋势)^(2)=130.349,P<0.001),“近3个月与临时性伴发生性行为”的比例呈上升趋势(χ_(趋势)^(2)=20.762,P<0.001)。结论男男性行为者和性病门诊男性就诊者是2017—2021年西宁市HIV感染的主要人群,是未来西宁市艾滋病防治的重点和难点。Objective To analyze HIV infection status and epidemic trend in three populations,men who have sex with men,drug users,and male sexually transmitted disease clinic attendees,in the HIV sentinel surveillance of Xining City from 2017 to 2021,and to provide a basis for the development of the prevention and control strategies and intervention measures of AIDS.Methods The surveillance was conducted during the monitoring period from April to July of 2017 to 2021 by means of repeated crosssectional surveys for three groups of people in Xining City:men who have sex with men(MSM),drug users(DUS),and male sexually transmitted diseases(STD)clinic attendees.Sociological,behavioral and serological information on the respondents was collected through questionnaires and blood samples.The count data were expressed by frequency and rate.The Chi-square test was used of comparisons between groups,and the trend Chi-square test was used for the trend of change between groups.The test level was 0.05.Results From 2017 to 2021,the total HIV antibody positive rate among MSM decreased from 19.20%to 6.15%,the total HIV antibody positive rate among DUS increased from 0.25%to 1.42%,and the total HIV antibody positive rate among male STD clinic attendees increased from 2.72%to 3.64%.From 2017 to 2021,the proportion of MSM who"had homosexual anal sex in the past 6 months"showed a downward trend(χ_(trend)^(2)=88.709,P<0.001).The proportion of DUS who"inject drugs"showed a downward trend(χ_(trend)^(2)=130.349,P<0.001),and the proportion of those who"had sex with casual sexual partners in the last 3 months"showed an upward trend(χ_(trend)^(2)=20.762,P<0.001).Conclusion MSM and male STD clinic attendees are the main populations of HIV infection in Xining City from 2017 to 2021,and are the focus and difficulty of AIDS prevention and control in Xining City in the future.

关 键 词：艾滋病 男男性行为者 吸毒者 性病门诊男性就诊者 哨点监测 

分 类 号：R512.91[医药卫生—内科学]