职业与健康 ›› 2021, Vol. 37 ›› Issue (1): 51-55.DOI: 10.13329/j.cnki.zyyjk.2021.0012

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2016—2019 年鞍山市男男性行为人群的 HIV感染情况及影响因素分析


  

  1. 鞍山市疾病预防控制中心 a 性病艾滋病防制科,b 慢性病防制科,辽宁 鞍山 114002
  • 收稿日期:2020-04-27 接受日期:2020-08-10 出版日期:2021-01-01 发布日期:2021-03-03
  • 作者简介:赵文彬,男,副主任医师,主要从事艾滋病性病防治工作。

Analysis on HIV infection and influencing factors among MSM population in Anshan City from 2016-2019

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  1. a Department of STD and AIDS Control, b Department of Chronic Disease Prevention and Control, Anshan Center for Disease
    Control and Prevention, Anshan Liaoning, 114002, China
  • Received:2020-04-27 Accepted:2020-08-10 Online:2021-01-01 Published:2021-03-03

摘要:

目的 了解鞍山市男男性行为人群(MSM)的人类免疫缺陷病毒(HIV)感染情况及其影响因素,为制定有针对性的防治策略提供参考依据。 方法 对 2016—2019 年鞍山市 MSM 人群艾滋病哨点的监测数据进行分析。 结果 1 600 例调查对象,HIV 抗体阳性率为 9.44%,呈逐年下降趋势(χ趋势=7.789,P<0.01);梅毒阳性率为 6.25%,呈逐年下降趋势(χ趋势=85.280,P<0.01)。 艾滋病知识知晓率为 92.69%;最近 6 个月与同性发生过肛交性行为的比例为 94.63%,最近 1 次与同性发生肛交性行为时安全套使用率为84.08%,最近 6 个月与同性发生肛交性行为时安全套坚持使用率为 65.52%;最近 1 年接受过预防艾滋病服务的比例为 94.63%。 文化程度低和感染梅毒的 MSM 人群感染 HIV 的风险较高;最近 6 个月与同性发生肛交性行为时坚持使用安全套的 MSM 人群感染 HIV 的风险较低。 结论 2016—2019 年鞍山市 MSM 人群的 HIV 感染率仍处于较高水平,对不同特征的 MSM 人群应该采取有针对性的宣传和干预措施,同时加强性病防治工作,从而进一步控制 HIV的传播。

关键词:

Abstract:

Objective To understand the human immunodeficiency virus(HIV) infection and itsinfluencing factors among men who have sex with men(MSM) in Anshan City, provide the basis for the formulation of targeted prevention and control strategies. Methods The AIDS sentinel monitoring data of MSM in Anshan City from 2016-2019 were analyzed. Results Among 1 600 respondents,the positive rate of HIV antibody was 9.44%, showing a downward trend year by year(χ2trend=7.789, P<0.01), and the positive rate of syphilis was 6.25%, showing a downward trend year by year(χ2trend=85.280, P<0.01). The awareness rate of AIDS knowledge was 92.69%. In the last six months, 94.63% of them had homosexual anal sex. The rate of condom use in the last homosexual anal sex was 84.08%, and the persistent condom use rate in homosexual anal sex in the last six months was 65.52%. In the past year,94.63% of them had received AIDS prevention services. MSM with low education level and syphilis had higher risk of HIV infection. MSM who insist on using condom during homosexual anal sex in the last six months had lower risk of HIV infection.Conclusion The HIV infection rate of MSM in Anshan City from 2016-2019 is still at a high level. It is necessary to take targeted publicity and intervention measures for MSM with different characteristics and strengthen STD prevention and control, to further control the spread of HIV.

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