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目的分析温州市鹿城区男男性行为(MSM)人群梅毒感染及其影响因素,为梅毒防制工作提供参考。方法选择温州市鹿城区2011—2012年酒吧、公园和浴室的MSM人群1 204人进行面对面问卷调查和HIV抗体、梅毒抗体检测。结果 HIV和梅毒感染率分别为7.39%和9.30%,HIV抗体阳性合并梅毒感染率为1.41%。多因素Logistic回归分析显示,1年内患过性病、HIV抗体阳性是梅毒感染的危险因素,其OR值(95%CI)分别为2.038(1.180~3.517)和2.378(1.332~4.246);文化程度在大专及以上是保护因素,其OR值(95%CI)为0.280(0.120~0.655)。结论鹿城区MSM人群梅毒感染率较高,应重点对低文化程度者开展针对性的综合防控。
Objective To analyze syphilis infection and its influencing factors in men who have sex with men (MSM) in Lucheng District of Wenzhou City, and provide references for the prevention and control of syphilis. Methods A total of 1 204 MSM population from bars, parks and bathrooms in Lucheng District of Wenzhou City from 2011 to 2012 were interviewed for face-to-face questionnaires and HIV antibody and syphilis antibody test. Results The infection rates of HIV and syphilis were 7.39% and 9.30%, respectively. The prevalence of syphilis infection was 1.41%. Multivariate logistic regression analysis showed that HIV-positive HIV antibody was a risk factor for syphilis infection in 1 year. The OR values (95% CI) were 2.038 (1.180-3.517) and 2.378 (1.332-4.46), respectively. The educational level was College and above are protective factors, the OR (95% CI) was 0.280 (0.120 ~ 0.655). Conclusion There is a high prevalence of syphilis in MSM population in Lucheng District, and targeted and comprehensive prevention and control should be given to those with low education level.