论文部分内容阅读
目的:了解广州市男男性行为(MSM)人群STD/HIV相关高危行为特征和就诊延误影响因素,为制定有针对性的防控措施提供依据。方法:2014年10月至2015年9月期间,对参加STD/HIV自愿咨询检测且已经出现疑似STD/HIV感染相关症状、近2年内发生过同性性行为的MSM进行面对面问卷调查,采集静脉血检测HIV和梅毒。结果:共调查313名MSM,38.02%近2年内与异性发生过性行为,40.89%拥有固定的同性性伴,肛交性行为中每次都使用安全套的比例为47.04%。本次病程中80.51%发生就诊延误,首次就诊间隔时间平均为30天,影响就诊延误的因素主要包括职业、对同性恋的态度、近2年是否发生异性性行为、是否曾患其它非梅毒性病、就诊频次、是否暂停性生活。血清学监测结果 HIV感染率为20.77%,现症梅毒感染率为6.39%,同时感染HIV和梅毒的比例为4.79%,就诊延误发生者的HIV感染率和梅毒感染率均高于未发生就诊延误者,差异有统计学意义(P值均<0.05)。结论:广州市MSM人群HIV感染率高,高危行为普遍存在,就诊延误发生率高,防控形势严峻,应加大宣传教育、提高医疗服务可及性和服务质量以减少就诊延误的发生。
Objective: To understand the characteristics of STD / HIV-related high-risk behaviors and the influencing factors of delay in treatment of MSM in Guangzhou, and to provide evidence for the development of targeted prevention and control measures. METHODS: From October 2014 to September 2015, MSM who had had homosexual behaviors in the past 2 years conducted a questionnaire survey of patients who participated in voluntary counseling and testing of STD / HIV and had symptoms of suspected STD / HIV infection, and collected venous blood HIV and syphilis testing. Results: A total of 313 MSM were investigated, 38.02% had sex with the opposite sex within the past 2 years and 40.89% had the same sex with each other, and the rate of condom use in each anal sex was 47.04%. 80.51% of the duration of this visit was delayed. The average interval between the first visit and the first visit was 30 days. The factors that affected the delay in treatment included occupation, homosexuality, heterosexuality in the recent two years, whether or not other non-syphilitic diseases were caused, Visiting frequency, whether to suspend sexual life. Serological surveillance showed that the HIV infection rate was 20.77%, the prevalence of syphilis was 6.39% and the rate of HIV and syphilis was 4.79%. The HIV infection rate and syphilis infection rate in those who were delayed in treatment were higher than those without The difference was statistically significant (P <0.05). Conclusion: MSM in Guangzhou has a high prevalence of HIV infection and high-risk behaviors. The incidence of delayed treatment is high and the prevention and control situation is grim. Publicity and education should be stepped up to improve the accessibility of medical services and service quality so as to reduce the delay of visits.