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目的了解绵阳市MSM人群艾滋病性病感染现状。方法采用RDS对男男性行为者(MSM)人群进行招募和自填式匿名调查和采血检测。结果共调查采血111人,HIV感染率为7.2%,梅毒累计感染率23.4%,梅毒现症感染率17.1%,HIV、梅毒合并感染率26.1%,丙肝感染率0.9%。不同文化程度HIV感染率、不同婚姻状况梅毒感染率和梅毒现症感染率差异均有统计学意义(P<0.05),HIV感染者以初中文化程度最高,梅毒感染者和现症感染者已婚最高;梅毒现症感染率随文化程度上升呈显著下降趋势(P<0.05)。近半年内与MSM朋友是否到过公共浴室、MSM活动公园梅毒累计感染率和HIV、梅毒合并感染率,是否经常浏览MSM网站梅毒累计感染率差异显著,梅毒累计感染者HIV感染的危险性是未感染者的6.51倍。结论绵阳市MSM人群HIV、梅毒感染率相对较高,与社会特征相关,应针对性加大干预力度。
Objective To understand the status of HIV / AIDS in MSM population in Mianyang City. Methods RDS was used to recruit and self-identify anonymous surveys and blood tests for men who have sex with men (MSM). Results A total of 111 blood samples were collected. The HIV infection rate was 7.2%, the cumulative infection rate of syphilis was 23.4%, the prevalence of syphilis infection was 17.1%, the HIV / syphilis infection rate was 26.1% and the hepatitis C infection rate was 0.9%. There were significant differences in the prevalence of HIV infection and syphilis among different educational levels (P <0.05), and the highest level of junior high school education among HIV-infected persons was found The highest infection rate of syphilis was significantly decreased with the education level (P <0.05). In the past half year, whether MSM friends have visited public bathhouses, MSM activity park syphilis cumulative infection rate and HIV, syphilis combined infection rate, whether frequent browsing MSM website syphilis cumulative infection rate significant difference, syphilis cumulative infection risk of HIV infection is not 6.51 times those infected. Conclusions HIV and syphilis infection rates among MSM population in Mianyang City are relatively high, which are related to social characteristics. Intervention should be intensified accordingly.