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目的分析云南省自愿咨询检测(以下简称VCT)门诊男男性行为人群(以下简称MSM)的HIV、梅毒感染状况,为云南省艾滋病干预工作提供科学依据。方法以2013年1月~12月,在云南省VCT门诊接受检测咨询的MSM为调查对象,对其社会人口学相关资料进行分析。结果共有4 239例MSM进行了HIV检测,年龄以40岁以下为主(占81%),HIV阳性309例,HIV感染率为7.3%,梅毒感染率为1.8%。HIV梅毒双重感染28例,双重感染率0.7%。其中54.7%的MSM求询者为首次接受HIV检测,其HIV感染率(8.3%)显著高于过去一年曾接受过HIV检测的感染率(6%)。合并梅毒感染的MSM求询者HIV感染率(36.8%)显著高于没有感染梅毒者的HIV感染率(6.8%)。结论云南省接受VCT服务的MSM人群HIV感染率较高,其中合并梅毒等性病感染者感染HIV的风险最高,加强对该人群的性病相关知识的宣传是以后干预工作的一个重点内容。
Objective To analyze the prevalence of HIV and syphilis among men who have sexually transmitted infection (VCM) in Yunnan Province (hereinafter referred to as MSM), and provide a scientific basis for HIV / AIDS intervention in Yunnan Province. Methods From January to December in 2013, MSM who received testing counseling in VCT clinic in Yunnan Province was selected as the research object, and its socio-demographic data were analyzed. Results A total of 4,239 MSM patients were tested for HIV. The age was below 40 years old (81%), and the HIV positive rate was 309. The HIV infection rate was 7.3% and the syphilis infection rate was 1.8%. 28 cases of double infection of HIV syphilis, double infection rate of 0.7%. Among them, 54.7% of the MSM inquirers were HIV-infected for the first time, and the HIV infection rate (8.3%) was significantly higher than that of the HIV-infected ones (6%) in the past year. The prevalence of HIV infection (36.8%) among MSM patients with syphilis infection was significantly higher than that of HIV-infected persons without syphilis infection (6.8%). Conclusions HIV infection rate is higher in MSM population receiving VCT service in Yunnan Province. Among them, the risk of HIV infection is the highest in MSM infected with syphilis, and the promotion of STD-related knowledge in this population is one of the focuses of future intervention.