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目的评价浙江省义乌市志愿者小组管理男男性行为者(MSM)中艾滋病病毒(HIV)感染者的效果。方法比较2011-2015年管理的MSM中HIV感染者的服药依从性、阳性感染者配偶检测率、同性性伴侣检测率。结果 2011-2015年,经干预管理人群的服药依从率逐年增加,分别为79.90%(310/388)、82.04%(338/412)、86.90%(378/435)、94.36%(435/461)、98.16%(480/489),经趋势卡方检验,差异有统计学意义;阳性感染者配偶的检测率逐年增加,分别为64.57%(164/254)、71.48%(203/284)、77.66%(226/291)、84.83%(246/290)、90.18%(257/285),经趋势卡方检验,差异有统计学意义;同性性伴侣检测率逐年增加,分别为45.01%(622/1382)、58.00%(852/1469)、71.99%(1118/1553)、81.97%(1323/1614)、85.00%(1405/1653),经趋势卡方检验,差异有统计学意义。结论由志愿者小组管理MSM中的HIV感染者,能逐年提高感染者的服药依从性、配偶检测率、同性性伴侣检测率。
Objective To evaluate the effect of volunteer groups in Yiwu City, Zhejiang Province in managing HIV-infected men who have sex with men (MSM). Methods The drug compliance of HIV-infected people in MSM administered in 2011-2015 was compared with the detection rate of spouses in positive infected persons and the detection rate of same-sex partners. Results From 2011 to 2015, the adherence rate of the intervention group was increased by 79.90% (310/388), 82.04% (338/412), 86.90% (378/435) and 94.36% (435/461) respectively, , And 98.16% (480/489) respectively. The detection rate of spouses in positive infected patients increased year by year, which were 64.57% (164/254), 71.48% (203/284) and 77.66 (226/291), 84.83% (246/290) and 90.18% (257/285), respectively. The trend of chi-square test showed that the detection rate of same-sex couples increased year by year, which was 45.01% (622 / 1382), 58.00% (852/1469), 71.99% (1118/1553), 81.97% (1323/1614) and 85.00% (1405/1653), respectively. The trend chi-square test showed that the difference was statistically significant. CONCLUSIONS: Volunteer group management of HIV-infected MSM in the MSM can gradually improve the medication compliance, spouse detection rate and same-sex partner detection rate of infected persons.