论文部分内容阅读
目的了解秦皇岛市男男性行为人群(MSM)的艾滋病病毒(HIV)、梅毒螺旋体(TP)、丙型肝炎病毒(HCV)感染状况和相关影响因素,提出有针对性的防控性病艾滋病的干预建议。方法 2009-2012年连续4年采用自愿招募和滚雪球的方法,通过自愿咨询检测(VCT)门诊和开展外展干预活动,对第一次接受艾滋病咨询检测的MSM进行问卷调查和血清学检测。结果 4年共招募MSM 1043人。70.76%(738/1043)的人通过网络寻找性伴,4年间,艾滋病知识知晓率、接受艾滋病干预服务和接受HIV检测人数均逐年上升(P<0.01)。近6个月,898人(86.10%)有过同性肛交行为,其中坚持使用安全套率为42.76%;34.63%(311/898)有过异性性行为,安全套坚持使用率为36.98%;9.02%(81/898)有过商业性性行为,安全套坚持使用率为53.09%。HIV、TP、HCV平均感染率分别为5.75%(60/1043)、7.19%(75/1043)、0.19%(2/1043),HIV、TP感染率呈逐年上升趋势(P<0.05)。多因素分析结果显示:文化程度相对低、在当地居住时间短、曾感染过性病是HIV、TP感染率的危险因素;年龄较大的MSM,TP感染的风险更大。结论秦皇岛市MSM HIV、TP感染率较高,应重点加强对年轻MSM的宣传干预力度,切实提高安全意识和安全行为,同时推广网络宣传干预;而在年龄大、已婚的MSM,则应加强TP筛查并提供方便、可及的诊疗服务。在开展性病艾滋病防治宣传的同时不应忽视丙型肝炎防治知识的宣传。
Objective To understand the prevalence of HIV, TP and HCV among men who have sex with men (MSM) in Qinhuangdao and related influencing factors, and to propose targeted interventions to prevent and control STD / AIDS . Methods Volunteer recruitment and snowballing methods were used for four consecutive years from 2009 to 2012. Questionnaires and serological tests were conducted on the first HIV counseling and testing MSM through voluntary counseling and testing (VCT) clinics and outreach interventions. Results A total of 1043 MSMs were recruited in 4 years. 70.76% (738/1043) found their partners through the Internet. In four years, the awareness rate of AIDS knowledge, HIV / AIDS intervention services and the number of people receiving HIV testing increased year by year (P <0.01). In the recent 6 months, 898 (86.10%) had homosexual anal intercourse, in which insisted condom use rate was 42.76%, 34.63% (311/898) had heterosexual sex activity, condom use rate was 36.98%, condom use rate was 9.02% 81/898) had a commercial sexual activity, condom use rate was 53.09%. The average infection rates of HIV, TP and HCV were 5.75% (60/1043), 7.19% (75/1043) and 0.19% (2/1043), respectively. The prevalence of HIV and TP increased year by year (P <0.05). The results of multivariate analysis showed that the relatively low level of education, short living time in the area, and the previous infection of STD were the risk factors of HIV and TP infection rates. The older the MSM, the risk of TP infection was greater. Conclusion The infection rate of MSM HIV and TP in Qinhuangdao City is relatively high, and the promotion and intervention of young MSM should be emphasized, safety awareness and safety behaviors should be strengthened, and the network propaganda intervention should be promoted. In the case of older and married MSM, MSM should be strengthened TP screening and provide convenient, accessible medical services. In carrying out STD and AIDS prevention and treatment of publicity should not ignore the knowledge of hepatitis C prevention and treatment of publicity.