论文部分内容阅读
目的分析济南市2013年-2015年男男性行为(MSM)人群艾滋病病毒(HIV)、梅毒(TP)及丙型肝炎(HCV)感染情况,为制定有效的干预策略提供依据。方法通过同伴推荐法募集济南市MSM人群1 200人,开展问卷调查并采集血样,对HIV、TP及HCV感染情况进行血清学检测。结果 1 200名被调查者平均年龄为30.6岁,20岁~人数最多,占78.50%,职员、商业服务者及学生所占比例较高。HIV检出率为10.00%(120/1 200),确证阳性率为9.17%(110/1 200),TP阳性率为11.92%(143/1 200),HCV阳性率为0.42%(5/1 200)。HIV与TP的合并感染率显著高于TP与HCV及HIV与HCV,差异有统计学意义(χ2值分别为20.43、25.45,P<0.01)。HIV和TP感染者多集中在20岁~,HIV和TP感染者较多的职业均为职员、商业服务者及个体自由职业者。结论济南市男男性行为人群HIV、TP感染率较高,应加大防治干预力度,扩大干预工作的覆盖面。
Objective To analyze the prevalence of HIV, syphilis (TP) and hepatitis C (HCV) among men who have sex with men (MSM) from 2013 to 2015 in Jinan City, and to provide basis for making effective intervention strategies. Methods A total of 1 200 MSM patients in Jinan City were recruited by companion recommendation method. Questionnaires were collected and blood samples were collected for serological detection of HIV, TP and HCV infection. Results The average age of 1 200 respondents was 30.6 years old, with the largest number of people aged 20 ~, accounting for 78.50%. The proportion of staff, commercial service providers and students was high. The detection rate of HIV was 10.00% (120/1 200), the positive rate was 9.17% (110/1 200), the positive rate of TP was 11.92% (143/1 200), the positive rate of HCV was 0.42% (5/1 200). The combined infection rate of HIV and TP was significantly higher than that of TP, HCV and HIV and HCV (χ2 = 20.43, 25.45, P <0.01). HIV and TP infection are mostly concentrated in the 20-year-old, HIV and TP-infected occupations are more staff, business services and individual freelancers. Conclusion The prevalence of HIV and TP among men who have sex with men in Jinan is high. Prevention and treatment intervention should be stepped up and the coverage of intervention should be expanded.