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目的了解对男男性行为HIV感染者(MSM感染者)的干预效果,为有针对性的随访管理提供参考。方法通过全国艾滋病综合防治数据信息系统,将现住址为“浙江省临海市”且为2008年1月1日至2015年12月31日报告并随访满1年的所有MSM感染者纳入分析,分析该人群随访1年前后艾滋病相关危险性行为、配偶/固定性伴变化情况等。结果临海市随访满1年的MSM感染者共96例,其中20~29岁者占40.6%,高中及以上文化程度者占54.2%,未婚者占60.4%。在告知配偶/性伴的MSM感染者中,已婚MSM感染者配偶HIV感染率为2.9%(1/34),明显低于未婚组同性固定性伴的感染率57.1%(4/7),差异有统计学意义(χ~2=11.27,P=0.001);96例MSM感染者治疗率达95.8%(92/96),治疗后病毒有效抑制率达98.9%(91/92)。经过1年随访,MSM感染者发生艾滋病相关危险性行为的比例由44.8%(43/96)下降至4.2%(4/96),报告时为已婚的MSM感染者由34例(35.4%)下降到27例(28.1%),但同时也有4例由未婚转变为有同性固定性伴。结论临海市MSM感染者经随访干预后,艾滋病相关危险性行为比例下降明显,且MSM感染者无配偶维持率高,同性性伴阳性告知率低,应继续加强MSM感染者的随访管理及干预,特别是仍有危险行为的感染者,以降低MSM感染者HIV二代传播风险。
Objective To understand the effect of intervention on HIV-infected men who have sex with men (MSM) and provide a reference for targeted follow-up management. Methods Through the National AIDS Integrated Prevention and Control Data and Information System, all MSM patients who now report as “Linhai City, Zhejiang Province ” and were reported from January 1, 2008 to December 31, 2015 and followed up for one year were included in the analysis , Analysis of AIDS-related risk behaviors and spouse / fixed partner changes in the population one year after follow-up. Results A total of 96 MSM infected persons in Linhai City were followed up for one year, of whom 40.6% were from 20 to 29 years old, 54.2% were from high school and above, and 60.4% were unmarried. In spouse / mate MSM infected couples, the HIV prevalence among spouses of MSM-infected couples was 2.9% (1/34), significantly lower than that of unmarried couples (57.1% (4/7)), The difference was statistically significant (χ ~ 2 = 11.27, P = 0.001). The treatment rate of 96 MSM infected patients was 95.8% (92/96), and the effective virus inhibition rate after treatment was 98.9% (91/92). After one year of follow-up, the proportion of MSM-infected persons with AIDS-related risk behaviors decreased from 44.8% (43/96) to 4.2% (4/96), with 34 (35.4%) MSM infected at the time of reporting. Dropped to 27 cases (28.1%), but at the same time 4 cases changed from unmarried to same-sex fixed partners. Conclusion The follow-up intervention in MSM patients in Linhai City shows a significant decrease in the proportion of AIDS-related risk behaviors. MSM patients with high spousal maintenance rate and low positive rate of same sex partners should continue to strengthen MSM follow-up management and intervention, Especially those who are still at risk, to reduce the risk of transmission of HIV secondary to MSM.