| 马小燕,张启云,贺雄,赵金扣,李洋,孙卫东,徐敏,张琴,Mac F.Willi.同伴推动抽样法调查男男性接触人群艾滋病病毒/性传播疾病感染状况及相关行为[J].中华流行病学杂志,2007,28(9):851-855 |
| 同伴推动抽样法调查男男性接触人群艾滋病病毒/性传播疾病感染状况及相关行为 |
| Epidemiological study on the status of HIV/STDs and relative behaviors among MSM in Beijing |
| 收稿日期:2007-03-22 出版日期:2014-09-12 |
| DOI： |
| 中文关键词: 艾滋病 性传播疾病 男男性接触者 同伴推动抽样法 |
| 英文关键词: AIDS Sexually transmitted disease Men who have sex with men Respondent-driven sampling |
| 基金项目:中美艾滋病防治合作项目 |
| 作者 | 单位 | | 马小燕 | 北京市疾病预防控制中心, 北京 100013 | | 张启云 | 北京市疾病预防控制中心, 北京 100013 | | 贺雄 | 北京市疾病预防控制中心, 北京 100013 | | 赵金扣 | 北京市疾病预防控制中心, 北京 100013 | | 李洋 | 北京市疾病预防控制中心, 北京 100013 | | 孙卫东 | 北京市疾病预防控制中心, 北京 100013 | | 徐敏 | 北京市疾病预防控制中心, 北京 100013 | | 张琴 | 美国疾病预防控制中心中国办事处 | | Mac F.Willi | University of California, San Franciseo, CA, USA.(Mac F.Willi) |
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| 中文摘要: |
| 目的了解北京市男男性接触(MSM)人群HIV和其他性传播疾病的感染状况及危险性行为。方法使用同伴推动抽样法(RDS)在北京市对MSM进行问卷调查及HIV、HBV、HCV和梅毒血清学检测,用RDSAT进行统计学分析。结果共征募MSM 427人,30和35岁以下分别占65.4%和81.0%,文化程度在高中或以下者占69.2%(95%CI:63.9～75.5),外地户籍人口占73.3%(95%CI.66.7～79.8);城市和农村户籍各占约半数比例;HIV抗体阳性率为4.6%(95%CI:2.2～7.6)。56.3%(95%CI:50.9～62.5)的调查对象为双性性取向,仅14.8%(95%CI:10.8～19.6)做过HIV检测;22.8%(95%CI:18.7～27.8)既往感染过性病;分别有55.3%(95%CI:49.3～61.9)和55.1%(95%CI:48.7～61.3)调查对象调查前半年发生无保护插入性和被插入性肛交。结论北京市MSM人群HIV感染率呈上升趋势,采取切实可行的防治措施迫在眉睫。 |
| 英文摘要: |
| Objective To understand the infected status of human immunodeficiency virus(HIV), sexually transmitted disease(STD)and relative risk behaviors of men who have sex with men(MSM)in Beijing.Methods Respondent-driven sampling(RDS)was adopted to recruit target population and to conduct behavior and serological studies among MSM.RDSAT 5.5 was used to analyze data.Results Among 427 MSM,the age distribution was as follows:below 30 and less than 35 were 65.4% and 81.0% respectively.69.2%(95% CI:63.9-75.5)of them had 12 years or less of education.73.3%(95% CI: 66.7-79.8)of them were non-Beijing registered residents.The urban and rural registered residents almost accounted for half of all the recruits.HIV positive rate was 4.6 %(95 % CI:2.2-7.6)while 56.3 %(95 % CI:50.9-62.5)of them reported having had bisexual sex preference.Only 14.8 %(95 % CI:10.8-19.6) of them had ever had HIV test,while 22.8%(95% CI:18.7-27.8)reported ever having had STDs. 55.3%(95% CI:49.3-61.9)and 55.1%(95% CI:48.7-61.3)of them had unprotected insert and receptive anal sex over the last 6 months.Conclusion Data from the HIV positive rate showed that there was a trend of increase among MSM in Beijing which called for urgent care to them. |
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