| 周振海,李书明,刘英杰,姜树林,张晓曦,李清春,李东亮,罗凤基,阮玉华,邵一鸣.北京市男男性行为者行为因素和心理状态与HIV感染关系的研究[J].中华流行病学杂志,2010,31(3):273-276 |
| 北京市男男性行为者行为因素和心理状态与HIV感染关系的研究 |
| Study on the relationship between behavioral factors,psychological status and HIV infection among men who have sex with men in Beijing |
| 收稿日期:2009-08-24 出版日期:2014-09-12 |
| DOI： |
| 中文关键词: 男男性行为者 人类免疫缺陷病毒 感染率 影响因素 |
| 英文关键词: Men who have sex with men Human immunodeficiency virus Prevalence Risk factors |
| 基金项目:国际科技合作计划(2007DFC30230) |
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| 中文摘要: |
| 目的 了解北京市男男性行为者(MSM)中HIV感染情况及其影响因素.方法 于2008年3-6月,在北京市招募MSM进行问卷调查,了解其社会人口学和行为学特征,并采集血样进行HIV抗体、梅毒抗体、HBsAg和HCV抗体检测.采用X~2检验和logistic回归模型对HIV感染的影响因素进行分析.结果共有550名符合纳入标准的MSM参加本次调查,HIV感染率为4.5%(25/550).多因素logistic回归分析显示,近1个月与临时男性性伴无保护性肛交(X~2=11.381,P=0.001)、近3个月同性性行为后直肠冲洗(X~2=5.326,P=0.021)、近1个月感到悲伤(X~2=8.809,P=0.003)与MSM感染HIV的关系有统计学意义.结论 在加强安全性行为预防干预的同时需采取适当的心理干预措施,以控制HIV在该人群中的传播. |
| 英文摘要: |
| Objective To study the prevalence and risk factors of human immunodeficiency virus (HIV) among men who have sex with men (MSM) in Beijing. Methods A sample of 550 MSM was recruited between March and June in 2008 in Beijing. Interviewer-administered interviews were conducted to collect information on demographics and behaviors. Blood samples were collected to test for HIV,syphilis,HBsAg and HCV infections. Chi-square test and logistic regression model were used to identify risk factors associated with HIV infection. Results Of the 550 eligible MSM surveyed,HIV prevalence appeared to be 4.5% (25/550). Data from multivariate logistic regression analysis demonstrated that factors as reporting unprotected anal intercourse with causal male sexual partners in the last month (χ~2=11.381,P=0.001),rectal douching after homosexual anal intercourse in the past three months (χ~2=5.326,P=0.021),feeling sad in the last month (χ~2=8.809,P=0.003) were significantly associated with HIV infection. Conclusion Health education on safer sex behavior and mental health care should be taken to hinder the speed of HIV transmission among MSM. |
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