| 马彦民,李宁,孙定勇,聂玉刚,李洁,王哲.河南省2008－2013年男男性行为人群艾滋病流行趋势分析[J].中华流行病学杂志,2015,36(2):158-161 |
| 河南省2008－2013年男男性行为人群艾滋病流行趋势分析 |
| HIV infection status among men who have sex with men in Henan,2008-2013 |
| 收稿日期:2014-08-24 出版日期:2015-02-06 |
| DOI：10.3760/cma.j.issn.0254-6450.2015.02.013 |
| 中文关键词: 男男性行为者 艾滋病 流行趋势 |
| 英文关键词: Men who have sex with men Acquired immunodeficiency syndrome Infection status |
| 基金项目:国家科技重大专项(2012ZX10004-905) |
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| 中文摘要: |
| 目的 分析河南省MSM人群HIV感染流行趋势,为河南省艾滋病防治政策与策略制定提供科学依据。方法 分析2008-2013年艾滋病病例报告系统中同性性传播HIV/AIDS病例的变化趋势,利用MSM人群艾滋病综合防治专项调查数据分析该人群HIV感染率及危险行为变化。结果 2008-2013年河南省同性性传播病例构成从1.3%上升到17.1%,呈现快速增长趋势;专项调查数据显示,MSM人群HIV感染率呈现快速上升趋势,从2008年的4.69%增至2013年的8.33%(趋势χ2=39.24,P<0.001).单因素分析结果显示,年龄(χ2=21.03,P<0.001)、文化程度(χ2=31.66,P<0.001)、职业(χ2=14.59,P=0.01)、最近1次肛交行为安全套使用情况(χ2=134.97,P<0.001)、最近6个月同性性行为安全套使用情况(χ2=97.15,P<0.001)、最近1年性病症状(χ2=67.21,P<0.001)以及梅毒感染(χ2=163.60,P<0.001)均为感染HIV的影响因素。多因素分析结果显示,年龄、性病症状史、感染梅毒与艾滋病防治知识不知晓为感染HIV的危险因素。结论 河南省MSM人群中HIV感染呈不断上升趋势,男男同性性传播已经成为主要感染途径,该人群不安全性行为普遍存在,亟需采取有效措施控制HIV在该人群中的传播。 |
| 英文摘要: |
| Objective To understand the infection status of HIV among men who have sex with men (MSM) in Henan province and provide scientific evidence for the development of AIDS prevention and control measures. Methods The analysis was conducted on the data about incidence of HIV infection and related risk factors among MSM in Henan from 2008 to 2013,which were obtained from AIDS reporting information system and AIDS survey in MSM. Results The constituent of HIV infection in MSM increased from 1.3% in 2008 to 17.1% in 2013. The HIV infection rate in MSM increased from 4.69% in 2008 to 8.33% in 2013 (trend χ2=39.24,P<0.001). Univariate analysis indicated that the risk factors related with HIV infection included age (χ2=21.03,P<0.001),education level (χ2=31.66,P<0.001),occupation (χ2=14.59,P=0.01),condom use in the last anal sex(χ2=134.97,P<0.001), condom use in anal sex during past 6 months (χ2=97.15,P<0.001),STI history (χ2=67.21,P<0.001)and syphilis prevalence(χ2=163.60,P<0.001).Multivariate analysis indicated that HIV infection related risk factors included age,STD history,syphilis prevalence and poor awareness of AIDS related knowledge. Conclusion The incidence of HIV infection among MSM in Henan increased rapidly,and homosexual transmission has become the major route of HIV infection. HIV infection related risk behavior is prevalent among MSM,therefore,it is necessary to take effective measures to prevent and control HIV/AIDS in MSM. |
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