文章摘要
吴琼苗,程伟彬,钟斐,徐慧芳,刘奇,林鹏.互联网预约检测的男男性行为者HIV、梅毒感染状况及相关因素分析[J].中华流行病学杂志,2015,36(5):434-439
互联网预约检测的男男性行为者HIV、梅毒感染状况及相关因素分析
HIV infection and syphilis prevalence among men who have sex with men receiving voluntary counseling and testing appointed through a web-based registering system and related factors
投稿时间:2014-10-29  
DOI:10.3760/cma.j.issn.0254-6450.2015.05.006
中文关键词: 男男性行为者;艾滋病病毒;梅毒;自愿检测;互联网
英文关键词: Men who have sex with men;Human immunodeficiency virus;Syphilis;Voluntary counseling and testing;Internet
基金项目:广东省医学科研基金(A2013539); 广州市医药卫生科技项目(201102A211001, 20141A011061); 广州市科技计划项目(2012Y2-00021)
作者单位E-mail
吴琼苗 510632 广州, 暨南大学医学院  
程伟彬 广东省疾病预防控制中心  
钟斐 广州市疾病预防控制中心  
徐慧芳 广州市疾病预防控制中心  
刘奇 广州市疾病预防控制中心  
林鹏 广州市小奇文化传播有限公司 gdcdclp@21cn.com 
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中文摘要:
      目的 了解通过互联网预约检测MSM的HIV、梅毒感染状况, 分析其相关影响因素。方法 对广州市2011-2012年通过互联网预约自愿前来进行HIV和梅毒抗体检测的MSM进行问卷调查和血清学检测, 内容包括研究对象的社会人口学、行为学资料及HIV/梅毒抗体检测结果, 采用logistic回归方法分析HIV/梅毒感染的相关影响因素。结果 共调查4 904名MSM, 平均年龄(28.77±7.24)岁, 大专及以上学历占70.3%;未婚占72.7%;HIV和梅毒抗体阳性检出率分别为8.7%(429/4 904)和4.4%(214/4 904), HIV合并梅毒感染率为1.2%(59/4 904)。约1/3调查对象最近一次与男性发生性行为时未使用安全套, 43.5%最近3个月与男性发生性行为不能坚持每次使用安全套。多因素logistic回归分析结果显示:文化程度低、职业(工人或农民)、最近3个月与男性发生性行为不能坚持使用安全套、既往是否做过HIV检测以及感染梅毒与HIV感染相关联;年龄(≥40岁)、文化程度低、最近3个月的男性性伴数(≥10个)及感染HIV与梅毒感染相关联。结论 基于互联网预约检测的MSM, 危险性行为发生率和HIV感染率较高, 既往HIV检测率较低。应加大应用互联网检测动员, 开发针对低文化、高年龄MSM的干预措施。
英文摘要:
      Objective To understand the human immunodeficiency virus (HIV) infection status and syphilis prevalence among men who have sex with men (MSM) receiving voluntary counseling and testing appointed through a web-based registering system and related factors. Methods The MSM receiving web appointed HIV counseling and testing from 2011 to 2012 in Guangzhou were recruited and a questionnaire survey was conduct among them to obtain the information about their demographic characteristics and sexual behavior. Binary and multivariate logistic regression model were used to identify the factors associated with HIV infection or syphilis prevalence. Results A total of 4 904 MSM were enrolled in the study, the average age of the MSM was (28.77±7.24) years, and 70.3% of them had high education level;the unmarried MSM accounted for 72.7%. The HIV infection rate and syphilis prevalence were 8.7% and 4.4% respectively. The co-infection rate of HIV and Treponema pallidum was 1.2%(59/4 904). About one in three MSM did not use condom at latest homosexual behavior, 43.5% did not use condoms at each homosexual behavior in the past three months. Lower education level, occupation(worker or farmer), non-consistent condom use at each sex with men in the past three months, receiving HIV test or not and Treponema pallidum infection were associated with HIV infection. Age ≥40 years, lower education level, multi male sex partners in the past three months and HIV infection were associated with Treponema pallidum infection. Conclusion MSM receiving web appointed HIV counseling and testing had high prevalence of risk behaviors and high HIV infection rate, but had low previous HIV testing rate. It is necessary to strengthen the promotion of HIV test through web based appointment and conduct target behavior intervention in older MSM with lower education level.
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