文章摘要
刘漫,肖琛嫦,王棠,刘家发,李十月,燕虹.湖北省某市2014年中老年男性HIV感染及与暗娼关系分析[J].中华流行病学杂志,2016,37(7):965-969
湖北省某市2014年中老年男性HIV感染及与暗娼关系分析
Association between HIV infection and female sex workers in middle aged and old men in a city in Hubei provine, 2014
收稿日期:2015-12-17  出版日期:2016-07-15
DOI:10.3760/cma.j.issn.0254-6450.2016.07.012
中文关键词: 艾滋病相关知识  性行为  暗娼  中老年男性
英文关键词: HIV/AIDS related knowledge  Sexual behavior  Female sex workers  Middle aged and old men
基金项目:
作者单位E-mail
刘漫 430071 武汉大学公共卫生学院  
肖琛嫦 430071 武汉大学公共卫生学院  
王棠 430079 武汉, 湖北省卫生和计划生育委员会  
刘家发 430079 武汉, 湖北省疾病预防控制中心  
李十月 430071 武汉大学公共卫生学院  
燕虹 430071 武汉大学公共卫生学院 yanhmjxr@aliyun.com 
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中文摘要:
      目的 了解湖北省某市中老年男性HIV感染状况,并分析HIV感染与暗娼的关系,为制定干预措施提供依据。方法 采用分层整群抽样的方法,在该市城郊区和远离城区的街道/乡镇共抽取10个社区/村。采用自行设计的问卷,于2014年12月对抽取社区/村中634名≥50岁男性进行现场调查。结果 该市中老年男性艾滋病相关知识知晓率为13.3%(68/513),63.2%(371/587)认为自己不可能感染艾滋病,9.1%(52/573)可以接受婚外性行为,32.4%(189/583)对“付钱找小姐”表示赞同或无所谓。近半年有过性行为的人中,6.6%(15/228)报告与妻子或同居女友外的人有过性行为,其中63.6%(7/11)报告从未使用安全套,21.8%(128/586)表示身边有熟人朋友付钱找小姐。7例HIV阳性(1.2%,7/601),距离暗娼密集点近的3个调查点HIV阳性检出率分别为4.2%(5/119)、1.1%(1/95)和0.5%(1/192),而距离较远的2个乡镇未检出HIV阳性。13.2%(77/581)报告遇到过暗娼上门提供性服务,其HIV阳性检出率为5.2%(4/77),高于没有遇到过者[0.6%(3/504)](P=0.007)。结论 该市中老年男性对艾滋病防治知识知晓率低,感染风险认知低,具有一定的高危性行为,该人群HIV阳性检出率较高,且HIV感染可能与其和暗娼发生性交易有关。
英文摘要:
      Objective To understand the HIV infection status in middle aged and old men and the association between HIV infection and female sex workers in a city in Hubei province and provide evidence for the targeted prevention and control of HIV infection. Methods Ten communities/villages were selected through stratified cluster sampling from the suburban and rural areas of the city. A total of 634 men aged≥50 years were surveyed by using self-designed questionnaire in December, 2014. Results The awareness rate of HIV/AIDS related knowledge was 13.3% (68/513). Among the men surveyed, 63.2% (371/587) thought they couldn't be infected with HIV, 9.1% (52/573) believed that extramarital sex is acceptable, and 32.4% (189/583) considered that commercial sexual behavior is just as well. Among the surveyed men reporting sexual behavior in the past 6 months, 6.6% (15/228) had sex with regular sexual partners, in which 63.6% (7/11) never used condoms, 21.8%(128/586) reported that some friends had commercial sexual behaviors. Among 601 men receiving HIV testing, 7 were HIV positive (1.2%). The HIV detection rates among the men living at 3 communities near red light district were 4.2% (5/119), 1.1% (1/95) and 0.5% (1/192) respectively; while no HIV infections were found in the men living at 2 towns far away from red light district. Seventy seven of 581 men surveyed (13.2%) reported to meet visiting female sex workers and they had higher HIV positive rate (5.2%, 4/77) than those without such experiences (0.6%, 3/504) (P=0.007). Conclusion The middle aged and old men in this city had low awareness of HIV/AIDs related knowledge, and high-risk sexual behaviors existed among them. HIV positive rate was relatively high in this population, and HIV infection might be associated with sex service.
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