文章摘要
于茂河,龚卉,郭燕,董笑月.我国2010-2015年浴池男男性行为人群HIV感染率Meta分析[J].中华流行病学杂志,2016,37(8):1152-1158
我国2010-2015年浴池男男性行为人群HIV感染率Meta分析
Meta-analysis on the positive rate of HIV among MSM with bathhouse as the major venue of sexual practice
收稿日期:2016-03-08  出版日期:2016-08-10
DOI:10.3760/cma.j.issn.0254-6450.2016.08.020
中文关键词: 男男性行为者;HIV感染率;浴池;Meta分析
英文关键词: Men who have sex with men;Positive rate of HIV;Bathhouse;Meta-analysis
基金项目:天津市卫生局科技基金项目(2015KZ053)
作者单位E-mail
于茂河 300011 天津市疾病预防控制中心性病艾滋病预防控制所  
龚卉 300011 天津市疾病预防控制中心性病艾滋病预防控制所  
郭燕 300011 天津市疾病预防控制中心性病艾滋病预防控制所  
董笑月 300011 天津市疾病预防控制中心性病艾滋病预防控制所 ydxy@sina.com 
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中文摘要:
      目的 运用Meta分析综合评价2010-2015年国内浴池男男性行为者(MSM)HIV阳性率。方法 通过检索中国知网(CNKI)、万方数据库、中国期刊全文数据库(CJFD)和PubMed,搜集2010-2015年间有关文献,通过Stata 12.0软件进行Meta分析。结果 纳入的14篇文献经异质性检验,I2=88.1%,存在异质性,因此采用随机效应模型对HIV的阳性率进行合并,得出的合并率为10.3%,95% CI为7.7%~13.0%;随后通过Egger检验和漏斗图进行发表偏倚的评估;进行样本量、年份、地区和招募方式的亚组分析时,得出沿海省市的HIV阳性率显著高于内陆省市。结论 我国浴池MSM人群HIV阳性率高于非浴池场所哨点监测水平,其中沿海地区高于内陆,应针对性开展大中城市浴池MSM人群艾滋病干预。
英文摘要:
      Objective To explore the positive rates on HIV among men who have sex with men (MSM) who took bathhouse as the major place for sexual practice in China, between 2010 and 2015. Methods Articles published between 2010 and 2015 from CNKI, Wanfang Data, CJFD and PubMed were collected and Stata 12.0 software was used for Meta-analysis. Results A total of 14 articles were selected. Random effects model was employed to calculate the pooled positive rate according to statistical tests for homogeneity with the result I2=88.1%. The pooled positive rate appeared as 10.3%, with 95%CI as 7.7%-13.0%. Publication bias was assessed by Egger's test and funnel plot. After stratified analysis on factors as:sample size, year, region and methods on recruitment, the pooled positive rate of HIV appeared higher in people living in the coastal provinces than those in the inland provinces. Conclusion The pooled positive rate of HIV identified from the bathhouses appeared higher than that from other places through, the national HIV sentinel surveillance data, with coastal higher than that in the inland provinces. Bathhouse was recognized as the key place to be carried on intervention programs for the MSM population.
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