文章摘要
田恬,蔡爱杰,黄冰雪,阿比旦·艾尼瓦尔,王辉,戴江红.乌鲁木齐市男同性恋浴池与艾滋病自愿咨询检测门诊的MSM感染HPV情况比较[J].中华流行病学杂志,2017,38(1):53-57
乌鲁木齐市男同性恋浴池与艾滋病自愿咨询检测门诊的MSM感染HPV情况比较
Comparison of human papilloma virus infection status between men who have sex with men recruited from gay bathhouses and HIV voluntary counseling and testing clinics respectively in Urumqi
收稿日期:2016-06-26  出版日期:2017-01-12
DOI:10.3760/cma.j.issn.0254-6450.2017.01.010
中文关键词: 男男性行为者;人乳头瘤病毒;男同性恋浴池;艾滋病自愿咨询检测室
英文关键词: Men who have sex with men;Human papilloma virus;Gay bathhouse;HIV voluntary counsel and test clinic
基金项目:国家自然科学基金(81560539)
作者单位E-mail
田恬 830011 乌鲁木齐, 新疆医科大学公共卫生学院流行病学与卫生统计学教研室  
蔡爱杰 830011 乌鲁木齐, 新疆医科大学公共卫生学院流行病学与卫生统计学教研室  
黄冰雪 830011 乌鲁木齐, 新疆医科大学公共卫生学院流行病学与卫生统计学教研室  
阿比旦·艾尼瓦尔 830011 乌鲁木齐, 新疆医科大学公共卫生学院流行病学与卫生统计学教研室  
王辉 830011 乌鲁木齐, 新疆医科大学公共卫生学院流行病学与卫生统计学教研室  
戴江红 830011 乌鲁木齐, 新疆医科大学公共卫生学院流行病学与卫生统计学教研室 epi102@sina.com 
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中文摘要:
      目的 了解乌鲁木齐市男同性恋浴池和艾滋病自愿咨询检测(VCT)门诊招募的MSM的HPV感染情况及其危险因素。方法 2016年3-5月采用滚雪球抽样方法在男同性恋浴池和VCT门诊招募200名MSM,采用问卷调查收集其人口学和性行为特征资料,采集其肛周脱落细胞进行37型HPV DNA分型检测。结果 200名MSM肛周HPV感染率为54.0%(108/200),其中男同性恋浴池和VCT门诊来源者HPV感染率分别为66.7%(74/111)与38.2%(34/89),高危型HPV感染率分别为39.6%(44/111)与14.6%(13/89),男同性恋浴池的这两项指标均明显高于VCT门诊,差异有统计学意义(χ2=16.112,P<0.05;χ2=15.190,P<0.05)。多因素logistic回归分析显示,来自男同性恋浴池、被插入式性行为方式为主是肛周HPV感染的主要危险因素(OR=3.732,95% CI:1.950~7.141;OR=2.555,95% CI:1.329~4.912)。结论 与VCT门诊比较,男同性恋浴池的MSM HPV感染率更高,MSM干预工作应给予特别关注。
英文摘要:
      Objective To understand the human papilloma virus (HPV) infection status in men who have sex with men (MSM) recruited from gay bathhouses and HIV voluntary counseling and testing (VCT) clinics in Urumqi, Xinjiang Uygur autonomous region, and identify the associated risk factors. Methods A total of 200 MSM aged ≥18 years were recruited by using the "snowballing" sampling method from gay bathhouses and VCT clinics in Urumqi during March-May, 2016. The MSM recruited completed questionnaires after filling in the informed consent form. The information about their demographic characteristics and sexual behaviors were collected, and anal swabs were collected from them for HPV genotyping. Results The overall HPV infection rate was 54.0%. The HPV infection rate was 66.7%(74/111) in MSM from gay bathhouses and 38.2%(34/89) in MSM from VCT clinics and the high risk type HPV infection rate was 39.6%(44/111) in MSM from gay bathhouses and 14.6%(13/89) in MSM from VCT clinics, the differences were significant (χ2=16.112, P<0.05; χ2=15.190, P<0.05). Multiple logistic regression analysis indicated that the major risk factors for HPV infection included activity in gay bathhouse (OR=3.732, 95%CI:1.950-7.141) and anal sexual behavior (OR=2.555, 95%CI:1.329-4.912). Conclusion The prevalence of HPV in MSM from gay bathhouses was higher than that in MSM from VCT clinics, indicating that close attention should be paid to the behavior intervention in MSM.
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