文章摘要
张宏,陈剑惠,林春仲,许绍溢,薛洪洪,何鼎盛,陈传刚,刘梅艳.福州市2016-2021年网络招募15~24岁男男性行为人群艾滋病监测分析[J].中华流行病学杂志,2022,43(11):1761-1767
福州市2016-2021年网络招募15~24岁男男性行为人群艾滋病监测分析
HIV/AIDS surveillance in men who have sex with men aged 15-24 based on internet in Fuzhou,2016-2021
收稿日期:2022-04-30  出版日期:2022-11-22
DOI:10.3760/cma.j.cn112338-20220430-00365
中文关键词: 艾滋病病毒  青少年  男男性行为人群  监测  网络招募
英文关键词: HIV  Adolescent  Men who have sex with men  Surveillance  Network recruitment
基金项目:福建省卫生健康委员会科技计划项目-医学创新课题(2021CXA044);福建省卫生健康委员会科技计划项目-医学创新课题(2019-cx-9);福州科技局社会发展项目-医疗项目(AFZ2020WS01010126)
作者单位E-mail
张宏 福州市疾病预防控制中心艾滋病防治科, 福州 350004
福建医科大学公共卫生学院, 福州 350122 
452453452@qq.com 
陈剑惠 福州市疾病预防控制中心艾滋病防治科, 福州 350004  
林春仲 福州市疾病预防控制中心艾滋病防治科, 福州 350004  
许绍溢 福州市疾病预防控制中心艾滋病防治科, 福州 350004  
薛洪洪 福建省性病艾滋病防治志愿者协会, 福州 350004  
何鼎盛 福州市疾病预防控制中心艾滋病防治科, 福州 350004  
陈传刚 福州市疾病预防控制中心艾滋病防治科, 福州 350004  
刘梅艳 福州市疾病预防控制中心艾滋病防治科, 福州 350004  
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中文摘要:
      目的 分析福州市15~24岁MSM艾滋病监测数据,了解其HIV感染状况及其相关因素。方法 2016-2021年通过网络方式招募年龄15~24岁最近6个月与男性发生口交/肛交性行为的MSM,分析其社会人口学和行为学特征、HIV感染状况及其相关因素。结果 2016-2021年网络招募15~24岁MSM共4 234人。户籍为福建省外的比例由13.00%(85/654)上升到23.42%(163/696)(趋势χ2=60.23,P<0.001);通过网络寻找男性性伴的比例由93.27%(610/654)上升到99.71%(694/696)(趋势χ2=65.20,P<0.001);最近6个月最近1次肛交使用安全套比例由88.16%(484/549)下降至74.11%(415/560)(趋势χ2=32.32,P<0.001);最近6个月肛交每次使用安全套比例由65.76%(361/549)下降至55.54%(311/560)(趋势χ2=6.82,P<0.001);既往接受HIV抗体检测比例由5.66%(37/654)上升到25.29%(176/696)(趋势χ2=98.51,P<0.001)。累计监测15~24岁MSM HIV抗体阳性率为3.64%(154/4 234),历年监测15~24岁MSM的HIV抗体阳性率差异无统计学意义(趋势χ2=0.50,P=0.453)。初中及以下文化程度、居住时间1~2年者HIV抗体阳性率均呈上升趋势(P<0.05)。HIV感染风险的多因素logistic回归分析结果显示,高中/中专、大专及以上文化程度者分别是初中及以下文化程度者的0.54(95%CI:0.30~0.99)倍、0.29(95%CI:0.17~0.51)倍,本地居住时间1~2年、>2年者是本地居住时间<1年者的0.35(95%CI:0.16~0.74)倍、0.58(95%CI:0.37~0.91)倍,每次肛交坚持使用安全套者是从未使用者的0.18(95%CI:0.08~0.42)倍,未患过性病者是患过性病者的0.25(95%CI:0.13~0.50)倍。结论 福州市15~24岁MSM存在较高HIV感染风险,应加强对流动和较低文化程度青少年MSM的互联网干预。
英文摘要:
      Objective To analyze HIV/AIDS surveillance data in men who have sex with men (MSM) aged from 15 to 24 years in Fuzhou and understand the HIV infection status in MSM and related factors. Methods From 2016 to 2021, MSM aged 15-24 years who had oral or anal sex with men in the past 6 months were recruited through internet, and their demographic and behavioral characteristics, HIV antibody positive rate and risk factors were analyzed. Results From 2016 to 2021, a total of 4 234 MSM aged 15-24 years were surveyed. The proportion of MSM from other provinces increased from 13.00% (85/654) to 23.42% (163/696) (trend χ2=60.23, P<0.001); and the proportion of MSM seeking male partners through internet increased from 93.27% (610/654) to 99.71% (694/696) (trend χ2=65.20,P<0.001); In the last anal sex in the past 6 months, the proportion of MSM using condom decreased from 88.16% (484/549) to 74.11% (415/560) (trend χ2=32.32,P<0.001); and in the past 6 months, the proportion of MSM using condom at each anal sex decreased from 65.76% (361/549) to 55.54% (311/560) (trend χ2=6.82, P<0.001); The proportion of MSM with HIV antibody testing increased from 5.66% (37/654) to 25.29% (176/696) (trend χ2=98.51, P<0.001). The cumulative HIV antibody positive rate in the MSM was 3.64% (154/4 234), and there was no significant difference in annual HIV antibody positive rate in the MSM (trend χ2=0.50, P=0.453). The HIV antibody positive rate in the MSM with education level of junior high school or below and the MSM living in Fuzhou for 1-2 years showed an upward trend (P<0.05). The results of multivariate logistic regression analysis showed that the risk for HIV infection in the MSM with education level of high school or technical secondary school was 0.54 times higher than that in those with education level of junior high school or below (95%CI:0.30-0.99), and the risk for HIV infection in the MSM with education level of junior college or below was 0.29 times higher than that in those with education level of junior high school or below (95%CI:0.17-0.51). The risk for HIV infection in the MSM who lived in Fuzhou for 1-2 years was 0.35 times higher than that in those who lived in Fuzhou for less than 1 year (95%CI:0.16-0.74), the risk for HIV infection in the MSM who lived in Fuzhou for more than two years was 0.58 times higher than that in those who lived in Fuzhou for less than 1 year (95%CI:0.37-0.91). The number of MSM using condoms at each anal sex was 0.18 times higher than that in the those never using condoms (95%CI:0.08-0.42), and the number of the MSM who didn't suffered from sexually transmitted diseases was 0.25 times higher than that in those who suffered from sexually transmitted diseases (95%CI:0.13-0.50). Conclusions The MSM aged 15-24 years in Fuzhou have higher risk for HIV infection, and internet based intervention should be strengthened in adolescent MSM without permanent residence and with low education level.
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