吉林省2010－2015年男男性行为人群HIV哨点监测分析

郭伟; 孟晓军; 李东民; 蔡勇; 范吉祥; 黄飚

Abstract

郭伟,孟晓军,李东民,蔡勇,范吉祥,黄飚.吉林省2010－2015年男男性行为人群HIV哨点监测分析[J].Chinese journal of Epidemiology,2017,38(12):1655-1659

吉林省2010－2015年男男性行为人群HIV哨点监测分析

Results of sentinel surveillance on men who have sex with men in Jilin province between 2010 and 2015

Received:May 08, 2017

DOI：10.3760/cma.j.issn.0254-6450.2017.12.015

KeyWord: 男男性行为者艾滋病哨点监测感染率

English Key Word: MSM HIV/AIDS Sentinel surveillance Prevalence

FundProject:吉林省卫生计生委面上项目（2016ZC020）；无锡市卫计委面上项目（MS201613）；无锡市科教强卫工程项目（QNRC033）

Author Name	Affiliation	E-mail
Guo Wei	Jilin Provincial Center for Disease Control and Prevention, Changchun 130062, China
Meng Xiaojun	Wuxi Municipal Center for Disease Control and Prevention, Wuxi 210423, China
Li Dongmin	National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China
Cai Yong	Jilin Municipal Center for Disease Control and Prevention, Jilin 132001, China
Fan Jixiang	Jilin Provincial Center for Disease Control and Prevention, Changchun 130062, China
Huang Biao	Jilin Provincial Center for Disease Control and Prevention, Changchun 130062, China	huangbiao2000@sohu.com

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Abstract:

目的了解吉林省MSM人群HIV的感染状况及其相关因素。方法 2010-2015年，根据《全国艾滋病哨点监测方案》的要求，在艾滋病哨点监测期内，通过横断面调查的方法对吉林省MSM艾滋病知识知晓率、性行为状况、HIV和梅毒抗体阳性率水平等进行连续监测，每个监测哨点样本量≥ 400人。结果 2010-2015年吉林省共监测MSM 7 823人，HIV感染率为5.4%（42/7 823），HIV感染率呈逐年上升趋势（趋势χ²=110.023，P<0.001）。2010-2015年，MSM艾滋病知识知晓率均>90.0%。最近6个月坚持使用安全套的比例为27.0%（2 112/7 823），不同年份的差异有统计学意义（χ²=234.038，P<0.001）。多因素logistic回归分析结果显示，MSM感染HIV的可能危险因素包括外省户籍（aOR=1.797，95% CI：1.185~2.726）、网络招募（aOR=1.717，95% CI：1.332~2.215）、最近1年曾诊断过性病（aOR=1.893，95% CI：1.356~2.643）和梅毒抗体阳性（aOR=4.309，95% CI：3.097~5.995）；可能保护性因素包括最近6个月同性性行为坚持使用安全套（aOR=0.387，95% CI：0.143~0.557）、最近1年曾检测过HIV （aOR=0.632，95% CI：0.375~0.891）。结论 2010-2015年吉林省MSM人群HIV感染率呈上升趋势，坚持使用安全套的比例和HIV检测率均较低，应采取有效措施促进MSM定期做HIV检测和坚持使用安全套。

English Abstract:

Objective To explore the HIV epidemic and related factors among MSM in Jilin province.Methods During the implementation of sentinel surveillance program from 2010 to 2015, continuous cross-sectional studies were conducted to monitor the awareness of AIDS, sexual behavior, HIV and syphilis positive rates, with the sample size no less than 400 in each surveillance site.Results From 2010 to 2015, a total of 7 823 MSM were involved in this study. The overall HIV prevalence among MSM was 5.4% (42/7 823), with an increasing trend during 2010 and 2015 (Trend test χ²=110.023, P<0.001). The rates of awareness on AIDS were higher than 90.0%. The proportion of consistent condom use was 27.0% (2 112/7 823) in the last 6 months, and significant differences were found in these years (χ²=234.038, P<0.001).Results from multivariate logistic regression analysis showed that the HIV infection related risk factors among MSM in Jilin province would include:residency from other provinces (aOR=1.797, 95% CI:1.185-2.726), recruitment through internet (aOR=1.717, 95% CI:1.332-2.215), diagnosed of having sexually transmitted diseases in the previous year (aOR=1.893, 95% CI:1.356-2.643) and positive testing on syphilis (aOR=4.309, 95% CI:3.097-5.995). And consistent condom uses in the last 6 months (aOR=0.387, 95% CI:0.143-0.557), tested HIV in the last year (aOR=0.632, 95% CI:0.375-0.891) were preventive factors.Conclusions HIV prevalence was increasing among MSM in Jilin province, but both the proportion of consistent condom use and the former HIV testing rate were at a low level. Aggressive measurement including consistent condom use and periodical HIV testing among MSM was warranted.

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