Abstract
马小燕,张启云,贺雄,赵金扣,李洋,孙卫东,徐敏,张琴,Mac F.Willi.同伴推动抽样法调查男男性接触人群艾滋病病毒/性传播疾病感染状况及相关行为[J].Chinese journal of Epidemiology,2007,28(9):851-855
同伴推动抽样法调查男男性接触人群艾滋病病毒/性传播疾病感染状况及相关行为
Epidemiological study on the status of HIV/STDs and relative behaviors among MSM in Beijing
Received:March 22, 2007  Revised:September 10, 2007
DOI:
KeyWord: 艾滋病  性传播疾病  男男性接触者  同伴推动抽样法
English Key Word: AIDS  Sexually transmitted disease  Men who have sex with men  Respondent-driven sampling
FundProject:中美艾滋病防治合作项目
Author NameAffiliation
MA Xiao-yan Beijing Center for Disease Control and Prevention, Beijing 100013, China 
ZHANG Qi-yun Beijing Center for Disease Control and Prevention, Beijing 100013, China 
HE Xiong Beijing Center for Disease Control and Prevention, Beijing 100013, China 
ZHAO Jin-kou Beijing Center for Disease Control and Prevention, Beijing 100013, China 
LI Yang Beijing Center for Disease Control and Prevention, Beijing 100013, China 
SUN Wei-dong Beijing Center for Disease Control and Prevention, Beijing 100013, China 
XU Min Beijing Center for Disease Control and Prevention, Beijing 100013, China 
ZHANG Qin 美国疾病预防控制中心中国办事处 
Mac F.Willi University of California, San Franciseo, CA, USA.(Mac F.Willi) 
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Abstract:
      目的了解北京市男男性接触(MSM)人群HIV和其他性传播疾病的感染状况及危险性行为。方法使用同伴推动抽样法(RDS)在北京市对MSM进行问卷调查及HIV、HBV、HCV和梅毒血清学检测,用RDSAT进行统计学分析。结果共征募MSM 427人,30和35岁以下分别占65.4%和81.0%,文化程度在高中或以下者占69.2%(95%CI:63.9~75.5),外地户籍人口占73.3%(95%CI.66.7~79.8);城市和农村户籍各占约半数比例;HIV抗体阳性率为4.6%(95%CI:2.2~7.6)。56.3%(95%CI:50.9~62.5)的调查对象为双性性取向,仅14.8%(95%CI:10.8~19.6)做过HIV检测;22.8%(95%CI:18.7~27.8)既往感染过性病;分别有55.3%(95%CI:49.3~61.9)和55.1%(95%CI:48.7~61.3)调查对象调查前半年发生无保护插入性和被插入性肛交。结论北京市MSM人群HIV感染率呈上升趋势,采取切实可行的防治措施迫在眉睫。
English Abstract:
      Objective To understand the infected status of human immunodeficiency virus(HIV), sexually transmitted disease(STD)and relative risk behaviors of men who have sex with men(MSM)in Beijing.Methods Respondent-driven sampling(RDS)was adopted to recruit target population and to conduct behavior and serological studies among MSM.RDSAT 5.5 was used to analyze data.Results Among 427 MSM,the age distribution was as follows:below 30 and less than 35 were 65.4% and 81.0% respectively.69.2%(95% CI:63.9-75.5)of them had 12 years or less of education.73.3%(95% CI: 66.7-79.8)of them were non-Beijing registered residents.The urban and rural registered residents almost accounted for half of all the recruits.HIV positive rate was 4.6 %(95 % CI:2.2-7.6)while 56.3 %(95 % CI:50.9-62.5)of them reported having had bisexual sex preference.Only 14.8 %(95 % CI:10.8-19.6) of them had ever had HIV test,while 22.8%(95% CI:18.7-27.8)reported ever having had STDs. 55.3%(95% CI:49.3-61.9)and 55.1%(95% CI:48.7-61.3)of them had unprotected insert and receptive anal sex over the last 6 months.Conclusion Data from the HIV positive rate showed that there was a trend of increase among MSM in Beijing which called for urgent care to them.
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