中国六省（区）性病门诊男性就诊者艾滋病相关行为特征及HIV感染状况 影响因素研究

许艳; 惠珊; 孟晓军; 明帅; 丁正伟; 李东民; 黑发欣; 王璐

Abstract

许艳,惠珊,孟晓军,明帅,丁正伟,李东民,黑发欣,王璐.中国六省（区）性病门诊男性就诊者艾滋病相关行为特征及HIV感染状况影响因素研究[J].Chinese journal of Epidemiology,2011,32(10):987-990

中国六省（区）性病门诊男性就诊者艾滋病相关行为特征及HIV感染状况影响因素研究

Study on the HIV infection status, characteristics of AIDS-related behaviors and risk factors among men attending the sexually transmitted disease clinics

Received:May 30, 2011

DOI：10.3760/cma.j.issn.0254-6450.2011. 10.008

KeyWord: 艾滋病性病门诊感染状况影响因素

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Author Name	Affiliation	E-mail
XU Yan	School of Public Health, Peking Union Medical College, Beijing 100730, China National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention
HUI Shan	Heilongjiang Center for Disease Control and Prevention
MENG Xiao-jun	National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention
MING Shuai	National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention
DING Zheng-wei	National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention
LI Dong-min	National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention
HEI Fa-xin	National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention
WANG Lu	National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention	wanglu64@chinaaids.cn

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Abstract:

目的了解中国6省（区）15～90岁性病门诊男性就诊者的艾滋病知识知晓、艾滋病相关行为及HIV感染等状况，分析其HIV感染的影响因素。方法根据全国艾滋病哨点监测实施方案（试行）操作手册的要求，汇总广西、广东、河南、四川、云南和江西6省(区)2009-2010年国家级性病门诊男性就诊者哨点监测数据。对上报数据进行“清洗”，剔除不合格数据后用SPSS 18.0软件进行统计分析。结果 6省（区）共汇总性病门诊男性就诊者资料64 003份，15～49岁组 55 220人，≥50岁组8783人(13.7%)。两组人群的艾滋病知识总知晓率（69.6%vs.80.1%）、近3个月发生过商业性行为的比例（34.1%vs.36.6%）、近3个月发生过临时性行为的比例(18.7%vs. 28.4%)、发生同性肛交性行为的比例（0.7%vs.1.4%）、最近一年做过HIV抗体检测的比例（14.3%vs.17.1%）均为≥50岁组低于15 ～ 49岁组。而≥50岁组HIV抗体阳性检出率高于15 ～49 岁组（1.1%vs.0.7%）。对≥50岁组多因素logistic回归分析结果显示，有固定性伴(OR=0.588, P=0.034)、发生过同性肛交性行为（OR=5.226,P=0.006）与HIV抗体阳性有关。结论发生高危性行为（包括同性肛交性行为）是≥50岁性病门诊男性就诊者感染HIV的主要危险因素。

English Abstract:

To understand the status on AIDS awareness, AIDS-related behaviors, risk factors on HIV infection status among 15-90 years or older men at the sexually transmitted disease clinics. Methods Data from the 2009 and 2010 national sentinel surveillance system, regarding men attending sexually transmitted disease clinics was collected from Guangdong, Guangxi, Henan, Sichuan, Yunnan and Jiangxi provinces, where the AIDS epidemic among 15-90 years or older population was serious. Data was uploaded to National Center for AIDS/STD Control and Prevention (NCAIDS) through the comprehensive AIDS control and prevention information system. Data was then analyzed by SPSS 18.0. Results A total of 64 003 pieces of data were collected. Among them, 8783 ( 13.7% ) were related to men at ≥ 50 years or older, and to men 15-49 years older were 55 220. The rates on the awareness of AIDS knowledge were from 69.6% vs. 80.1%, on frequently having had commercial sexual contacts in the last three months were between 34.1% vs. 36.6%, on having had casual sexual contact in the last three months were 18.7% vs. 28.4%, on having had homosexual anal intercourse as 0.7% vs. 1.4%. The rates of taking HIV antibody testing in the last year (14.3% vs. 17.1% ) among this population were all significantly lower than the rate among the 15 to 49 years age group. However, the HlV-positive rate among the older age group (fifty years of age or older) was significantly higher than the rate among 15 to 49 year age group ( 1.1% vs0.7% ). Regard the fifty years of age or older men. Data from the multivariate logistic regression analysis demonstrated that factors as: having regular partner (OR=0.588, P=0.034) , having homosexual anal intercourse (OR=5.226, P=0.006) were associated with positivities of HIV antibody. Conclusion High-risk sexual behaviors, including homosexual anal intercourse were the major risk factors for men at ≥50 years or older age,related to the infection.

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