山西省2010、2015和2020年哨点监测男男性行为人群HIV感染状况及相关因素分析

张飞; 聂晓勇; 原琛利; 柳芳超; 解雁茹; 李娜; 孟珺; 郭晓黎

Abstract

张飞,聂晓勇,原琛利,柳芳超,解雁茹,李娜,孟珺,郭晓黎.山西省2010、2015和2020年哨点监测男男性行为人群HIV感染状况及相关因素分析[J].Chinese journal of Epidemiology,2022,43(4):554-559

山西省2010、2015和2020年哨点监测男男性行为人群HIV感染状况及相关因素分析

HIV infection status and related factors in men who have sex with men in sentinel surveillance in Shanxi province, 2010, 2015 and 2020

Received:June 11, 2021

DOI：10.3760/cma.j.cn112338-20210611-00469

KeyWord: 哨点监测|男男性行为人群|艾滋病病毒|感染

English Key Word: Sentinel surveillance|Men who have sex with men|HIV|Infection

FundProject:山西省卫生计生委公共卫生专项（2018GW16）

Author Name	Affiliation	E-mail
Zhang Fei	Division of AIDS/STD Control and Prevention, Shanxi Provincial Center for Disease Control and Prevention, Taiyuan 030012, China	zhangfei628@126.com
Nie Xiaoyong	Division of AIDS/STD Control and Prevention, Shanxi Provincial Center for Disease Control and Prevention, Taiyuan 030012, China
Yuan Chenli	Division of AIDS/STD Control and Prevention, Shanxi Provincial Center for Disease Control and Prevention, Taiyuan 030012, China
Liu Fangchao	Scicence and Technology Office, Beijing Tuberculosis and Thoracic Tumor Research Institute/Beijing Chest Hospital, Capital Medical University, Beijing 101149, China
Xie Yanru	Division of AIDS/STD Control and Prevention, Shanxi Provincial Center for Disease Control and Prevention, Taiyuan 030012, China
Li Na	Division of Nuclear Medicine, Shanxi Bethune Hospital/Shanxi Academy of Medical Sciences, Taiyuan 030032
Meng Jun	Division of AIDS/STD Control and Prevention, Shanxi Provincial Center for Disease Control and Prevention, Taiyuan 030012, China
Guo Xiaoli	Division of AIDS/STD Control and Prevention, Shanxi Provincial Center for Disease Control and Prevention, Taiyuan 030012, China

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Abstract:

目的了解2010、2015和2020年山西省男男性行为人群（MSM）的HIV的感染状况及其相关因素。方法根据全国艾滋病哨点监测实施方案，在艾滋病哨点监测期通过横断面调查方法收集山西省2010、2015和2020年MSM哨点监测研究对象的基本特征、艾滋病知识知晓率、高危性行为、性传播疾病（STD）患病史、干预服务和HIV感染率等信息。结果 2010、2015和2020年山西省监测MSM共2 708例，各年HIV感染率的差异有统计学意义（χ²=23.76，P<0.001），呈逐年上升趋势（趋势χ²=17.34，P<0.001）；最近6个月发生同性性行为、商业性行为和异性性行为的比例分别为77.62%（2 102/2 708）、5.91%（160/2 708）和28.14%（762/2 708）；坚持使用安全套的比例分别为52.52%（1 104/2 102）、63.13%（101/160）和23.49%（179/762）；坚持使用安全套的比例均较低。多因素logistic回归分析结果显示，不同城市、初中及以下文化程度、网络招募和自愿咨询与检测点、患有STD、发生同性性行为未坚持使用安全套是MSM的HIV感染的相关因素。结论 2010、2015、2020年山西省MSM的HIV感染率呈上升趋势，艾滋病相关危险行为持续存在，且安全套坚持使用比例较低，MSM的HIV检测率较低。应采取针对性、有效性措施促进MSM危险行为时安全套的坚持使用及定期检测HIV。

English Abstract:

Objective To understand the infection status of HIV and related factors in men who have sex with men (MSM) in Shanxi province in 2010, 2015 and 2020. Methods According to the sentinel surveillance protocol, continuous cross-sectional survey were conducted to collect the information about basic characteristics, general demographic characteristics, AIDS knowledge awareness, high-risk sexual behavior, sexually transmitted diseases, intervention services and HIV infection rate of the MSM in Shanxi in 2010, 2015 and 2020. Results In 2010, 2015 and 2020, a total of 2 708 MSM were included in this study. There were significant differences in HIV infection rate among three years (χ²=23.76, P<0.001) with an increasing trend with year (trend χ²=17.34, P<0.001). The rates of anal sex, commercial sex and heterosexual behavior in the past 6 months were 77.62% (2 102/2 708), 5.91% (160/2 708) and 28.14% (762/2 708) respectively, and the rates of consistent use of condom were 52.52% (1 104/2 102), 63.13% (101/160) and 23.49%(179/762) respectively, and the rate of consistent condom use was low. Results from multivariate logistic regression analysis showed that different cities, having educational level of junior high school or below, being recruited through internet, voluntary counseling and testing, suffering from sexually transmitted diseases, occasional condom use in anal sex in the past 6 months were the correlative factors of HIV infection of MSM. Conclusions The HIV infection rate of MSM in Shanxi increased year by year from 2010, 2015 to 2020. The HIV/AIDS-related risk behavior persisted, and the proportion of condomuse adherence was low, and the HIV detection rate was low in the MSM, so targeted and effective measures should be taken to promote the condom use adherence and regular HIV testing in MSM.

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