|本期目录/Table of Contents|

[1]郑敏,鲁俊端,袁智,等.贵州省2012-2014 年男男性行为人群监测结果分析[J].慢性病学杂志,2016,(03):289-292.
　ZHENG Min*,LU Jun-duan,YUAN Zhi,et al.An analysis of HIV sentinel surveillance among MSM in Guizhou Province in 2012-2014[J].,2016,(03):289-292.
点击复制

贵州省2012-2014 年男男性行为人群监测结果分析(PDF)

《慢性病学杂志》[ISSN:1674-8166/CN:11-5900/R]

卷:
期数:
2016年03期
页码:
289-292
栏目:
论著
出版日期:
2016-06-02

文章信息/Info

Title:
An analysis of HIV sentinel surveillance among MSM in Guizhou Province in 2012-2014
作者:
郑敏1;  鲁俊端1;  袁智1;  申莉梅1;  袁飞2;  马云丽3;  冉景林1
1．贵州省疾病预防控制中心，贵阳550004；2．贵阳市疾病预防控制中心，贵阳550004； 3．遵义市红花岗区疾病预防控制中心，贵州遵义563000
Author(s):
ZHENG Min*;  LU Jun-duan;  YUAN Zhi;  SHEN Li-mei;  YUAN Fei;  MA Yun-li;  RAN Jing-lin
* The Center for Disease Control and Prevention of Guizhou Province, Guiyang, Guizhou 550004, China. Corresponding author: ZHENG Min; E-mail: zhengmin0308@163.com
关键词:
艾滋病; 男男性行为人群; 监测
Keywords:
Acquired immune deficiency syndrome（AIDS）;  Men who have sex with men（MSM）;  Sentinel Surveillance
分类号:
R573
DOI:
-
摘要:
目的分析男男性行为人群(MSM)哨点监测结果，了解人群特征和艾滋病病毒感染影响因素，探索 干预工作模式。方法采用2012-2014 年MSM 人群哨点监测数据，采用SPSS 17.0 统计软件进行统计分 析，χ2 检验和二元logistic 回归进行艾滋病感染单因素和多因素分析，P＜0.05 表示差异有统计学意义。结 果近三年共招募1 426 名合格调查对象。样本来源主要为艾滋病自愿咨询检测（VCT） 和网络招募。人 类免疫缺陷病毒（HIV） 阳性检出率为21.57% ， 梅毒阳性检出率为6.11% ， 丙型肝炎由丙型肝炎病毒 （HCV） 阳性检出率为0.84%。多因素分析提示婚姻状况、近6 个月商业性行为、最近一年是否患梅毒感 染、安全套宣传和发放艾滋病咨询与检测是MSM 感染HIV 的影响因素，其中安全套宣传和发放艾滋病咨 询与检测是保护性因素。结论MSM 人群中采用抗病毒治疗、定期检测、性病诊治、安全套使用等联合 干预策略为目前有效干预模式。
Abstract:
Objective To analyze the sentinel surveillance for men who have sex with men (MSM), understand population characteristics and influencing factors of HIV infection, explore intervention mode. Methods Sentinel surveillance data for MSM between 2012 and 2014 was collected. Statistical analysis including χ2 test and logistic regression were performed to elucidate the univariate and multivariate factors affecting acquired immune deficiency syndrome（AIDS） occurrence, with P value smaller than 0.05 indicating statistical significance. Results Between 2012 and 2014, a total of 1 426 qualified respondents were recruited through voluntary counselling and testing and internet recruitment. Among them, HIV positive rate was 21.6%, syphilis positive rate was 6.1%, and HCV positive rate was 0.84%. Multivariate analysis showed that marital status, commercial sex around each June, whether suffering from sexually transmitted disease during the past one year, syphilis infections, and condom promotion and issuance during AIDS counseling and testing were the influencing factors of HIV occurrence among MSM. Condom promotion and issuance during HIV counseling and testing was a protective factor. Conclusions Use of anti- viral treatment, periodical testing, diagnosis and treatment of sexually transmitted diseases, condom use and other joint intervention strategies are the effective intervention mode.

参考文献/References:

[1] 中国疾病预防控制中心性病艾滋病预防控制中心.全国艾滋病 哨点监测实施方案操作手册.
[2] 陈洋,申莉梅,姚永明,等.1045 例MSM HIV 感染状况及影响 因素[J].中国艾滋病性病,2013,19(6):402-406．
[3] 郑敏,姚永明,申莉梅.贵阳市社区男男性行为者艾滋病感染状 况调查[J].贵州医药,2011, 9(35): 830 -831.
[4] 李东亮,高彦杰,于明润,等.北京市男男性行为者HIV 新发感 染率及影响因素研究[J].中华流行病学杂志,2012,33 (7):663- 666．
[5] 章任重,张琬悦,李佑芳,等.昆明市男男性行为人群艾滋病新发感 染队列研究[J].中华预防医学杂志,2012,46(10) :955-957．
[6] 张之,胡海洋,刘晓燕,等.江苏省2011-2013 年新报告HIV 阳 性MSM 中新发感染状况分析[J].中华疾病控制杂志,2015,19 (3):249-252．
[7] Pialoux G, Vimont S, Moulignier A, et al. Effect of HIV infec? tion on the course of syphilis [J]. AIDS Rev, 2008,10(2):85-92．
[8] 周建波,郝超,还锡萍.男男性行为者艾滋病病毒及梅毒感染状 况调查[J].中国公共卫生, 2012,8(28):1031-1035.

备注/Memo

备注/Memo:
作者简介：郑敏，硕士学位，主管医师，研究方向：艾滋病防治 通信作者：郑敏，E-mail：zhengmin0308@163.com
更新日期/Last Update: 2016-05-27