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南京市男男性行为人群梅毒感染情况及影响因素调查 被引量:3

Syphilis prevalence and its associated factors among men who have sex with men in Nanjing
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摘要 目的:了解南京市男男性行为人群(men who have sex with men,MSM)梅毒感染情况及影响因素,为行为干预工作提供科学数据。方法:在南京市MSM社区使用滚雪球法招募MSM进行问卷调查,了解其社会人口学、高危行为特征;采集静脉血进行HIV和梅毒抗体检测。结果:共调查661例MSM,所调查的MSM平均年龄为(27.44±7.94)岁,未婚者占84.0%,高中及以上学历占90.5%。近6个月性行为调查性伴数大于10人的占5.0%,最近6个月肛交每次使用安全套的比例为36.0%,3.9%曾有过商业性男性性服务,4.5%曾为男性提供过商业性服务,21.0%曾与女性发生性关系。所调查的MSM的梅毒感染率为11.5%。多因素Logistic回归分析结果显示,年龄>25岁(OR=4.20,95%CI:2.26~7.80)、非本地户籍(OR=1.67,95%CI:1.00~2.78)、寻找性伴场所为浴池(OR=2.29,95%CI:1.26~4.15)以及近1年做过性病检查或治疗(OR=2.15,95%CI:1.25~3.69)是梅毒感染的影响因素。结论:南京市MSM无保护性行为发生率高,梅毒感染率已达一定水平,应及时采取有效的干预措施。 Objective:To investigate the prevalence and risk factors for syphilis among men who have sex with men (MSM) in Nanjing. Methods:A face-face questionnaire interview was conducted among MSM by snowball sampling method in Nanjing from March to July,2009. Socio-demographic,behavioral and other characteristics were included in the questionnaire. Bivariate and multivariate logistic regression model was constructed to evaluate independent factor associated with syphilis. Results:A total of 661 MSM were recruited. The mean age of these participants was 27.44 years. Among them 84.0% were unmarried,and 90.5% had an education beyond senior middle school; in the past 6 months,5.0% had sexual contact with more than 10 male sex partners,the rate of protected anal sex during the past 6 months was 36.0%. The percentage of people who had ever paid for male sex service was 3.9%,who had provided commercial sex service to male was 4.5%,and who had sexual contact with female was 21.0%. Syphilis was diagnosed in 11.5% of these participants,the risk factors independently associated with syphilis clude being older than 25 years (adjusted OR=4.20,95%CI:2.26-7.80),non-local residency (adjusted OR=l.67,95%CI:l.00-2.78),looking for male sex partners from bathhouse (adjusted OR=2.29,95%CI: 1.26.-4.15),sexually transmitted diseases examination and treatment in 1 year before interview (adjusted OR=2.15,95%CI: 1.25-3.69). Conclusion:The rate of unprotected anal sex was high, so was the prevalence of syphilis among MSM. Further efforts are urgently needed to scale-up the prevention of syphilis among MSM.
作者 刘黎 张敏
出处 《南京医科大学学报(自然科学版)》 CAS CSCD 北大核心 2012年第7期1019-1023,共5页 Journal of Nanjing Medical University(Natural Sciences)
关键词 男男性行为者 梅毒 性传播疾病 men who have sex with men syphilis sexually trasmited disease
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  • 1曹宁校,蒋娟,杨凭,张国成,邵长庚,王全佩,王明,段勇,肖亚,童戈,张建新,王晓冬,杨斗,王珺,魏聪,李钊,罗伟,喻绍鸣.加强与男男性接触者交流促进就医环境改善[J].医学与社会,2005,18(3):4-7. 被引量:2
  • 2曹宁校.平等、信任——共同合作开展工作[J].中国性科学,2006,15(8):41-42. 被引量:1
  • 3曹宁校.男男性行为者的性病感染与控制[J].公共卫生与预防医学,2006,17(5):46-48. 被引量:5
  • 4杨大锁,潘淮宁,殷晓红,沈正善,程敏.重视医疗服务的可及性和连续性[J].中国卫生质量管理,2006,13(6):47-49. 被引量:9
  • 5中国疾病预防控制中心性病控制中心.2006年全国梅毒与淋病疫情分析报告.性病情况简报,2007,21(1):211-211.
  • 6Zou H,Fairley CK,Guy R,et al.The efficacy of clinic-based in-terventions aimed at increasing screening for bacterial sexuallytransmitted infections among men who have sex with men:A sys-tematic review[J].Sex Transm Dis,2012,39(5):382-387.
  • 7Tucker JD, Cohen MS. China's syphilis epidemic: epidemiology, proximate determinants of spread, and control responses [J]. Curt Opin Infect Dis. 2011, 24(1):50--55.
  • 8Fan S, Lu H, Ma X, et a l. Behavioral and Serologic Survey of Men Who Have Sex with Men in Beijing, China: Implication for HIV Intervention[J]. AIDS Patient Care STDS, 2012, 26 (3):148--155.
  • 9中国人民共和国卫生部.中国预防与控制梅毒规划(2010-2020年)[R].2010.
  • 10BUCHACZ K, GREENBERG A, ONORATO L, et al. Syphilis epidemics and human immunodeficiency virus ( HIV ) incidence among men who have sex with men in the United States: implications for HIV prevention [ J ]. Sex Transm Infect, 2005, 32 (10 Suppl) : S73 -S79.

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