镇江市2012年男男性行为者HIV、HBV、HCV、梅毒感染状况分析

Analysis of HIV,HBV,HCV and syphilis infection among men who have sex with men in Zhenjiang in 2012

目的分析镇江市艾滋病流行现状和发展趋势，为制定有效防治策略提供依据。方法采取哨点监测、重点人群筛查和专题流行病学调查等方法，收集男男性行为者（MSM）性传播疾病报告资料。结果2012年全市共筛查MSM426例，检出HIV抗体阳性者24人，检出率为5．63％（95％CI：3．44％～7．82％）。在此类群体中其他通过性传播疾病，HBV检出阳性率为8．92％（95％CI：6．21％-11．63％），梅毒特异性抗体检出阳性率为24．18％（95％cI：20．11％-28．25％），HCV阳性率仅为0．23％（95％CI：0．22％～0．68％）。结论镇江市艾滋病流行现状和发展趋势表明MSM性传播疾病检出率较高，应进一步加大对此类群体的监测、健康教育、行为干预和“四免一关怀”的力度。

Objective To analyze the current status and trend of HIV/AIDS prevalence, and provide scientific evidence for preventing and controlling HIV/AIDS in Zhenjiang. Methods Data of sexually transmitted disease infection among men who have sex with men （MSM） were collected by using sentinel surveillance, mass screening of high - risk populations and specific epi- demiologieal survey. Results Four hundred and twenty - six MSM cases were detected in the whole city in 2012, 24 eases were HIV antibody positive（5.63%, 95% CI： 3.44% -7.82% ）. The infection rates of HBV, HCV and syphilis were 8.92% （95% CI ： 6.21% - 11, 63% ）, 0.23% （95% CI： 0.22% - 0.68% ） and 24.18% （95% CI： 20.11% - 28.25% ） respectively. Conclusion High sexually transmitted disease positive rate was found in MSM population. Thus, specific surveillance, health education, behavioral intervention as well as the policy of care and financial support for HIV/AIDS infections should be further strengthened on this population.