新罗区2020-2022年不同性取向男男性行为人群艾滋病监测作用

Effect of AIDS Surveillance Among MSM Population with Different Sexual Orientation in Xinluo District from 2020 to 2022

目的 观察新罗区2020-2022年不同性取向男男性行为人群(MSM)艾滋病监测作用。方法 回顾性选取2020-2022年龙岩市新罗区疾病预防控制中心艾滋病防治科122例同性MSM人群作为同性性取向组、55例双性性取向MSM人群作为双性性取向组,比较两组人口学特征、行为学特征、感染情况。结果 两组间婚姻状况差异有统计学意义(P <0.05),同性性取向组未婚比例更高,双性性取向组同居/已婚比例更高。两组间年龄、户籍、本区居住时间、学历差异均无统计学意义(P> 0.05)。两组间艾滋病知晓情况差异无统计学意义(P> 0.05)。两组间近半年异性性行为差异有统计学意义,双性性取向组近半年异性性行为更高(P <0.05)。两组间近半年同性肛交行为、近半年商业性同性行为、最近一次肛交行为使用安全套、最近一次异性性行为使用安全套、近1周肛交次数、近半年肛交用套频率、近半年异性性行为用套频率差异均无统计学意义(P> 0.05)。两组间既往检测与干预情况差异无统计学意义(P> 0.05)。新罗区2020-2022年不同性取向MSM人群丙肝、梅毒、HIV感染率分别为1.13%、15.25%、14.12%。两组间丙肝、梅毒、HIV感染率差异均无统计学意义(P> 0.05)。结论 新罗区2020-2022年同性与双性性取向MSM人群艾滋病监测能够将有效依据提供给临床干预。

Objective To observe the role of AIDS surveillance among men who have sex with men(MSM)of different sexual orientations in 2020-2022 in Xinluo District.Methods Retrospectively selected 122 cases of same-sex MSM population as same-sex sexual orientation group and 55 cases of bisexual sexual orientation MSM population as bisexual sexual orientation group from 2020-2022 in the Department of AIDS Prevention and Control,Xinluo Center for Disease Control and Prevention,Longyan,and compared the demographic characteristics,behavioral characteristics,and infections of the two groups.Results The difference in marital status between the two groups was statistically significant(P<0.05),with a higher proportion of unmarried in the same-sex sexual orientation group and a higher proportion of cohabiting/married in the bisexual sexual orientation group.The differences in age,household registration,duration of residence in the district and education between the two groups were not statistically significant(P>0.05).The difference in AIDS knowledge between the two groups was not statistically significant(P>0.05).The difference in heterosexual behavior in the last six months between the two groups was statistically significant,and heterosexual behavior in the last six months was higher in the bisexual orientation group(P<0.05).The differences between the two groups in the last six months of homosexual anal sex behavior,the last six months of commercial homosexual sex,the use of condom in the last anal sex behavior,the use of condom in the last heterosexual sex behavior,the number of times of anal sex in the last 1 week,the frequency of condom use in the last six months of anal sex,and the frequency of condom use in the last six months of heterosexual sex behavior were not statistically significant(P>0.05).The difference in previous testing and intervention between the two groups was not statistically significant(P>0.05).The rates of hepatitis C,syphilis,and HIV infection among MSM of different sexual orientations in 2020-2022 in Xinluo District were 1.13%,15.25%,and 14.12%,respectively.The differences in the rates of hepatitis C,syphilis,and HIV infection between the two groups were not statistically significant(P>0.05).Conclusions The AIDS surveillance of same-sex and bisexual MSM population in 2020-2022 in Xinluo District can provide effective basis to clinical intervention.