2008-2010年佛山市男男性接触人群艾滋病流行状况与防控对策

Study on epidemiological situation and control strategies of HIV/AIDS among men who have sex with men in Foshan from 2008 to 2010

目的对佛山市男男性接触人群艾滋病流行情况进行分析,并探讨预防控制的策略。方法 2008-2010年通过哨点监测,对佛山市男男性接触人群进行艾滋病相关危险因素、相关知晓率及血清学调查,并对结果进行分析。结论 2008、2009及2010年佛山市男男性接触人群艾滋病病毒感染率分别为3.37%、5.88%、9.13%;最近6个月肛交每次使用安全套的比例仅为33.71%、42.88%及49.55%;艾滋病知晓率逐年有所上升,2010年较2008年上升了14.92%,达85.71%。结论佛山市男男性接触人群的艾滋病感染正处于快速增长期,已成为当前与今后艾滋病预防控制的重点。下一步将通过扩大男男性接触人群自愿咨询检测规模、加强高危行为干预、安全套推广、同伴教育、感染者关怀等综合措施遏制艾滋病在该人群的流行。

Objective To analyze the epidemiological situation among men who have sex with men（MSM） in Foshan,and discuss prevention and control strategies of HIV/AIDS.Method Sentinel surveillance of HIV/AIDS among MSM in Foshan was carried out from 2008 to 2010.Investigated the HIV/AIDS related knowledge,high risk behaviors and HIV/AIDS prevalence among MSM,and analyzed the results.Results The HIV infection rates among MSM in Foshan were 3.37%,5.88%,9.13% in 2008,2009 and 2010,respectively.Meanwhile,the ratios of condom use of anal sex during the last six months were only 33.71%,42.88% and 49.55%.But the HIV/AIDS awareness rate in 2010 was higher than in 2008,which reached to 85.71% in 2010.Conclusions HIV infection among MSM in Foshan came to rapid growth period,which has become the key point to HIV/AIDS prevention and control in the present and future.In order to keep down prevalence of HIV/AIDS among MSM,we need to expand VCT service,strengthen high-risk behavior intervention,condom promotion,peer education and patients care,and so on.