摘要
目的了解浙江省男男性行为人群(MSM)的行为特征、艾滋病病毒(HIV)感染状况及影响因素。方法利用2010-2013年浙江省MSM艾滋病哨点监测数据,采用二元Logistic回归分析进行HIV感染的单因素和多因素分析。结果 2010-2013年,浙江省MSM的HIV抗体阳性率一直维持在8%左右,最近六个月同性肛交性行为坚持使用安全套的比例维持在45%。样本来源、年龄、户籍、最近六月同性肛交性行为安全套使用情况、最近六个月同性商业性行为、梅毒感染、最近一年接受宣传和咨询,是MSM HIV感染的影响因素。梅毒感染是MSM感染HIV的最重要的危险因素,最近六个月同性肛交性行为坚持使用安全套是最重要的保护因素。结论 MSM艾滋病知识知晓率和接受预防服务的比例有所增长,但危险行为及安全套使用情况未见明显改善。建议加强MSM的行为干预效果研究,探索适合该人群特点的有效干预手段。
Objective To describe the behavioral characteristics, human immunodeficiency virus(HIV)/acquired immunodeficiency syndrome (AIDS) prevalence and associated factors among men who have sex with men (MSM) in Zhejiang Province. Methods MSM HIV/AIDS sentinels surveillance data from 2010 to 2013 were collected. Univariate and multivariate logistic regression analysis were conducted to decide the factors associated with HIV infection. Results The HIV prevalence of MSM in Zhejiang province was maintained around 8% during 2010-2013. The rate of consistently condom use during anal sex intercourse with male partners in recent six month stabilized at around 45%. Survey venues, age, household, condom use frequency during anal sex intercourse with male partners in recent six months, commercial homosexual behavior in recent six month, syphilis infection and receiving HIV related counseling and intervention in recent year were factors related to HIV infection. Among those factors, syphilis infection was the most important risk factor, and consistent condom use during sex intercourse with male partner in the recent six month was the most important protective factor. Conclusion The rate of HIV awareness and receiving HIV intervention services among MSM increased while their risk behaviors and condom use were not changed significantly. Therefore, efforts should be made to focus on HIV intervention effects among MSM and to find more effective intervention methods in the future.
出处
《中国艾滋病性病》
CAS
2014年第12期922-925,共4页
Chinese Journal of Aids & STD