摘要
目的分析佛山市男男性行为者(MSM)艾滋病知识、行为、HIV感染状况及接受艾滋病相关服务情况,为该市开展MSM人群艾滋病防治工作提供参考依据。方法收集2009—2013年佛山市MSM艾滋病哨点监测数据,采用描述性流行病学方法进行分析。结果 2009—2013年共监测MSM 1 522人,艾滋病知识总知晓率为85.1%(1 295/1 522)。最近6个月与同性发生过肛交性行为的比例为81.1%(1 235/1 522),每次都使用安全套的比例为45.0%(556/1 235);HIV抗体总阳性率为10.4%(159/1 522),HIV抗体阳性率呈上升趋势(P<0.01),从2009年的2.9%上升到2013年的12.7%,上升了337.9%。单因素分析结果显示,HIV抗体阳性率与年龄、文化程度、安全套使用频率、吸毒史、性病史及是否接受过安全套宣传和发放/艾滋病咨询与检测服务有关(P<0.05或P<0.01)。结论佛山市MSM人群安全套使用率偏低,HIV抗体阳性呈上升趋势,今后应大力开展安全套推广使用促进工作,以降低该人群的HIV感染率。
Objective To analyze the HIV/AIDS related knowledge, behavior, infection status of HIV, and acceptance of HIV/AIDS related services of men who have sex with men （MSM） in Foshan, so as to provide reference for integrated control and prevention. Methods HIV/AIDS sentinel surveillance data of MSM were collected from 2009 to 2013 and analyzed using descriptive epidemiological methods. Results A total of 1 522 MSM were monitored. The awareness rate of HIV/AIDS related knowledge was 85. 1% （1 295/1 522）. In the past six months, 81.1% （1 235/1 522）of the MSM had anal sex and 45.0% （556/1 235 ） of them used condom each time. The total HIV antibody positive rate was 10.4% （159/1 522） and appeared a rising trend （P 〈 0. 01 ）. The HIV antibody positive rate increased from 2. 9% in 2009 to 12.7% in 2013, increased by 337.9%. Single factor analysis showed that HIV antibody positive rates were related with the age, degree of education, frequency of condom use, history of drug abuse, history of sexually transmitted diseases, acceptance of condom use promotion education, and HIV/ AIDS counseling and testing （P 〈 0.05 or P 〈 0. 01 ）. Conclusion The condom using rate among MSM in Foshan City is low and HIV prevalence showed a rising trend. The condom use should be vigorously promoted to reduce the HIV infection among MSM.
出处
《华南预防医学》
2015年第1期33-36,共4页
South China Journal of Preventive Medicine
