长沙市男男性接触人群HIV-1、梅毒及HSV-2感染状况调查

Seroprevalence of HIV-1,syphilis and HSV-2 infections among MSM in Changsha City

目的了解长沙市男男性接触人群(MSM)HIV、梅毒、生殖器疱疹(HSV-2)感染状况。方法在长沙市MSM人群经常活动的浴池、KTV娱乐场所、酒吧、会所等场所中,依据知情同意原则,收集目标人群EDTA-K2抗凝全血10 ml,分别进行HIV、梅毒和HSV-2抗体检测,同时填写完成有关人口信息简单的问卷。结果 826名调查对象,以学生、青壮年、高学历人群、未婚为主。实验室检出HIV-1抗体阳性86人(10.41%),梅毒抗体阳性61人(7.38%),HSV-2抗体阳性113人(13.68%)。同时感染两种以上病原体的比例达到9.08%。结论长沙市MSM人群HIV、梅毒、HSV-2均有较高感染率,HIV-1、梅毒和生殖器疱疹相互促进感染的风险应该引起重视,性病与艾滋病防治必须紧密结合。

Objective To investigate the seroprevalence of HIV,syphilis and HSV-2 infections among men who have sex with men（MSM） in Changsha City.Methods Antibodies of HIV,syphilis and HSV-2 were detected in 826 tubes of 10 ml EDTA-K2-anticoagulated whole blood samples collected from MSM group in MSM individual gathering places like public bathrooms,KTV,bars and clubhouses in Changsha City based on the principle of informed consent.And then the MSM were asked to finish a questionnaire about basic demographic information.Results Most of the 826 MSM entered in this study were students and unmarried young people with a high educational background.Laboratory tests showed that the positive rates of HIV-1,syphilis and HSV-2 antibodies were 10.41%（86/826）,7.38%（61/826） and 13.68%（113/826） respectively.The co-infection rate reached 9.08%.Conclusions The higher seroprevalence of HIV,syphilis and HSV-2 infections and the high risk for co-infection among MSM group in Changsha City should be paid more attention,and STDs prevention program should be integrated as an important part of AIDS comprehensive programs.