辽宁省艾滋病病毒阳性男男性行为人群梅毒感染状况分析

Syphilis prevalence in HIV positive men who have sex with men in Liaoning

目的了解辽宁省艾滋病病毒(HIV)阳性者中男男性行为人群(MSM)的梅毒感染情况,并分析其相关影响因素。方法在辽宁省2011-2014年艾滋病自愿咨询检测(VCT)门诊接收的MSM中,选取HIV抗体确证阳性,且梅毒甲苯胺红试验和梅毒螺旋体明胶颗粒凝集试验双阳性者,通过检索"艾滋病综合防治数据信息管理系统"中该病例的调查数据进行单因素和多因素logistic回归分析。结果 2011-2014年辽宁省通过VCT确诊为HIV阳性并报告的MSM共1653例,其中梅毒阳性者264例,感染率为16.0%。单因素分析显示,年龄、婚姻状况、性病史和求询者来源与MSM的HIV合并梅毒感染有关。多因素分析表明离异/丧偶(OR=1.745)、性病史(OR=11.171)、被动求询(OR=1.618)是HIV阳性MSM梅毒感染的相关影响因素。结论辽宁省HIV阳性MSM梅毒感染率较高,应有针对性地开展HIV/梅毒,MSM的预防控制工作。

Objective To understand the prevalence of syphilis among HIV positive men who have sex with men（ MSM） in Liaoning and related factors. Methods Among HIV positive MSMvisiting clinics of voluntary counsel and test for HIV（ VCT） from 2011 to 2014 in Liaoning,those who were toluidine red untreated serum test（ TRUST） and treponema pallidum particle assay（ TPPA） positive were selected. Univariate logistic regression and multivariate logistic regression analyses were conducted by using the data of the cases collected from ＂Comprehensive database for AIDS prevention and Control＂. Results A total of 1653 HIV positive MSMwere reported from 2011 to 2014 in Liaoning,and 264 were both TRUST and TPPA positive,the prevalence of syphilis was 16. 0%. Univariate analysis showed that age,marital status,history of STD and consultants source were factors affecting syphilis prevalence among HIV positive MSM. Multivariate analysis showed that divorced / widowed（ OR = 1. 745）,history of STD（ OR = 11. 171）,passive consultation（ OR = 1. 618） were the risk factors for syphilis prevalence for HIV positive MSM. Conclusion The prevalence of syphilis in HIV positive MSMwas relatively high,therefore,targeted prevention and control of syphilis / HIV co-infection should be conducted in MSM.