丽水市2008-2015年MSM艾滋病疫情分析

Analysis of epidemic of AIDS among men who have sex with men in Lishui city,2008-2015

目的分析丽水市2008-2015年男男性行为人群（MSM）艾滋病的疫情特征,为制定防治策略提供科学依据。方法对丽水市报告的MSMHIV/AIDS病例的时间、地区和人群分布进行描述性分析;比较全市艾滋病自愿咨询检测系统中历年MSM的HIV抗体阳性检出率。结果丽水市报告MSMHIV/AIDS病例数逐年快速上升,县区分布差异大,MSM病例以青壮年为主（15~29岁占51.59%）;文化程度较高（高中及以上文化程度占58.60%）;未婚为主（65.61%）;商业服务、家政／餐饮／服务员、干部／教师／医生／离退人员、学生占较高比例,分别占32.48%、17.2%、10.83%、6.37%;检测咨询、专题调查检出比例较高,分别占32.48%、11.46%。MSM的HIV抗体阳性检出率为4.19%,既往HIV抗体检测率为63.04%。结论丽水市MSM人群艾滋病疫情上升迅速,急需开展较为系统的MSM人群的监测和干预工作,采取有针对性的预防干预措施控制疫情的进一步扩散。

Objective To analyze the epidemic of AIDS among men who have sex with sex men（MSM） in Lishui city from2008 to 2015 and provide scientific evidence for the development of prevention and control strategy and interventions for MSM. Methods HIV antibody positive, time, area and population distribution of HIV infected MSM were analyzed in the paper. Based on the AIDS voluntary counseling testing（VCT）, the MSM HIV antibody positive detection rates and past HIV antibody detection rates in different years were compared statistically. Results The number of HIV/AIDS cases among MSM population was obviously increased with obvious different distributions among different counties. The MSM infected HIV were mainly composed of young men aged 15 to 29 years（51.59%）with a higher educational level（senior high school or above accounting for 58.60%）. The unmarried accounted for 65.61%.The constituent ratios for businessmen,housekeep-ing/restaurant/waiters,cadres/teachers/doctors/retirees and students were 32.48%, 17.2%, 10.83%, 6.37%, respectively. Pro-portion of positive cases from VCT and special investigations were 32.48% and 11.46%. HIV positive detection rate was4.19%. The history of HIV antibody detection was 63.04%. Conclusion The epidemic of HIV/AIDS among MSM is becoming serious in Lishui. Therefore, it is need to carry out a systematic monitoring and intervention among MSM popula-tion work, take more targeted interventions to control and prevent the disease spreading.