2016—2018年禅城区男男性行为人群艾滋病哨点监测结果分析

HIV/AIDS Epidemic Status among the Men Who Have Sex with Men in Chancheng District from 2016 to 2018

目的了解佛山市禅城区近年男男性行为人群(MSM)特点,艾滋病病毒(HIV)感染情况及知识知晓、行为特征,为制定有效的干预策略措施提供依据。方法收集2016—2018年禅城区MSM人群哨点监测数据,采用描述性流行病学方法进行分析。结果 2016—2018年共调查MSM人群1 794人,总体感染率为13.89%;感染人群以青壮年为主,50岁以上人群感染率明显高于其他年龄组(P<0.05);文化程度低的感染率相对较高,差异具有统计学意义(P<0.05);艾滋病知识总知晓率为98.55%,阳性组与阴性组知识知晓率普遍较高;近6个月与同性发生过肛交行为每次使用安全套的比例为75.56%,近6个月与异性发生性行为每次使用安全套的比例为20.37%,近一年做过艾滋病检测并知道结果的比例为73.36%。结论通过近年干预工作,禅城区MSM人群艾滋病病毒总体感染率平稳,低于全国水平;禅城区MSM人群安全套使用率偏低,高危性行为未有整体性改变,存在知行分离,需要针对性地设计活动及分配资源干预及动员检测的模式。

OBJECTIVE To understand the characteristics of the Men Who Have Sex with Men(MSM),HIV infection,knowledge and be havioral characteristics in Chancheng District of Foshan City in recent years,and to provide evidence for formulating effective interven tion strategies. METHODS The sentinel surveillance data of MSM population in Chancheng District from 2016 to 2018 were collected and analyzed by descriptive epidemiological method. RESULTS From 2016 to 2018,a total of 1 794 MSM people were surveyed,the overall infection rate was 13.89%;most of the infected people were young and middle-aged,the infection rate of people over 50 years old was significantly higher other age groups(P<0.05);the infection rate with low education level was relatively higher,with statistical signifi cance(P<0.05);the total awareness rate of AIDS knowledge was 98.55%,and the knowledge awareness rate of positive group was higher than negative group. The rate of condom use in anal intercourse with homosexuals was 75.56% in the past 6 months,20.37% in heterosexual intercourse in the past 6 months, and 73.36% in AIDS testing and knowing the results in the past year. CONCLUSION Through the intervention work in recent years,the overall HIV infection rate of MSM population in Chancheng District was stable,lower than the national level;condom use rate of MSM population in Chancheng District was low,high-risk sexual behavior had not changed as a whole,there was a separation of knowledge and practice,which required targeted design of activities and allocation of resources for intervention and mobilization testing mode.