温州市新报告HIV阳性男男性行为人群婚姻状况及影响因素分析

Marital status and influencing factors among newly reported HIV positive MSM in Wenzhou City

目的了解温州市新报告HIV阳性男男性行为人群婚姻状况及影响因素,为制定相应的干预策略提供依据。方法从艾滋病综合防治信息系统中下载数据库,筛选2015—2019年温州市新报告的感染途径为男男同性传播、年龄≥22周岁的HIV/AIDS病例资料,进行数据整理,对婚姻状况进行分析。结果2015—2019年温州市新报告HIV/AIDS病例中,感染途径为男男同性传播、年龄≥22周岁的有1083例,其中"有过婚姻组"490例,占45.24%,"未婚组"593例,占54.76%,婚姻状况构成比历年无变化(χ^(2)=2.235,P=0.135)。多因素Logistic回归分析显示,30~39岁(OR=8.860,95%CI:5.790~13.557),40~49岁(OR=32.478,95%CI:19.580~53.873),≥50岁(OR=286.549,95%CI:96.594~850.052)有过婚姻的比例高于22~29岁年龄组;文化程度大专及以上(OR=0.223,95%CI:0.109~0.455)有过婚姻比例小于小学及以下;外地户籍(OR=1.910,95%CI:1.325~2.755)有过婚姻的比例较高;发现途径为监管场所(OR=0.070,95%CI:0.012~0.407)有过婚姻的比例最低;未接受抗病毒治疗(OR=0.344,95%CI:0.150~0.789)有过婚姻的比例较低。有过婚姻HIV抗体阳性MSM中配偶HIV抗体检测率为50.20%,HIV抗体阳性率为11.38%。结论温州市新报告HIV阳性MSM人群随年龄增大结婚比例不断提高,应加强宣传和干预,尽早发现潜在感染者,及时进行配偶告知和动员检测,减少HIV配偶间传播。

Objective To understand the marital status and influencing factors of newly reported HIV positive MSM in Wenzhou,and to provide evidence for intervention measures.Methods Data of newly reported HIV/AIDS cases with male homosexual transmission and older than 22 years old in Wenzhou from 2015 to 2019 were downloaded from the Integrated AIDS Prevention and Control Information System.Data were collated and marital status was analyzed.Results Among the newly reported HIV/AIDS cases in Wenzhou from 2015 to 2019,there were 1083 cases infected by male homosexual transmission and older than 22 years of age.There were 490 cases had been married(accounting for 45.24%),and 593 cases were unmarried(accounting for 54.76%).The composition of marital status had no change over the years(χ^(2)=2.235,P=0.135).Multivariate logistic regression analysis indicated that the proportion of those aged 30-39 years(OR=8.860,95%CI:5.790-13.557),40-49 years(OR=32.478,95%CI:19.580-53.873)and older than 50 years of age(OR=286.549,95%CI:96.594-850.052)who had been married were higher than those aged 22-29 years.MSM with college degree or above(OR=0.223,95%CI:0.109-0.455)were less likely to have been married than those with primary school education or below.Non-resident MSM(OR=1.910,95%CI:1.325-2.755)were more likely to have been married than local MSM.MSM from supervised locations(OR=0.070,95%CI:0.012-0.407)were least likely to have been married.Those who did not receive antiviral therapy(OR=0.344,95%CI:0.150-0.789)were less likely to have been married than those who received antiviral therapy.HIV antibody detection rate was 50.20%and HIV antibody positive rate was 11.38%among married HIV-positive MSM.Conclusion The proportion of newly reported HIV positive MSM getting married is increasing with age in Wenzhou.Publicity and intervention should be strengthened to identify potential HIV positive patients as soon as possible.The spouses of HIV positive MSM should be informed and tested in time to reduce the transmission of HIV between spouses.