目的对内蒙古自治区2018—2022年男男性性行为者(men who have sex with men,MSM)哨点监测中的青年人群数据进行分析,了解该高危人群的人类免疫缺陷病毒(Human immunodeficiency virus,HIV)感染状况和“知行”特征,为调整青年男男性性行...目的对内蒙古自治区2018—2022年男男性性行为者(men who have sex with men,MSM)哨点监测中的青年人群数据进行分析,了解该高危人群的人类免疫缺陷病毒(Human immunodeficiency virus,HIV)感染状况和“知行”特征,为调整青年男男性性行为(youth men who have sex with men,YMSM)人群艾滋病防治策略提供参考依据。方法对内蒙古自治区2018—2022年YMSM人群进行面对面的问卷调查。率的变化趋势使用χ^(2)趋势检验,使用logistic回归分析对影响HIV感染的影响因素进行检验。结果2018—2022年共调查YMSM人群553人,民族构成比差异无统计学意义(χ_(趋势)^(2)=0.34,P=0.56);婚姻状态构成比差异无统计学意义(χ_(趋势)^(2)=0.07,P=0.79);以大专及以上文化程度为主,文化程度构成比差异有统计学意义(χ_(趋势)^(2)=4.27,P=0.04)。共检出HIV抗体阳性29例,阳性率为5.24%,阳性率差异无统计学意义(χ_(趋势)^(2)=3.05,P=0.08)。YMSM人群HIV知识知晓率为97.11%,知晓率差异无统计学意义(χ_(趋势)^(2)=3.06,P=0.08)。logistic回归分析结果显示,艾滋病知晓情况与HIV检测结果呈负相关(OR=0.06,P<0.01)。结论目前内蒙古自治区YMSM人群HIV阳性率呈逐年下降趋势,为持续减少YMSM人群新发感染,应在继续提高知晓率的同时,持续推动YMSM人群艾滋病防治知行合一。展开更多
This study aims to investigate cases of human plague in the Inner Mongolia Autonomous Region (IMAR), China, and to inform the development of plague prevention and control strategies. On 12th of November 2019, two herd...This study aims to investigate cases of human plague in the Inner Mongolia Autonomous Region (IMAR), China, and to inform the development of plague prevention and control strategies. On 12th of November 2019, two herdsmen from Sunitezuo Banner, Xilingol League were diagnosed with pneumonic plague in Beijing, China. On November 16th, one resident of Xianghuang Banner, Xilingol League was diagnosed with bubonic plague in Huade County Hospital, Ulanqab, China. On 27th of November, one resident of Siziwang Banner was diagnosed with bubonic plague. In total, 78 close contacts were monitored over a period, but none of them developed symptoms. Plague outbreaks in animals had been reported in Sunitezuo Banner, Xianghuang Banner, and Siziwang Banner in 2019. Two of the four cases were related (husband and wife), but not the other two. All the cases may be associated with contact with rodents (hare) or infected fleas. The cases highlight the importance of early identification of plague cases in humans in order to stop further infection. This demonstrates the value of monitoring and ongoing vigilance on endemic diseases, the importance of updating medical training and raising public awareness about infectious diseases that even have not been observed over decades.展开更多
文摘目的对内蒙古自治区2018—2022年男男性性行为者(men who have sex with men,MSM)哨点监测中的青年人群数据进行分析,了解该高危人群的人类免疫缺陷病毒(Human immunodeficiency virus,HIV)感染状况和“知行”特征,为调整青年男男性性行为(youth men who have sex with men,YMSM)人群艾滋病防治策略提供参考依据。方法对内蒙古自治区2018—2022年YMSM人群进行面对面的问卷调查。率的变化趋势使用χ^(2)趋势检验,使用logistic回归分析对影响HIV感染的影响因素进行检验。结果2018—2022年共调查YMSM人群553人,民族构成比差异无统计学意义(χ_(趋势)^(2)=0.34,P=0.56);婚姻状态构成比差异无统计学意义(χ_(趋势)^(2)=0.07,P=0.79);以大专及以上文化程度为主,文化程度构成比差异有统计学意义(χ_(趋势)^(2)=4.27,P=0.04)。共检出HIV抗体阳性29例,阳性率为5.24%,阳性率差异无统计学意义(χ_(趋势)^(2)=3.05,P=0.08)。YMSM人群HIV知识知晓率为97.11%,知晓率差异无统计学意义(χ_(趋势)^(2)=3.06,P=0.08)。logistic回归分析结果显示,艾滋病知晓情况与HIV检测结果呈负相关(OR=0.06,P<0.01)。结论目前内蒙古自治区YMSM人群HIV阳性率呈逐年下降趋势,为持续减少YMSM人群新发感染,应在继续提高知晓率的同时,持续推动YMSM人群艾滋病防治知行合一。
基金This study was supported by funds for plague prevention(Inner Mongolia Department of Finance,Human Resources and Social Security of Inner Mongolia[2019]No.1455).
文摘This study aims to investigate cases of human plague in the Inner Mongolia Autonomous Region (IMAR), China, and to inform the development of plague prevention and control strategies. On 12th of November 2019, two herdsmen from Sunitezuo Banner, Xilingol League were diagnosed with pneumonic plague in Beijing, China. On November 16th, one resident of Xianghuang Banner, Xilingol League was diagnosed with bubonic plague in Huade County Hospital, Ulanqab, China. On 27th of November, one resident of Siziwang Banner was diagnosed with bubonic plague. In total, 78 close contacts were monitored over a period, but none of them developed symptoms. Plague outbreaks in animals had been reported in Sunitezuo Banner, Xianghuang Banner, and Siziwang Banner in 2019. Two of the four cases were related (husband and wife), but not the other two. All the cases may be associated with contact with rodents (hare) or infected fleas. The cases highlight the importance of early identification of plague cases in humans in order to stop further infection. This demonstrates the value of monitoring and ongoing vigilance on endemic diseases, the importance of updating medical training and raising public awareness about infectious diseases that even have not been observed over decades.
