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目的了解贵阳市男男性行为者(MM)HⅣ感染/梅毒感染情况及梅毒感染相关危险因素。方法采用关键知情人介绍、同志网站发布公告、同志酒吧现场招募3种方法在贵阳市招募研究对象,共有341例符合条件的MSM进行了面对面问卷调查,同时接受了梅毒和人类免疫缺陷病毒(HIV)抗体血清学检测。结果 HIV感染率为22.00%,梅毒现症感染率为9.70%,单因素分析显示,年龄、民族、近6个月性行为坚持使用安全套、最近1年性病症状、现症梅毒感染与HIV感染相关,年龄、文化程度、收入、性取向、HⅣ感染、同性性伴数与梅毒感染相关(P<0.05)。多因素分析显示,年龄(OR=2.490)、HIV感染(0R=4.124)、性取向(OR=0.392)、性伴数(OR=2.044)、近6个月生行为坚持使用安全套(OR=2.410)为梅毒感染独立影响因素。结论贵阳市MSM人群HIV感染/梅毒感染率较高,防治形势严峻,应重视MSM人群的HIV/梅毒防治工作。
Objective To understand the prevalence of HIV infection and syphilis in men who have sex with men (MM) in Guiyang and the risk factors associated with syphilis infection. Methods A total of 341 MSM eligible patients were interviewed by face-to-face questionnaires and three subjects receiving syphilis and human immunodeficiency virus (HIV) were enrolled in this study. The methods were introduced by key informants, gay website announcements and gay bars. Antibody serology. Results The prevalence of HIV infection was 22.00%. The prevalence of syphilis infection was 9.70%. Univariate analysis showed that age, ethnicity and condom use during the past 6 months persisted. Symptoms of syphilis in recent 1 year were related to HIV infection , Age, education level, income, sexual orientation, HIV infection and same sex partners were associated with syphilis infection (P <0.05). Multivariate analysis showed that condom use (OR = 2.410), condom prevalence (OR = 2.410), HIV infection (OR = 4.124), sexual orientation (OR = 0.392) ) Is an independent influencing factor for syphilis infection. Conclusion HIV infection / syphilis infection rate is high in MSM population of Guiyang City, and the prevention and treatment situation is serious. HIV / syphilis prevention and treatment in MSM population should be emphasized.