论文部分内容阅读
目的了解天津市青年学生男男性行为人群的艾滋病病毒(HIV)感染状况及其影响因素。方法采用横断面方法进行调查研究。通过非政府组织和网络招募调查对象,开展一对一问卷调查,收集人口学、行为学和血清学等信息,并运用SPSS 19.0软件对调查结果进行统计分析。结果成功招募了730名调查对象,平均年龄(20.77±1.24)岁。有75.6%的被调查者(552人)寻找性伴侣最常用的方式是互联网,HIV阳性检出率3.2%(23人),梅毒Elisa阳性9.9%(72人)。最近6个月,有95.6%的MSM(698人)与男性发生过肛交性行为,最近一次与男性发生肛交性行为时使用安全套的比例为63.4%(463人);最近6个月与男性发生肛交性行为时,每次都用安全套的比例为36.6%(267人)。最近6个月发生男男性行为的性伴数量最小值1个,最大值41个,中位数是4(P25=2,P75=6)个。分析发现,最近6个月与男性发生肛交性行为时使用安全套的频率、梅毒感染状况,是HIV感染的影响因素。结论青年学生男男性行为人群无保护性肛交及多性伴较为普遍,应该采取有针对性的干预措施,遏制艾滋病在该人群中传播。
Objective To understand the status of HIV infection and its influencing factors among MSM students in Tianjin. Methods A cross-sectional study was conducted. One-on-one questionnaires were recruited from non-governmental organizations and networks to collect demographic, behavioral and serological information, and SPSS 19.0 software was used for statistical analysis of the survey results. The results of the successful recruitment of 730 survey subjects, the average age (20.77 ± 1.24) years old. 75.6% of respondents (552) searched for the most common form of sexual partners on the Internet. HIV positive rate was 3.2% (23) and syphilis Elisa was 9.9% (72). In the recent 6 months, 95.6% of MSM (698 persons) had anal sex with men, 63.4% (463%) recently used condoms when they had anal sex with men and 6% In anal sex, the percentage of condoms used each time was 36.6% (267). The minimum number of sexual partners with MSM in the last 6 months was 1, with a maximum of 41 and a median of 4 (P25 = 2, P75 = 6). Analysis found that the frequency of condom use and the prevalence of syphilis in anal intercourse with men in the past 6 months were the influencing factors of HIV infection. Conclusions The prevalence of unprotected anal intercourse and multi-sex partners among MSM students in youth is relatively common. Targeted interventions should be taken to stop the spread of AIDS among this population.