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目的了解南宁市男男同性性行为(MSM)艾滋病的流行特点,为制定该人群艾滋病干预措施提供科学依据。方法收集南宁市2006年1月-2014年12月的MSM疫情资料,对其进行统计分析。结果南宁市自2006年发现首例MSM艾滋病患者以来,截至2014年12月南宁市MSM感染者/病人累计报告477例,MSM病例报告占全部病例的比例从2006-2009年的平均1.03%,上升到2014年的8.85%,地区分布主要集中在南宁市西乡塘区(26.6%)和青秀区(25.6%)。该人群平均年龄(30.51±10.065)岁,最小16岁,最大79岁。南宁市户籍占多数(63.0%),文化程度以大专及以上为主(46.6%);学生比例不容忽视(14.4%);样本来源以咨询检测为主(73.2%),并逐年上升;晚发现比例2011年较高(31.3%),2014年有所降低(17.3%)。结论南宁市MSM艾滋病流行形势严峻,尤其青年学生感染率呈逐年上升势态,应及时采取有针对性的防控措施,加大该人群的综合干预力度,降低MSM人群的HIV感染率。
Objective To understand the epidemiological characteristics of HIV / AIDS in MSM in Nanning and to provide a scientific basis for formulating HIV / AIDS intervention in this population. Methods The MSM epidemic data of Nanning from January 2006 to December 2014 were collected and statistically analyzed. Results Since Nanning City first discovered MSM AIDS patients in 2006, a total of 477 MSM cases / patients in Nanning City were reported as of December 2014. The proportion of MSM cases reported in all cases increased from 1.03% in 2006-2009 By 8.85% in 2014, the geographical distribution is mainly concentrated in Xixiangtang (26.6%) and Qingxiu (25.6%) of Nanning. The average age of the population (30.51 ± 10.065) years old, minimum 16 years old, maximum 79 years old. Nanning holds the majority of household registrations (63.0%) with a majority of college education and above (46.6%); the proportion of students can not be ignored (14.4%); the sample source is mainly counseling and testing (73.2%), The ratio was higher in 2011 (31.3%) and decreased in 2014 (17.3%). Conclusions The prevalence of MSM in Nanning is very serious. Especially among young students, the prevalence of MSM has been on an upward trend year by year. It is necessary to take prompt and targeted prevention and control measures to increase the comprehensive intervention of this population and reduce the HIV infection rate in MSM population.