论文部分内容阅读
目的了解邯郸市男男性行为者(men who have sex with men,MSM)艾滋病病毒(HIV)感染状况及其影响因素,为MSM人群行为干预工作提供依据。方法于2012年2～5月采用同伴推动(RDS)法,对MSM进行问卷调查,主要内容包括社会人口学特征、艾滋病知识知晓水平、性伴数量、性行为特征和接受干预服务情况,并抽取其静脉血检测HIV及梅毒。对影响HIV感染的相关因素进行χ2检验和logistic回归分析。结果调查了446名MSM,艾滋病知识知晓率达到91.9%。最近6个月,83.86%的调查对象有同性肛交性行为,与男性发生肛交性行为时每次都使用安全套的比例为57.62%。7.17%有同性商业性行为。30.72%有异性性行为,每次都使用安全套的比例为33.86%。HIV感染率为4.93%,梅毒感染率为10.76%,7人同时检出HIV和梅毒。多因素Logistic回归分析显示,文化程度在初中及以下、最近6个月与男性发生肛交性行为时未坚持使用安全套、多性伴、梅毒感染、未接受过艾滋病干预服务者是感染HIV的危险因素。结论邯郸市MSM人群危险性行为普遍存在,安全套使用率低,HIV感染率较高,应采取积极有效的宣传教育方式和行为干预活动控制HIV的传播。
Objective To understand the status of HIV infection and its influencing factors in men who have sex with men (MSM) in Handan city, and to provide a basis for behavioral intervention in MSM population. Methods From February to May 2012, a peer-driven (RDS) method was used to conduct a questionnaire survey on MSM. The main contents include social demographic characteristics, knowledge of HIV / AIDS, number of sexual partners, sexual behaviors and intervention services. Its venous blood tests for HIV and syphilis. The factors influencing HIV infection were analyzed byχ2 test and logistic regression analysis. Results A total of 446 MSMs were investigated. The awareness rate of AIDS knowledge reached 91.9%. In the recent 6 months, 83.86% of the respondents had homosexual anal sex, 57.62% of them used condoms each time they had anal sex with men. 7.17% have same-sex commercial sex. 30.72% had heterosexual behavior, with 33.86% using condoms each time. HIV infection rate was 4.93%, syphilis infection rate was 10.76%, 7 were detected at the same time HIV and syphilis. Multivariate Logistic regression analysis showed that those who did not adhere to condom, polycythemia, syphilis infection and those who did not receive AIDS intervention were the risk factors of HIV infection when their educational level was lower secondary and lower than the past 6 months. . Conclusion The risk behaviors of MSM in Handan City are common, the rate of condom use is low, and the rate of HIV infection is high. Active and effective propaganda and education methods and behavioral interventions should be taken to control the spread of HIV.