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目的分析昆明市男男性行为人群(MSM)艾滋病病毒(HIV)感染情况及影响因素,为制定MSM干预策略提供依据。方法 2012年1-12月,动员昆明市辖区内MSM进行HIV抗体检测,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 2527名MSM参与此次调查,并进行HIV检测。HIV阳性检出率为8.9%(224人),梅毒阳性检出率为3.3%(83/2523)。统计分析发现,文化程度、最近3个月的男性性伴数、最近3个月及最近1次(3个月内)与男性发生肛交时安全套使用情况、既往HIV检测,均是HIV感染的影响因素。结论应针对不同特征的MSM制定切实可行的干预措施,采取不同的模式,注重实效,遏制艾滋病的传播。
Objective To analyze the prevalence and influencing factors of HIV infection among men who have sex with men (MSM) in Kunming and provide evidence for the development of MSM intervention strategies. Methods From January to December 2012, MSM in Kunming was mobilized to detect HIV antibody. Demographic, behavioral and serological data were collected and statistically analyzed with SPSS 19.0 software. Results 2527 MSM participated in the survey and conducted HIV testing. HIV positive rate was 8.9% (224), syphilis positive rate was 3.3% (83/2523). Statistical analysis found that the educational level, the number of male partners in the recent 3 months, condom use in anal sex with men in the recent 3 months and the last 3 months (within 3 months), and previous HIV tests were all the effects of HIV infection factor. Conclusions Practical MSM interventions should be formulated according to different characteristics of MSM. Different modes should be adopted and practical results should be taken to curb the spread of AIDS.