摘要
目的了解武汉市男男性行为(MSM)中艾滋病、梅毒、丙肝感染现状,为在该人群中提供预防干预服务提供依据。方法在武汉市首次采用同伴推动抽样法调查武汉市MSM人群,对每位前来调查者进行一对一问卷调查和采集静脉血。结果共调查456人,有效问卷436份,问卷有效率为95.61%。MSM主要年龄段在20～40岁之间,约80%的人未婚,网络型MSM占45.87%。调查共检出23例艾滋病病毒感染者,感染率为5.27%,梅毒感染人数为95例,感染率为21.79%,丙肝阳性人数为10例,阳性率为2.29%。文化程度越低,感染率越高,浴池型MSM艾滋病、梅毒感染率显著高于其他活动类型的MSM。艾滋病、梅毒、丙肝的感染者接受的艾滋病咨询检测、艾滋病宣传材料发放的比例低于非感染者,差异具有统计学意义。结论 MSM人群艾滋病、梅毒感染率较高,且感染人群有一定的聚集性,要针对MSM人群加强预防干预措施,让MSM人群自觉降低危险性行为,提高安全套使用率。
Objectives Understand prevalent situation of HIV,syphilis,Hepatitis C infection among MSM. To provide reference for prevention service towards them. Methods Use Respondent Driven Sampling (RDS) to survey MSM with questionnaire and collect venous blood.Results 456 MSM have been surveyed and 436 effective questionnaires have been collected. Effective rate is 95.61%. Main age group of MSM is 20~40 years old,about 80% is unmarried and 45.87% is internet-type. 23 MSM (5.27%) infected with HIV,95 MSM (21.79%) infected with syphilis,10 MSM (2.29%) infected with Hepatitis C. Lower the degree of education,Higher the rate of disease infection,the HIV,syphilis and Hepatitis C infection rate of public baths-type MSM is higher than other type. Infector of HIV,syphilis and Hepatitis C received more counseling and testing and publicity materials than un-infected,it has statistically significant differences.Conclusions HIV and syphilis infection rate among MSM is high,the infected population were gathered together. It’s necessary to strengthen prevention and intervention aim at MSM,in order to reduce risk behavior and improve the condom use.
出处
《中国社会医学杂志》
2010年第4期249-251,共3页
Chinese Journal of Social Medicine
