摘要
目的:系统评价我国MSM人群艾滋病干预效果。方法:应用meta分析对纳入的10项研究进行综合定量分析。结果:经干预后,MSM人群对"正确使用安全套能降低艾滋病传播的风险"、"保持一个未感染艾滋病病毒的性伴能降低艾滋病病毒传播的风险"、"一个看上去健康的人有可能携带艾滋病病毒"的知晓率分别提高了10%,18%和9%。干预前后"最近一年HIV的检测率","最近六个月与男性发生肛交性行为时每次坚持使用安全套的比例"及"HIV感染率"的合并OR值及95%CI分别为1.90^([1.27,2.84]),1.67^([1.24,2.24]),1.75^([1.33,2.30])。结论:开展各项干预后,MSM人群的艾滋病防控知识知晓率得到提高,并达到了较高水平;安全套使用率和HIV检测率虽有所提高,但总体水平仍然很低,HIV感染率也没有得到有效遏制,所以还需要对该人群进行长期、持久、全面综合的干预。
Objective：To systematically evaluate the effect of HIV/AIDS intervention among MSM in China. Methods Ten indexes were finally selected and comprehensively and quantitatively analyzed with Meta-analysis. Results After being inter- vened, the rate difference （RD） of knowing＂ using condoms correctly can reduce the risk of the spread of AIDS＂ ,＂only having a non-HIV-infected sex partner can reduce the risk of the spread of AIDS＂ and＂a person who looks healthy may be infected with HIV＂increased by 10% , 18% and 9%. The pooled OR values and 95% CI of＂ testing rate of HIV last year＂ ,＂insisting on using condoms every time when having anal sex with man during the last six months＂ and＂ HIV prevalence＇were 1.90 [ 1.27,2.84 ] , 1. 67 [ 1.24,2.24 ], 1.75 [ 1.33,2.30 ], respectively. Conclusion After carrying out intervention, knowledge on HIV prevention and control among MSM group was improved and achieved a high level. The rate of condom using and HIV testing increased to some extent, but was still at lower level. Further intervention was required.
出处
《中国卫生事业管理》
北大核心
2011年第2期154-157,共4页
Chinese Health Service Management
基金
世界卫生组织资助项目(项目编号:WP/08/SAP/001170)
