论文部分内容阅读
目的了解内蒙古地区男男性行为人群(MSM)艾滋病(HIV)、梅毒及艾滋病(HIV)合并梅毒感染状况及其影响因素。方法通过横断面调查,收集一般人口学、行为学及安全套使用等信息,并采集血液标本进行HIV和梅毒抗体检测。结果共调查及检测3 066名MSM,多元非条件逐步Logistic回归分析结果显示:最近1周与同性发生性行为次数(OR=1.321)是HIV感染的危险因素;最近6个月与同性发生商业性行为是HIV(OR=1.664)、梅毒(OR=1.802)和HIV合并梅毒(OR=1.791)感染的危险因素;最近6个月与同性发生肛交性行为时有时使用安全套是HIV(OR=0.108)、梅毒(OR=0.242)及HIV合并梅毒(OR=0.160)感染的保护因素;最近6个月与同性发生肛交性行为时每次使用安全套亦是HIV(OR=0.057)、梅毒(OR=0.190)及HIV合并梅毒(OR=0.096)感染的保护因素;在本地居住时间大于6个月是HIV(OR=0.712)和HIV合并梅毒(OR=0.746)感染的保护因素。结论男男性行为人群(MSM)HIV、梅毒及HIV合并梅毒感染的影响因素较复杂,应采取有效措施防治。
Objective To understand the prevalence of HIV, syphilis and HIV in syphilis among men who have sex with men (MSM) in Inner Mongolia and its influencing factors. Methods Cross-sectional survey was conducted to collect general demographic, behavioral and condom use information, and blood samples were collected for HIV and syphilis antibody testing. Results A total of 3 066 MSMs were detected and analyzed by multivariate non-conditional stepwise logistic regression analysis. The results showed that the number of same-sex sexual activities (OR = 1.321) was the risk factor of HIV infection in the recent 1 week. (OR = 1.802) and syphilis with HIV (OR = 1.791) were the risk factors for HIV infection (OR = 1.664), syphilis (OR = 1.791) , Syphilis (OR = 0.242) and syphilis with HIV (OR = 0.160). Condom use was also HIV (OR = 0.057) and syphilis (OR = 0.190) in the last 6 months for homosexual anal intercourse ) And HIV with syphilis (OR = 0.096). Living longer than 6 months in Hong Kong was a protective factor for HIV (OR = 0.712) and HIV co-syphilis (OR = 0.746). Conclusion The influencing factors of HIV, syphilis and HIV infection complicated with syphilis in MSM are complicated, and effective measures should be taken to prevent and cure them.