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目的了解深圳市男男性行为献血者梅毒分布特征及其影响因素。方法对2005～2011年深圳市男男性行为献血者梅毒监测资料进行单因素和多因素Logistic回归分析。结果自述近两年内曾献血的1320例MSM中,梅毒感染率为21.36%,HIV感染率为6.06%,梅毒合并HIV感染率为3.26%。多因素Logistic回归分析结果显示,MSMDB感染梅毒和职业、主动检测史、性取向及合并HIV感染有关。MSMDB职业为服务行业、无业/待业与工人感染梅毒的危险性分别是职员的1.224倍、1.732倍和1.408倍,主动检测过HIV的MSMDB感染梅毒的危险性是从未检测过HIV者的1.347倍,性取向为同性恋与双性恋的MSMDB感染梅毒的危险性分别是异性恋者的6.411倍和6.833倍,合并HIV感染的MSMDB感染梅毒的危险性是HIV阴性者的5.115倍。结论深圳市男男性行为献血者梅毒感染率居高不下,应引起有关政府部门足够重视,确保血液安全。
Objective To understand the distribution and influencing factors of syphilis in male and female sex workers in Shenzhen. Methods Monosial and multivariate logistic regression analysis of syphilis data from 2005 to 2011 in Shenzhen male MSM blood donors were performed. Results According to the 1320 cases of MSM who donated blood in the past two years, the syphilis infection rate was 21.36%, the HIV infection rate was 6.06% and the syphilis infection rate was 3.26%. Multivariate Logistic regression analysis showed that MSMDB was associated with syphilis and occupational status, and positively detected history, sexual orientation and HIV infection. MSMDB occupational service industry, unemployed / unemployed and workers risk of syphilis were 1.224 times, 1.732 times and 1.408 times the staff, the risk of HIV infection MSMDB syphilis was never detected 1.347 times The risk of syphilis in MSMDB with homosexuality and bisexuality were 6.411 and 6.833 times that of heterosexuals respectively. The risk of syphilis infection in MSMDB with HIV infection was 5.115 times that of HIV-negative people. Conclusions The prevalence of syphilis infection among men who have sex with men in Shenzhen is high, which should be paid enough attention by relevant government departments to ensure blood safety.