论文部分内容阅读
目的了解襄阳市男男性行为人群艾滋病病毒感染状况及其相关影响因素。方法在襄阳市采用滚雪球和网络招募MSM,进行问卷调查,并采集血样进行艾滋病病毒(HIV)抗体检测。监测数据进行描述性、单因素和多因素分析。结果调查400人,艾滋病病毒感染率5.00%。单因素分析显示,年龄、文化程度、活动场所,与女性婚姻状况、艾滋病防治知识得分、最近6个月安全套坚持使用6个因素与MSM人群HIV感染有统计学关联(P<0.10)。多因素分析显示,最近6个月同性性行为时坚持使用安全套(OR=0.19,95%CI=0.04~0.85)是HIV感染率的保护性因素,与女性婚姻状况为离异或丧偶(OR=5.28,95%CI=1.02~30.19)、年龄50岁及以上(OR=1.62,95%CI=1.14~2.74)是危险因素。结论襄阳市MSM人群艾滋病病毒感染率较高。应加强对50岁以上、与女性婚姻状况为离异或丧偶的MSM人群的综合干预措施,提高安全套坚持使用率。
Objective To understand the prevalence of HIV in men who have sex with men in Xiangyang and its related factors. Methods The MSM was recruited by snowballing and internet in Xiangyang, and questionnaires were conducted. Blood samples were collected for the detection of HIV antibody. Monitoring data were descriptive, univariate and multivariate analysis. Results of the survey 400 people, the rate of HIV infection 5.00%. Univariate analysis showed that age, education level, place of activity, marital status with women, knowledge of HIV / AIDS prevention and control and the persistence of condom use in the last 6 months were associated with HIV infection in MSM population (P <0.10). Multivariate analysis showed that insisting on condom use (OR = 0.19, 95% CI = 0.04-0.85) during the same 6 months of homosexual behaviors was a protective factor in the HIV prevalence and was divorced or widowed from women (OR = 5.28 , 95% CI = 1.02-30.19). The patients who were 50 years of age and older (OR = 1.62, 95% CI = 1.14-2.74) were risk factors. Conclusion The prevalence of HIV in MSM population in Xiangyang City is high. Comprehensive interventions should be strengthened for MSM populations over the age of 50 who are divorced or widowed with women to improve condom use.