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目的了解济南市男男性行为人群(men who have sex with men,MSM)艾滋病毒感染状况及相关高危行为,为进一步采取有效防制策略提供依据。方法对2010-2013年济南市男男性行为人群哨点监测资料进行单因素和多因素Logistic回归。结果 2010-2013年人类免疫缺陷病毒(human immunodeficiency virus,HIV)和梅毒感染率逐年上升,4年HIV感染率分别为2.0%、5.0%、6.8%和10.8%;梅毒感染率分别为6.0%、9.5%、15.0%和17.8%;多因素Logistic回归分析结果表明,MSM人群HIV感染和年份、梅毒感染、最近6个月不坚持使用安全套、发生商业性行为、在本地居住时间以及最近半年是否与异性发生性行为有关。结论 2010-2013年,济南市MSM人群HIV和梅毒感染率上升趋势明显,促进HIV传播的不安全高危行为广泛存在,迫切需要对该人群开展有效行为干预工作,降低HIV在该人群中的传播。
Objective To understand the status of HIV infection and related high-risk behaviors in men who have sex with men (MSM) in Jinan City, and to provide basis for further effective prevention and control strategies. Methods Single-factor and multivariate logistic regression analysis of sentinel surveillance data of MSM in Jinan from 2010 to 2013 were conducted. Results The infection rates of human immunodeficiency virus (HIV) and syphilis increased year by year from 2010 to 2013, and the rates of HIV infection at 4 years were 2.0%, 5.0%, 6.8% and 10.8% respectively. The infection rates of syphilis were 6.0% 9.5%, 15.0% and 17.8% respectively. The multivariate Logistic regression analysis showed that MSM population had no HIV / AIDS and syphilis infection in the past 6 months, did not insist on using condom in the last 6 months, had commercial sex, lived in the country for the last 6 months, Heterosexual sexual activity related. Conclusion From 2010 to 2013, the prevalence of HIV and syphilis in MSM population in Ji’nan was on the rise. The unsafe and dangerous behaviors that promote the spread of HIV are widespread. There is an urgent need for effective behavioral intervention in this population to reduce the spread of HIV in this population.