上海市男男同性性传播AIDS病人的临床流行病学研究

来源 :中国艾滋病性病 | 被引量 : 0次 | 上传用户:a176305712
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目的通过对上海艾滋病(AIDS)抗反转录病毒治疗(ART)病人的流行病学研究,为国家艾滋病防治专家提供基本信息,针对不同地区因地制宜采取侧重点不同的防控措施。方法采集662例男性病人的相关信息,分为同性性传播组和非同性性传播组进行相关数据的统计学分析。结果通过同性性传播感染的男性病人为318例(48.04%),且占男性病人的比例由2005年的38.71%上升至2010年的57.14%。开始ART时的年龄分别为同性性传播组(36.14±11.05)岁,非同性性传播组(45.80±11.08)岁,差异有统计学意义(P<0.01)。婚姻状况方面前者未婚为198例(62.26%),后者为56例(16.28%),差异有统计学意义(P<0.01)。两组已婚的病人中均有配偶感染的情况。在学历方面,两组差异有统计学意义(P<0.01),具有大专及以上学历的病人前者137例(43.08%),后者36例(10.47%)。在病人发现感染至治疗时间间隔方面,两组分别为(10.43±15.83)个月和(10.76±17.80)个月,差异无统计学意义(P=0.802)。结论因同性性传播途径感染的病人的比例迅速上升,均为年轻且具有较高学历的国家有用人才,应引起各参与防治工作人员的重视,采取更有效的方式和模式来减少未采取保护措施的肛交(UAI)的发生。男男同性恋尚不能得到社会的承认,有些人不得不结婚生子,因此在关注男男同性恋的同时,也应该关注其婚姻状况,以及其配偶可能感染的问题。 Objective To provide national AIDS experts with basic information on the epidemiological study of anti-retroviral therapy (ART) patients in Shanghai and to adopt different prevention and control measures according to local conditions in different regions. Methods The related information of 662 male patients were collected and divided into the sex analysis group and the non-same sex transmission group. Results The number of male patients infected by same-sex transmission was 318 (48.04%) and the proportion of male patients increased from 38.71% in 2005 to 57.14% in 2010. The age at the start of ART was 36.14 ± 11.05 years in the same-sex transmission group and 45.80 ± 11.08 years in the non-same sex transmission group, respectively. The difference was statistically significant (P <0.01). The marital status of the former unmarried was 198 cases (62.26%), the latter 56 cases (16.28%), the difference was statistically significant (P <0.01). Two married couples had spouse infections. There were statistically significant differences between the two groups (P <0.01). There were 137 cases (43.08%) in the former group and 36 cases (10.47%) in the latter group with college degree or above. There was no significant difference between the two groups when the infection was detected and the treatment interval was (10.43 ± 15.83) months and (10.76 ± 17.80) months respectively (P = 0.802). Conclusions The proportion of patients infected by same-sex transmission rose rapidly. All of them are young and highly educated national useful personnel, which should be taken seriously by all involved in prevention and treatment staff. More effective ways and modes should be adopted to reduce the number of unprotected patients The occurrence of anal sex (UAI). While gay men can not yet get the recognition of the society, some people have to marry and have children. Therefore, while paying attention to gay men, they should also pay attention to their marital status and the possible infection of their spouses.
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