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目的了解上海市虹口区疾病预防控制中心艾滋病自愿咨询检测(VCT)门诊男男性行为者(MSM)的基本情况和艾滋病病毒(HIV)感染的流行病学特征。方法对虹口区VCT门诊2010—2015年MSM咨询、检测数据进行分析,数据下载自“中国疾病预防控制系统艾滋病综合防治信息系统”。结果虹口区VCT门诊2010—2015年咨询MSM 1 451例,HIV检测1 411例,发现HIV阳性153例。1 451例MSM求询者中,21~30岁年龄组867例(占59.8%),未婚1 217例(占83.9%),大专及以上文化程度者1 011例(占69.6%),958例(占66.0%)既往接受过HIV检测且结果为阴性。多因素logistic回归分析显示,高中或中专学历组较初中及以下学历组、既往接受过HIV检测组较从未接受过HIV检测组检出HIV阳性的风险降低(OR=0.52,95%CI:0.29~0.94;OR=0.51,95%CI:0.36~0.72)。结论虹口区VCT门诊MSM人群咨询和检测人数呈上升趋势,且该人群HIV阳性率高于总体HIV阳性率,文化程度和既往是否检测过HIV与HIV阳性有关联。
Objective To understand the basic situation of MSM in HIV / AIDS voluntary counseling and testing (VCT) clinics and the epidemiological characteristics of HIV infection in Hongkou District CDC. Methods The data of MSM consulting and testing from 2010 to 2015 of VCT clinic in Hongkou District were analyzed and the data were downloaded from Information System of Integrated Prevention and Control of AIDS in Chinese Disease Control and Prevention System. Results The VCT clinic in Hongkou District consulted 1 451 MSM cases and 1 411 HIV test cases in 2010-2015 and found 153 cases of HIV positive. Among 4541 MSM interrogators, 867 (59.8%) were 21 to 30 years old, 1 217 (83.9%) were unmarried, 1 011 (69.6%) were college graduates and 958 (66.0%) had previous HIV tests and the results were negative. In the multivariate logistic regression analysis, there was a lower risk of HIV positive in the HIV test group than in the junior high school and below education group (OR = 0.52, 95% CI: 0.29 to 0.94; OR = 0.51, 95% CI: 0.36 to 0.72). Conclusions The consultation and testing population of MSM in VCT outpatient department in Hongkou District is on the rise. The HIV positive rate in this population is higher than the overall HIV positive rate, and the educational level and the past HIV / HIV positive test have been detected.