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南京市男男性行为人群梅毒感染情况及影响因素调查
引用本文:刘 黎,张 敏. 南京市男男性行为人群梅毒感染情况及影响因素调查[J]. 南京医科大学学报(自然科学版), 2012, 0(7): 1019-1023
作者姓名:刘 黎  张 敏
作者单位:南京市疾病预防控制中心艾滋病性病科,江苏 南京 210003;南京市疾病预防控制中心艾滋病性病科,江苏 南京 210003
摘    要:目的:了解南京市男男性行为人群(men who have sex with men,MSM)梅毒感染情况及影响因素,为行为干预工作提供科学数据?方法:在南京市MSM社区使用滚雪球法招募MSM进行问卷调查,了解其社会人口学?高危行为特征;采集静脉血进行HIV和梅毒抗体检测?结果:共调查661例MSM,所调查的MSM平均年龄为(27.44 ± 7.94)岁,未婚者占84.0%,高中及以上学历占90.5%?近6个月性行为调查性伴数大于10人的占5.0%,最近6个月肛交每次使用安全套的比例为36.0%,3.9%曾有过商业性男性性服务,4.5%曾为男性提供过商业性服务,21.0%曾与女性发生性关系?所调查的MSM的梅毒感染率为11.5%?多因素Logistic回归分析结果显示,年龄> 25岁(OR=4.20,95%CI:2.26~7.80)?非本地户籍(OR=1.67,95%CI:1.00~2.78)?寻找性伴场所为浴池(OR=2.29,95%CI:1.26~4.15)以及近1年做过性病检查或治疗(OR=2.15,95%CI:1.25~3.69)是梅毒感染的影响因素?结论:南京市 MSM无保护性行为发生率高,梅毒感染率已达一定水平,应及时采取有效的干预措施?

关 键 词:男男性行为者   梅毒   性传播疾病
收稿时间:2012-03-27

Syphilis prevalence and its associated factors among men who have sex with men in Nanjing
LIU Li and ZHANG Min. Syphilis prevalence and its associated factors among men who have sex with men in Nanjing[J]. Acta Universitatis Medicinalis Nanjing, 2012, 0(7): 1019-1023
Authors:LIU Li and ZHANG Min
Affiliation:Department of Veneral Disease and AIDS Control,Center for Disease Prevention and Control of Nanjing City,Nanjing 210003,China;Department of Veneral Disease and AIDS Control,Center for Disease Prevention and Control of Nanjing City,Nanjing 210003,China
Abstract:Objective:To investigate the prevalence and risk factors for syphilis among men who have sex with men (MSM) in Nanjing. Methods:A face-face questionnaire interview was conducted among MSM by snowball sampling method in Nanjing from March to July,2009. Socio-demographic,behavioral and other characteristics were included in the questionnaire. Bivariate and multivariate logistic regression model was constructed to evaluate independent factor associated with syphilis. Results:A total of 661 MSM were recruited. The mean age of these participants was 27.44 years. Among them 84.0% were unmarried,and 90.5% had an education beyond senior middle school; in the past 6 months,5.0% had sexual contact with more than 10 male sex partners,the rate of protected anal sex during the past 6 months was 36.0%. The percentage of people who had ever paid for male sex service was 3.9%,who had provided commercial sex service to male was 4.5%,and who had sexual contact with female was 21.0%. Syphilis was diagnosed in 11.5% of these participants,the risk factors independently associated with syphilis clude being older than 25 years (adjusted OR=4.20,95%CI:2.26~7.80),non-local residency(adjusted OR=1.67,95%CI:1.00~2.78),looking for male sex partners from bathhouse(adjusted OR=2.29,95%CI:1.26~4.15),sexually transmitted diseases examination and treatment in 1 year before interview(adjusted OR=2.15,95%CI:1.25~3.69). Conclusion:The rate of unprotected anal sex was high, so was the prevalence of syphilis among MSM. Further efforts are urgently needed to scale-up the prevention of syphilis among MSM.
Keywords:men who have sex with men   syphilis   sexually trasmited disease
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