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2006-2016年浙江省宁波市男男性行为人群艾滋病流行特征分析
引用本文:史宏博,洪航,张继红,顾晓敏,姜海波,李思萱,董红军. 2006-2016年浙江省宁波市男男性行为人群艾滋病流行特征分析[J]. 疾病监测, 2017, 32(9): 735-738. DOI: 10.3784/j.issn.1003-9961.2017.09.008
作者姓名:史宏博  洪航  张继红  顾晓敏  姜海波  李思萱  董红军
作者单位:1.宁波市疾病预防控制中心, 浙江 宁波 315010
摘    要:目的 分析浙江省宁波市男男性行为人群(MSM)艾滋病疫情特征及流行趋势,为制定MSM防控措施提供参考依据。方法 采用2006-2016年宁波市报告的MSM艾滋病病毒感染者/艾滋病患者(HIV/AIDS)疫情数据和MSM艾滋病哨点监测数据,对MSM艾滋病的流行特征、相关知识知晓及高危行为进行流行病学分析。结果 截至2016年12月31日,宁波市共报告HIV/AIDS 3 817例,其中MSM 1 315例,占全部报告病例的34.5%。11年间,MSM的HIV/AIDS疫情整体呈上升趋势。1 315例HIV/AIDS人口学分布情况:年龄集中在20~39岁,占70.5%;婚姻以未婚为主,占62.6%;文化程度以高中及以上为主,占61.3%;户籍以外地为主,占61.6%。51.4%的病例由疾控机构发现并报告;样本来源以艾滋病自愿咨询检测(VCT)发现比例最高,占36.7%,其次是性病门诊就诊者、其他就诊者检测和专题调查,分别占15.7%、14.8%和12.5%。2014年和2015年MSM艾滋病相关知识知晓率均在90%以上,HIV感染率在5.2%~10.2%之间,梅毒感染率在4.2%~13.1%之间,丙型病毒性肝炎感染率在0.0%~3.0%之间。结论 MSM仍然是宁波市艾滋病防控需要重点关注的人群,亟须针对MSM特征采取防控措施。

关 键 词:男男性行为人群   艾滋病病毒感染者/艾滋病患者   流行特征
收稿时间:2017-05-11

Epidemiological characteristics of HIV/AIDS in men who have sex with men in Ningbo,Zhejiang, 2006-2016
SHI Hong-bo,HONG Hang,ZHANG Ji-hong,GU Xiao-min,JIANG Hai-bo,LI Si-Xuan,DONG Hong-jun. Epidemiological characteristics of HIV/AIDS in men who have sex with men in Ningbo,Zhejiang, 2006-2016[J]. Disease Surveillance, 2017, 32(9): 735-738. DOI: 10.3784/j.issn.1003-9961.2017.09.008
Authors:SHI Hong-bo  HONG Hang  ZHANG Ji-hong  GU Xiao-min  JIANG Hai-bo  LI Si-Xuan  DONG Hong-jun
Affiliation:1.Ningbo municipal Center for Disease Control and Prevention, Ningbo 315010, Zhejiang, China2.Medical School of Ningbo University, Ningbo 315211, Zhejiang, China
Abstract:Objective To understand the epidemiological characteristics of HIV/AIDS in men who have sex with men (MSM) in Ningbo,Zhejiang province,and provide evidence for the HIV/AIDS prevention and control of MSM population.Methods The HIV/AIDS epidemiological characteristics,awareness of AIDS related knowledge and high risk behaviors in MSM was analyzed,through the reporting epidemic data and sentinel surveillance in MSM during 2006-2016.Results By the end of 2016,a total of 3 817 HIV/AIDS cases had been reported in Ningbo,1 315 HIV/AIDS cases were transmitted by MSM,accounting for 34.5% (1 315/3 817).The MSM HIV/AIDS epidemic was on the rise in 11 years.The demographic characteristics of 1 315 HIV/AIDS:Most of them were between 20 and 39 years old (70.5%),mainly of them were unmarried (62.6%),high school and above education (61.3%),non-local residents (61.6%).The cases were mainly reported by local CDC (51.4%).The detection samples were mainly from Voluntary Counsel and Test (VCT) clinics (36.7%),followed by STD clinics (15.7%),other clinics (14.8%) and other survey (12.5%).The awareness rate of AIDS related knowledge in MSM was over 90% in 2014 and 2015,The HIV infection rate was between 5.2% and 10.2%.The syphilis prevalence was between 4.2% and 13.1%,and the HCV infection rate was between 0.0% and 3.0%.Conclusion MSM are still the high risk of HIV infection should be emphasized,and targeted prevention and control measures are in desperate needed.
Keywords:Men who have sex with men  Human immunodeficiency virus/Acquired immunodeficiency disease  Epidemilogical characteristics
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