湖北省艾滋病感染男男性行为人群婚姻及配偶检测情况

目的 了解湖北省艾滋病感染者中男男性行为者（men who have sex with men,MSM）人群的婚姻影响因素及配偶检测情况。方法 收集湖北省2013—2017年艾滋病感染途径为“同性传播”的病例,比较“已婚/离异”组和“未婚”组之间的差异,纳入Logistic回归分析。分析有婚姻组配偶HIV检测情况。结果 湖北省2013—2017年累计报告 7 005例MSM感染者, 5 996例≥22岁法定结婚年龄,其中12例（0.20%）婚姻状况不详,2 772例（46.23%）有过婚姻（已婚、离异）,3 212例（53.57%）未婚。有婚姻组与未婚组在年龄、职业、文化程度、性病史和样本来源上的差异有统计学意义（Ρ均<0.05）。Logistic回归分析：MSM人群大于40岁有婚姻的可能性增大（OR=91.348,95%CI:72.653~114.854）;职业中政府/企事业单位（OR=1.571,95%CI:1.192~2.071）和农民/民工（OR=1.454,95%CI:1.158~1.825）有婚姻的可能性较大;初中文化程度有婚姻的可能性最大（OR=2.971,95%CI:2.425~3.639）。有婚姻组配偶HIV检测率为28.90%（801/ 2 772）,阳性率18.73%（150/801）。结论 对于MSM人群的异性伴侣和妻子,也应纳入干预和关怀。建议加强针对MSM人群本身特点的干预内容,对医务人员和社会大众进行反歧视教育,促进MSM人群的配偶告知和检测工作。

Marital status and spouse′s HIV detection of HIV positive men who have sex with men in Hubei

Objective To understand the marital status, influencing factors, and spouse′s HIV detection of HIV positive men who have sex with men (MSM) in Hubei Province. Methods Collected cases of HIV/AIDS infected by "homosexual transmission" in Hubei during 2013-2017, and compared the differences between the "married/divorced" group and the "unmarried" group by Logistic Regression analysis. Analyzed HIV detection of spouses in the "married/divorced" group. Results A total of 7 005 MSM with HIV/AIDS were reported, including 5 996 persons reaching the legal marriage age of 22 years, with 12 persons (0.20%) whose marital status was unknown, 2 772 (46.23%) who had been married/divorced, and 3 212 (53.57%) who were unmarried. The logistic regression analysis indicated that the influencing factors of marriage (more possible of marriage) were the age above 40 years (OR=91.348, 95%CI: 72.653-114.854), those working in government/enterprises/public institutions (OR=1.571, 95%CI: 1.192-2.071), farmers/migrant workers (OR=1.454, 95%CI: 1.158-1.825), and people with junior middle school education level (OR=2.971, 95%CI: 2.425-3.639). Totally 28.90% (801/2 772) of married/divorced spouses had HIV testing, and 18.73% (150/801) of them was positive. Conclusion It is necessary to strengthen the intervention and care for MSM female spouses and promote the notification and HIV testing.