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重庆市男男性行为者HIV抗体阳转率及其影响因素研究
引用本文:冯连贵,丁贤彬,卢戎戎,欧阳琳,郑建琼,徐静,韩梅,郭晓嘉,杨明芳,徐世明.重庆市男男性行为者HIV抗体阳转率及其影响因素研究[J].疾病控制杂志,2011,15(7):564-567.
作者姓名:冯连贵  丁贤彬  卢戎戎  欧阳琳  郑建琼  徐静  韩梅  郭晓嘉  杨明芳  徐世明
作者单位:1. 重庆市疾病预防控制中心,重庆,400042
2. 重庆市疾病预防控制中心性艾所,重庆,400042
3. 重庆市疾病预防控制中心微生物安全检测所,重庆,400042
基金项目:卫生部2007年艾滋病防治应用性研究项目(WA-2007-03)
摘    要:目的了解男男性行为者(men who have sex with men,MSM)人群HIV抗体阳转率及其影响因素,为评估MSM人群艾滋病防治效果与开展针对性防治工作提供依据。方法对招募自愿参加随访研究的HIV与梅毒均阴性的MSM进行随访,6个月后再次进行问卷调查与采集血样检测HIV与梅毒,以HIV抗体阳转率为应变量,人口学特征、性行为情况等为自变量进行Logistic回归,分析鉴别HIV抗体阳转率的影响因素。结果 214例MSM参加随访,平均年龄(25.6±6.3)岁,88.3%的人最近6个月与男性有肛交史,最近6个月平均性伴数为2个,最近一次与男性发生肛交时安全套使用率为76.2%,最近6个月发生保护性肛交的比例为52.4%。HIV抗体阳转率及95%CI为12.5(9.1~15.7)/100人年,梅毒的发病率及95%CI为17.8(13.1~23.5)/100人年。多因素回归分析显示,文化程度(OR=0.27,95%CI:0.13~0.59)、梅毒感染(OR=9.23,95%CI:2.42~35.18)是HIV抗体阳转率的独立影响因素。结论重庆市MSM人群HIV抗体阳转率高,安全套使用率低,防治形势严峻。

关 键 词:同性恋  男性  HIV  随访研究  

Study on HIV-1 seroconversion rate and its associated factors among men who have sex with men in Chongqing City
FENG Lian-gui,DING Xian-bin,LU Rong-rong,OUYANG Lin,ZHENG Jian-qiong,XU Jing,HAN Mei,GUO Xiao-jia,YANG Ming-fang,XU Shi-ming.Study on HIV-1 seroconversion rate and its associated factors among men who have sex with men in Chongqing City[J].Chinese Journal of Disease Control and Prevention,2011,15(7):564-567.
Authors:FENG Lian-gui  DING Xian-bin  LU Rong-rong  OUYANG Lin  ZHENG Jian-qiong  XU Jing  HAN Mei  GUO Xiao-jia  YANG Ming-fang  XU Shi-ming
Institution:FENG Lian-gui1,DING Xian-bin2,LU Rong-rong2,OUYANG Lin2,ZHENG Jian-qiong2,XU Jing2,HAN Mei3,GUO Xiao-jia2,YANG Ming-fang2,XU Shi-ming2. 1.Chongqing Center for Disease Control and Prevention,Chongqing 400042,China,2.Institute of Control and Prevention for AIDS/STD,Chongqing Center for Disease Control and Prevention,3.Institute of Detection for Microbiological Safety
Abstract:Objective To understand HIV seroconversion rate and its associated factors among men who have sex with men,so as to provide the evidence for evaluating the effect and developing the comprehensive strategy for AIDS prevention and control among men who have sex with men.Methods MSM with HIV and Syphilis negative recruited were interviewed with the structured questionnaire and blood sample test for HIV and Syphilis antibody were taken after six months.HIV seroconversion rate and its influencing factors were an...
Keywords:Homosexuality  male  HIV  Follow-up studies  
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