男男性行为人群艾滋病及梅毒感染状况调查

摘要：目的　了解北京市东城区男男性行为者（ｍｅｎｗｈｏｈａｖｅｓｅｘｗｉｔｈｍｅｎ，ＭＳＭ）ＨＩＶ 感染状况、相关
因素及流行趋势，为制定适合本地区的防治策略和干预措施提供依据。方法　对２０１０－２０１２年参加北京市
东城区艾滋病自愿咨询检测（ｖｏｌｕｎｔａｒｙｃｏｕｎｓｅｌｉｎｇａｎｄｔｅｓｔ，ＶＣＴ）门诊的ＭＳＭ 人群进行问卷调查，内容
包括一般人口学信息、既往检测情况、高危性行为史，并采集静脉血进行人类免疫缺陷病毒（ＨＩＶ） 及梅
毒检测。问卷录入国家《艾滋病综合管理信息系统》离线数据库，应用ＳＰＳＳ１７．０进行统计分析。结果　
共调查４０２名ＭＳＭ，小于３０岁者占６９．４０％ （２７９／４０２）；未婚者占７６．３７％ （３０７／４０２）；高中及以下学历
者占６７．９１％ （２７３／４０２）；外省户籍占９１．５４％ （３６８／４０２）；近６ 个月发生性行为时全程使用安全套者占
３０．１０％ （１２１／４０２）；既往ＨＩＶ 检测率为５８．９６％ （２３７／４０２）；共检出ＨＩＶ 抗体阳性５２ 例、梅毒阳性７１
例，阳性检出率分别是１２．９４％ （５２／４０２） 和１７．６６％ （７１／４０２）；高危性行为是主要求询原因；文化程度
越低ＨＩＶ 和梅毒感染率越高，差异有统计学意义（χ
２＝７．２６５，犘＝０．０２６；χ
２＝１６．３２８，犘＜０．０１）。结论　
近年来，主动到北京市东城区ＶＣＴ 门诊咨询检测的ＭＳＭ 人群以年青人、未婚、流动人口、高中及以下学历
为主；梅毒感染率高，ＨＩＶ 感染率呈上升趋势。应考虑在现有干预工作的基础上增加针对性有效干预措施。
关键词：男男性行为人群；艾滋病病毒感染者；梅毒
中图分类号：Ｒ５１２．９１　　文献标识码：Ａ　　文章编号：１００９ ６６３９ （２０１４）０３ ０２５３ ０３

A surveys on current status of HIV and syphilis infection among men who have sex with men

Objective To better understand the current status of HIV and syphilis infection among men who have sex with men（MSM）in Dongcheng district of Beijing and to analyze the epidemic trend and related factors. MethodsA questionnaire survey was conducted among MSM who came to the clinic for voluntary counseling and test（VCT） in Dongcheng district of Beijing during 2010to 2012to collect basic information as demographic characteristics,sexual behavior and infection history.Blood samples were also collected for HIV and syphilis detection.SPSS 17.0software was used for data statistical analysis. Results A total of 402MSM were surveyed.More than half（69.40%）were younger than 30and were singles（76.37%）.67.91%of MSM were high school graduates or even with lower education level.As high as 91.54% MSM were not native residents.121MSM claimed of using condoms during sex intercourse for the past six months and 237admitted of having been tested for HIV.Blood test revealed that 52were HIVpositive and 71were syphilis-positive with the positive rates of 12.94%and 17.66%,respectively.MSM with lower education were more likely to get HIV and syphilis infection compared to high-educated MSM（χ 2=7.265,P= 0.026;χ^2=16.328,P〈0.01）. Conclusions Majority of MSM for VCT are young adults,unmarried,usually with high school or lower education level,and with high syphilis infection rate.HIV infection is uprising.Therefore, more effective intervention needs to be added to current intervention methods.