2013年至2015年昆明市官渡区男男性行为人群艾滋病哨点监测结果

目的 分析昆明市官渡区2013年至2015年男男性行为者艾滋病哨点监测结果,为实施有效的干预措施和预防对策提供科学依据.方法 对官渡区MSM人群哨点监测结果进行分析,对历年艾滋病、梅毒、丙肝感染状况及相关行为等进行统计学分析.结果 2013年至2015年共调查MSM人群462人,确认HIV抗体阳性73例(15.8%),历年HIV阳性率分别为16.2%,15.4%,16.1%,各年度差异无统计学意义(P>0.05);梅毒抗体阳性50例(10.8%),HCV抗体阳性1例(0.2%).最近半年内,有肛交行为者95.7%,其中坚持每次使用安全套比例56.6%,最近一次肛交时安全套使用比例为83.5%;有15.2%与同性发生过商业性行为,坚持每次使用安全套比例占58.2%;21.9%与异性发生过性行为,坚持每次使用安全套比例占40.6%.结论 昆明市官渡区MSM人群艾滋病防治知识知晓率高,安全套坚持使用率偏低,存在一定的知行分离现象.HIV和梅毒阳性率较高,防控形势依然严峻,需要调整和采取有针对性的防治措施.

Results of HIV/AIDS Surveillance among Men Who Have Sex with Men in Guandu District,Kunming City in 2013-2015

Objective To analyze the results of HIV/AIDs surveillance among the men who have sex with men(MSM) in Guandu District, Kunming City, so as to provide the evidence for the future development of prevention and control strategies. Methods We analyzed the infection of HIV,syphilis and hepatitis C and related behaviors.Results A total of 462 MSM were surveyed in 2013-2015,the total HIV positive rate was 15.8%(73 cases),and the HIV positive rate was 16.2%,15.4%,16.1% in 2013,2014 and 2015,respectively,there was no statistically deference between three years(P >0.05).There were 50 cases(10.8) of syphilis antibody positive,one case(0.2%) of HCV antibody positive. In the last six months, there were 95.7% who had anal sex, among them there were 56.5% who used condom every time,there were 83.5% who used condom in last anal sex;there were 15.2% who had commercial sex with MSM, among them there were 58.2% who used condom every time;there were 21.9% who had sex with women, among them there were 40.6% who used condom every time. Conclusions The awareness rate of HIV/AIDS was high, but the condom use rate was low,there was a discrepancy between their knowledge and their behavior. The HIV positive rate and syphilis antibody positive rate were high,the prevention and control condition is very serious, we should take actions to improve our intervention strategies.