西安市男男同性性行为人群HIV/梅毒感染状况及影响因素分析
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【Abstract】objective To get know of HIV/syphilis infection status & influence factors among men who have sex with men in Xi’an; to provide scientific basis for drafting local AIDS prevention methods & interfering strategies. Methods A cross sectional survey was conducted among 800 MSM by face to face interviewing and blood samples were taken to✌ test HIV/syphilis. Result The rate of knowledge about HIV was 95.5%,HIV infection rate was 6.75%,Syphilis infection rate was 4.5%, HIV rate among people who have anal sex without condom or sometimes with condom in late 6 months was higher than those who have no anal sex and every sex with condom. Condom usage rate of people who had AIDS prevention consultin⌚g was higher than those who had no consulting; while the HIV rate was opposite. The HIV rate among syphilis people was higher than syphilis people. Conclusion the ADIS prevention knowledge of MSซM was good but the condom usage rate was low, indicating that the knowledge and behavior was separated. Consulting could improve the condom usage rate and redฐuce the HIV infection. Thus, entire and effective AIDS prevention consulting services, condom usage popularization and patient screening are significant methods for preventing and controlling of HIV infection and transmission.
【Key words】 MSM HIV Highly Risky Behaviors
男男性行为者是艾滋病病毒感染与传播的高危人群之一。MSM人群的艾滋病病毒传播不仅与自身高危行为有关,还与性伴类型、性伴交往模式、性伴的高危行为等因素相关。目前对于MSM人群性伴特征、艾滋病高危行为与HIV感染关系了解不足。了解和掌握其人群的HIV感染情况与影响因素,对于整个人群的艾滋病防治工作具有非常重要的意义。
1 对象与方法
1.1 调查对象1.2 调查、统计方法
收集被调查者个人基本情况,了解艾滋病防治知识掌握情况,询问最近六个月是否有同性肛交性行为、同性商业性行为、异性性行为及安全套使用情况,有无吸毒、性病史,最近一年是否接受过预防艾滋病的宣传或咨询服务等,将全部调查资料及实验室结果录入Excel进行统计和分析。
1.3 检测方法
按《全国艾滋病检测技术规范》要求,每人采静脉血5ml,分离血清,HIV抗体筛查试验采用酶联免疫吸附试验(ELISA),筛查阳性者用免疫印迹法(WB)确认。梅毒筛查检测采用快速血浆反应素环状卡片试验(RPR),确认采用梅毒螺旋体明胶颗粒凝集试验(TPPA)。
2 结果
2.1 人口学特征2.2 艾滋病知识知晓情况
对800人进行艾滋病防治知识调查,调查表中关于艾滋病传播的8个问题,答对6个及以上算知晓,知晓率为95.5%。2.3 性行为
在调查的800名MSM人员中,最近六个月与同性有肛交性行为者的HIV抗体阳性率高于无肛交性行为者,其差异有统计学意义(x2=235.628,P=0.000),最近六个月有同性肛交性ฎ行为的人员中,从未使用和有时使用安全套者的HIV抗体阳性率高于每次使用者,其差异有统计学意义(x2=5.323,P=0.021),最近六个月与同性发生过商业性行为者HIV抗体阳性率略高于无商业性行为者,其差异无统计学意义。
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