鄭州市男男性接觸人群艾滋病流行趨勢(shì)及影響因素分析
發(fā)布時(shí)間：2018-10-29 11:30
【摘要】： 目的:了解鄭州市男男性接觸人群(MSM)的艾滋病流行狀況和影響因素,分析MSM人群艾滋病流行趨勢(shì),為艾滋病疫情估計(jì)和預(yù)測(cè)提供相關(guān)信息,為制定艾滋病防治策略和干預(yù)措施提供科學(xué)依據(jù)。 方法:2005～2008年每年對(duì)鄭州市的MSM人群進(jìn)行匿名問(wèn)卷調(diào)查,采用分層抽樣方法,根據(jù)MSM來(lái)源的場(chǎng)所不同而分為兩個(gè)層次:①公廁、公園等;②酒吧、夜總會(huì)、茶吧、浴池、桑拿等娛樂(lè)場(chǎng)所。再根據(jù)兩個(gè)層次MSM人群的估計(jì)數(shù),按比例抽樣。調(diào)查內(nèi)容包括:一般人口學(xué)信息、血清學(xué)信息、行為學(xué)信息和艾滋病知識(shí)有關(guān)信息等。用無(wú)菌注射器采集5ml靜脈血,分離血清,進(jìn)行HIV抗體、梅毒和丙型肝炎抗體檢測(cè)。用EpiData3.1軟件錄入資料,用SPSS15.0軟件進(jìn)行統(tǒng)計(jì)分析,計(jì)數(shù)資料采用率進(jìn)行描述分析,不同類別人群各種率的比較采用χ~2檢驗(yàn)。 結(jié)果:①一般情況:2005～2008年共調(diào)查871人,未婚者578人,占66.36%;已婚者251人,占28.82%,其他占4.82%。4年年齡變化,經(jīng)檢驗(yàn),F=64.38,P＜0.05,有統(tǒng)計(jì)學(xué)意義,有低齡化趨勢(shì)。共檢測(cè)出HIV抗體陽(yáng)性者38人,總陽(yáng)性率為4.36%,共檢測(cè)出梅毒陽(yáng)性者56人,總陽(yáng)性率為6.43%。871人中有664人在六個(gè)月內(nèi)有兩個(gè)或以上的同性性伴,占76.23%,有720人在六個(gè)月內(nèi)有肛交性行為,占82.66%,其中246人每次均使用安全套,占34.17%。315人在六個(gè)月內(nèi)有異性性伴,占36.17%,其中有68人有兩個(gè)或兩個(gè)以上的異性性伴。在最近六個(gè)月內(nèi)付出金錢(qián)或?yàn)榈玫浇疱X(qián)而與他人發(fā)生過(guò)性行為者有80人,占9.18%。②流行趨勢(shì):2005～2008年MSM人群每年的HIV感染率分別為2.63%、3.36%、3.74%、5.49%,經(jīng)χ~2檢驗(yàn),χ~2=3.147,P＞0.05,無(wú)統(tǒng)計(jì)學(xué)意義,HIV感染率變化不顯著;共檢測(cè)出梅毒陽(yáng)性56人,總的陽(yáng)性率為6.43%。4年梅毒感染率比較,經(jīng)χ~2檢驗(yàn),χ~2=19.127,P＜0.05,有統(tǒng)計(jì)學(xué)意義,梅毒感染率有明顯的上升趨勢(shì)。③影響因素分析:多同性性伴組HIV陽(yáng)性率明顯高于單一同性性伴組(χ~2=5.524,P＜0.05);不堅(jiān)持使用安全套組HIV感染率明顯高于全程堅(jiān)持使用安全套組(χ~2=6.008,P＜0.05);梅毒陽(yáng)性組中HIV感染率明顯高于梅毒陰性組(χ~2=26.941,P＜0.05)。 結(jié)論:鄭州市MSM人群中HIV感染率已經(jīng)達(dá)到較高水平。安全套使用率低、多性伴、梅毒感染率增高等是促使HIV在該人群中快速傳播的危險(xiǎn)因素。
[Abstract]:Objective: to understand the prevalence and influencing factors of (MSM) among men who have sex with men in Zhengzhou, analyze the trend of AIDS epidemic in MSM population, and provide relevant information for the estimation and prediction of HIV / AIDS epidemic situation. To provide scientific basis for the formulation of AIDS prevention and treatment strategy and intervention measures. Methods: an anonymous questionnaire survey was conducted on MSM population in Zhengzhou from 2005 to 2008. The stratified sampling method was used. According to the location of MSM, it was divided into two levels: (1) Public toilets, parks and so on; Bar, nightclub, tea bar, bath, sauna and other entertainment places. Then according to the two levels of MSM population estimates, according to the proportion of sampling. The survey includes: general demographic information, serological information, behavioral information and AIDS related information. The venous blood of 5ml was collected with sterile syringe, and the serum was isolated and tested for HIV antibody, syphilis and hepatitis C antibody. EpiData3.1 software was used to input data, SPSS15.0 software was used to carry out statistical analysis, and counting data was used to describe the data. The 蠂 ~ 2 test was used to compare the various rates of different groups of people. Results: 1 General situation: a total of 871 people were investigated from 2005 to 2008, of which 578 were unmarried, accounting for 66.36; There were 251 married persons (28.82%) and the others in 4.82 years (P < 0.05). The results showed that there was a statistical significance and a trend of younger age. A total of 38 HIV antibody positive people were detected, and the total positive rate was 4.36. The total positive rate of syphilis was 56, and the total positive rate was 6.43.871. 664 of them had two or more same-sex partners within six months, accounting for 76.23%. There were 720 people who had anal sex within six months (82.66), 246 of whom used condoms every time, 34.17.315 had heterosexual partners within six months, 36.17. Sixty-eight of them had two or more heterosexual partners. There were 80 people who had sex with others in the last six months, accounting for 9.18.2 epidemic trend: the annual HIV infection rate of MSM population from 2005 to 2008 was 2.63% and 3.36% / 3.74%, respectively. 5.49, 蠂 ~ 2 test showed that there was no significant change in HIV infection rate. A total of 56 syphilis positive cases were detected. The total positive rate of syphilis was 6.43.4 years. 蠂 ~ 2 test showed that there was significant difference between the two groups (P < 0.05). The infection rate of syphilis increased significantly. 3 the positive rate of HIV in multiple sex partners was significantly higher than that in single sex partners (蠂 ~ 2 = 5.524, P < 0. 05). The infection rate of HIV in the group without condom use was significantly higher than that in the group of adherence to condom use (蠂 ~ 26.008, P < 0. 05), and the infection rate of HIV in the positive group of syphilis was significantly higher than that in the group of negative syphilis (蠂 ~ 2, 26.941, P < 0. 05). Conclusion: the infection rate of HIV in MSM population in Zhengzhou has reached a high level. Low condom use, multiple partners, and increased syphilis infection rate are the risk factors for rapid transmission of HIV in this population.
【學(xué)位授予單位】：鄭州大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2009
【分類號(hào)】：R512.91;R181.3
本文編號(hào)：2297572
[Abstract]:Objective: to understand the prevalence and influencing factors of (MSM) among men who have sex with men in Zhengzhou, analyze the trend of AIDS epidemic in MSM population, and provide relevant information for the estimation and prediction of HIV / AIDS epidemic situation. To provide scientific basis for the formulation of AIDS prevention and treatment strategy and intervention measures. Methods: an anonymous questionnaire survey was conducted on MSM population in Zhengzhou from 2005 to 2008. The stratified sampling method was used. According to the location of MSM, it was divided into two levels: (1) Public toilets, parks and so on; Bar, nightclub, tea bar, bath, sauna and other entertainment places. Then according to the two levels of MSM population estimates, according to the proportion of sampling. The survey includes: general demographic information, serological information, behavioral information and AIDS related information. The venous blood of 5ml was collected with sterile syringe, and the serum was isolated and tested for HIV antibody, syphilis and hepatitis C antibody. EpiData3.1 software was used to input data, SPSS15.0 software was used to carry out statistical analysis, and counting data was used to describe the data. The 蠂 ~ 2 test was used to compare the various rates of different groups of people. Results: 1 General situation: a total of 871 people were investigated from 2005 to 2008, of which 578 were unmarried, accounting for 66.36; There were 251 married persons (28.82%) and the others in 4.82 years (P < 0.05). The results showed that there was a statistical significance and a trend of younger age. A total of 38 HIV antibody positive people were detected, and the total positive rate was 4.36. The total positive rate of syphilis was 56, and the total positive rate was 6.43.871. 664 of them had two or more same-sex partners within six months, accounting for 76.23%. There were 720 people who had anal sex within six months (82.66), 246 of whom used condoms every time, 34.17.315 had heterosexual partners within six months, 36.17. Sixty-eight of them had two or more heterosexual partners. There were 80 people who had sex with others in the last six months, accounting for 9.18.2 epidemic trend: the annual HIV infection rate of MSM population from 2005 to 2008 was 2.63% and 3.36% / 3.74%, respectively. 5.49, 蠂 ~ 2 test showed that there was no significant change in HIV infection rate. A total of 56 syphilis positive cases were detected. The total positive rate of syphilis was 6.43.4 years. 蠂 ~ 2 test showed that there was significant difference between the two groups (P < 0.05). The infection rate of syphilis increased significantly. 3 the positive rate of HIV in multiple sex partners was significantly higher than that in single sex partners (蠂 ~ 2 = 5.524, P < 0. 05). The infection rate of HIV in the group without condom use was significantly higher than that in the group of adherence to condom use (蠂 ~ 26.008, P < 0. 05), and the infection rate of HIV in the positive group of syphilis was significantly higher than that in the group of negative syphilis (蠂 ~ 2, 26.941, P < 0. 05). Conclusion: the infection rate of HIV in MSM population in Zhengzhou has reached a high level. Low condom use, multiple partners, and increased syphilis infection rate are the risk factors for rapid transmission of HIV in this population.
【學(xué)位授予單位】：鄭州大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2009
【分類號(hào)】：R512.91;R181.3
【引證文獻(xiàn)】
相關(guān)期刊論文 前2條
1 張梟;毛軍;李朋;孫喬;肖紹坦;黃星;寧鎮(zhèn);Sarah Jane Steele;Ted Myers;;浦東新區(qū)男男性行為人群艾滋病相關(guān)的健康與求醫(yī)需求分析[J];環(huán)境與職業(yè)醫(yī)學(xué);2011年12期
2 陳繼軍;劉軍;李瑩;王艷艷;馬斌;古麗萍;趙愛(ài)玲;許靜;陳曉燕;;蘭州市男男性行為人群艾滋病流行趨勢(shì)及影響因素分析[J];中國(guó)艾滋病性病;2011年03期
，本文編號(hào)：2297572
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