HIV抗體陽(yáng)性MSM的性病感染狀況及其影響因素
發(fā)布時(shí)間:2018-06-17 18:54
本文選題:艾滋病病毒 + 男男性行為者 ; 參考:《中國(guó)艾滋病性病》2017年07期
【摘要】:目的了解艾滋病病毒(HIV)抗體陽(yáng)性的男男性行為者(MSM)的性病感染狀況及其影響因素,為MSM的艾滋病防治策略提供科學(xué)依據(jù)。方法 2016年8-11月,采用方便抽樣的方法,在上海、濟(jì)南兩地兩家醫(yī)院內(nèi),抽取正在進(jìn)行抗病毒治療的HIV陽(yáng)性MSM進(jìn)行問(wèn)卷調(diào)查和實(shí)驗(yàn)室檢測(cè)。結(jié)果共調(diào)查380例HIV陽(yáng)性MSM,其中梅毒感染者63例,感染率16.6%[95%可信區(qū)間(CI):12.9%~20.5%];尖銳濕疣50例,感染率13.2%(95%CI:10.0%~17.1%);生殖器皰疹和淋球菌感染各1例,感染率各為0.3%(95%CI:0~0.8%);未檢出生殖道衣原體陽(yáng)性者?偟男圆「腥菊哂98例,感染率為25.8%(95%CI:21.6%~30.0%)。影響性病感染的多因素Logistic回歸分析顯示,年齡≤29歲[比值比(OR)=4.94,95%CI:1.02~24.47]、CD4~+T淋巴細(xì)胞水平低于正常值(OR=2.20,95%CI:1.34~3.60)和不知曉性病知識(shí)(OR=1.82,95%CI:1.15~3.25),是感染性病的危險(xiǎn)因素。結(jié)論抗病毒治療門診中的HIV抗體陽(yáng)性MSM的性病感染率相對(duì)較高,建議進(jìn)一步加強(qiáng)對(duì)該人群的性病防范宣傳教育以及性病的篩查和診療服務(wù),將有助于降低性病感染率,從而減少HIV的傳播。
[Abstract]:Objective to investigate the prevalence of sexually transmitted diseases (STDs) in MSM (MSM) patients with positive HIV / AIDS antibody (HIV / AIDS) and to provide a scientific basis for HIV / AIDS prevention and treatment strategies of MSM. Methods from August to November 2016, a questionnaire survey and laboratory tests were conducted in two hospitals in Shanghai and Jinan. Results A total of 380 HIV positive MSMs were investigated, 63 of whom were infected with syphilis, the infection rate was 16.6% [95% CI: 12.9%], 50 cases were condyloma acuminatum, the infection rate was 13.295 CI: 10.0% and 17.1%, 1 case was genital herpes and 1 case gonococcal infection, the infection rate was 0.39 95 CIW 0.8%, and there was no positive chlamydia in genital tract. There were 98 cases of sexually transmitted diseases, the infection rate was 25.8% and 95% CI: 21.6. The multivariate logistic regression analysis showed that the age 鈮,
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