本文選題：男男性行為者 + 艾滋病　； 參考：《現(xiàn)代預(yù)防醫(yī)學(xué)》2017年13期

【摘要】：目的了解2010-2014年山東省網(wǎng)絡(luò)型的男男性行為者(Men Who have Sex with Men,MSM)行為特征、HIV感染及其危險因素,為針對性實施男男性行為人群高危行為干預(yù)提供依據(jù)。方法 2010-2014年選擇全省8個市網(wǎng)絡(luò)型MSM為研究對象,分析其人口學(xué)特點、艾滋病知識、行為特征及HIV感染狀況及影響因素。結(jié)果共招募網(wǎng)絡(luò)型MSM 1 640人,平均年齡為(27.43±6.67)歲,以21~30歲年齡組為主,年齡越大,感染率越高;研究對象艾滋病知識知曉率呈上升趨勢(P0.05);HIV抗體陽性率分別為0.2%、0.3%、1.0%、2.3%、8.4%;近半年發(fā)生同性肛交性行為、每次使用安全套的同性肛交性行為和異性性行為均呈上升趨勢(P0.05);單因素分析顯示,31~40歲年齡組、本地居住時間在3個月以內(nèi)、外省籍、最近半年發(fā)生過同性肛交性行為、未接受過安全套發(fā)放/艾滋病咨詢檢測的MSM HIV感染率高。多因素Logistic回歸分析顯示,本地居住時間在3個月以內(nèi)、外省籍及最近半年與同性發(fā)生肛交是HIV感染的危險因素,而接受過安全套發(fā)放/艾滋病咨詢檢測是預(yù)防HIV感染的保護因素。結(jié)論網(wǎng)絡(luò)型MSM人群堅持使用安全套水平較低,感染率持續(xù)上升,應(yīng)采取針對性措施強化干預(yù)。
[Abstract]:Objective to investigate the behavioral characteristics and risk factors of men who have sex with men with (MSM) in Shandong province from 2010 to 2014, so as to provide evidence for the intervention of high-risk behaviors among men who have sex with men. Methods from 2010 to 2014, 8 cities with MSM were selected as the research objects, and their demographic characteristics, AIDS knowledge, behavioral characteristics, HIV infection status and influencing factors were analyzed. Results the average age was (27.43 鹵6.67) years old. The main age group was 2130 years old. The higher the age, the higher the infection rate. The AIDS knowledge awareness rate of the study subjects showed an increasing trend (P0.05) the positive rate of HIV antibody was 0.2and 0.30.32% respectively. Homosexual anal sex and heterosexual sex were on the rise every time condom was used (P0.05). Univariate analysis showed that the age group of 40 years old had sex with the same sex in the last six months, and the local residence time was less than 3 months. MSM HIV infection rate was high without condom distribution / AIDS counseling test. Multivariate logistic regression analysis showed that local residence time was less than 3 months. The risk factors of HIV infection were natives from other provinces and anal sex with the same sex in the last half year. Condom distribution / AIDS counseling and testing is a protective factor to prevent HIV infection. Conclusion the level of condom use is low and the infection rate is rising in the network MSM population, and some measures should be taken to strengthen the intervention.
【作者單位】： 濟南大學(xué)山東省醫(yī)學(xué)科學(xué)院醫(yī)學(xué)與生命科學(xué)學(xué)院;山東省疾病預(yù)防控制中心;山東大學(xué)公共衛(wèi)生學(xué)院;山東省傳染病預(yù)防控制重點實驗室;
【分類號】：R512.91

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