綿陽市MSM隊列研究梅毒新發(fā)感染及影響因素
發(fā)布時間:2018-04-02 20:56
本文選題:男男性行為者 切入點:隊列研究 出處:《中國公共衛(wèi)生》2014年10期
【摘要】:目的了解四川省綿陽市男男性行為者(MSM)梅毒新發(fā)感染情況及影響因素。方法 2009年6—9月采用同伴推動招募法(RDS)在綿陽城區(qū)招募調(diào)查符合條件梅毒檢測陰性的MSM建立開放性前瞻隊列,每年隨訪1次,連續(xù)3年。隨訪中不足基線調(diào)查樣本部分結(jié)合滾雪球抽查法,依據(jù)納入條件補(bǔ)充調(diào)查對象。結(jié)果研究期間共納入隊列583人,隨訪535.5人年,梅毒陽轉(zhuǎn)30例,新發(fā)感染率5.6/100人年(95%CI=3.7/100人年~7.6/100人年),近2年明顯下降。多因素分析顯示,婚姻狀況(RR=2.377,95%CI=1.035~5.459)、艾滋病知識知曉(RR=4.278,95%CI=1.941~9.431),近1年接受過同伴教育(RR=2.281,95%CI=1.081~4.815),近6月診斷過性病(RR=4.743,95%CI=1.829~12.302)是梅毒新發(fā)感染的獨立影響因素。結(jié)論綿陽市MSM人群梅毒新發(fā)感染有所下降,但感染率仍較高,受婚姻狀況、艾滋病知識知曉、同伴教育和性病感染影響。
[Abstract]:Objective to investigate the incidence and influencing factors of syphilis in MSMM in Mianyang, Sichuan province.Methods from June to September 2009, Peer driven recruitment (RDS) was used to establish an open prospective cohort of syphilis negative MSM in Mianyang urban area, followed up once a year for 3 consecutive years.In the follow-up, some samples of baseline survey were combined with snowball sampling method to supplement the subjects according to the inclusion conditions.Results A total of 583 people were enrolled in the study period, and 535.5 follow-up years were followed up. 30 cases of syphilis positive turned to positive. The rate of new infection was 5.6% / 100 person / year / 95% CIQ / 100 person year or 7.6% / 100 person / year, and the last two years were obviously decreased.澶氬洜绱犲垎鏋愭樉紺,
本文編號:1702068
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