梅慧娟, 何春燕, 李静, 李桂霞, 汪剡灵, 许圆圆, 沈伟伟, 翁坚, 陈潇潇. 2016-2020年浙江省台州市首次和非首次接受HIV检测的男男性行为人群HIV感染状态及其影响因素[J]. 疾病监测, 2021, 36(12): 1331-1336. DOI: 10.3784/jbjc.202102070064
引用本文: 梅慧娟, 何春燕, 李静, 李桂霞, 汪剡灵, 许圆圆, 沈伟伟, 翁坚, 陈潇潇. 2016-2020年浙江省台州市首次和非首次接受HIV检测的男男性行为人群HIV感染状态及其影响因素[J]. 疾病监测, 2021, 36(12): 1331-1336. DOI: 10.3784/jbjc.202102070064
Mei Huijuan, He Chunyan, Li Jing, Li Guixia, Wang Yanling, Xu Yuanyuan, Shen Weiwei, Weng Jian, Chen Xiaoxiao. HIV infection status and influencing factors in men who have sex with men receiving the first and non-first HIV testing in Taizhou, Zhejiang, 2016–2020[J]. Disease Surveillance, 2021, 36(12): 1331-1336. DOI: 10.3784/jbjc.202102070064
Citation: Mei Huijuan, He Chunyan, Li Jing, Li Guixia, Wang Yanling, Xu Yuanyuan, Shen Weiwei, Weng Jian, Chen Xiaoxiao. HIV infection status and influencing factors in men who have sex with men receiving the first and non-first HIV testing in Taizhou, Zhejiang, 2016–2020[J]. Disease Surveillance, 2021, 36(12): 1331-1336. DOI: 10.3784/jbjc.202102070064

2016-2020年浙江省台州市首次和非首次接受HIV检测的男男性行为人群HIV感染状态及其影响因素

HIV infection status and influencing factors in men who have sex with men receiving the first and non-first HIV testing in Taizhou, Zhejiang, 2016–2020

  • 摘要:
      目的  了解2016 — 2020年浙江省台州市首次和非首次接受人类免疫缺陷病毒(HIV)检测的男男性行为人群(MSM)HIV感染状况及其影响因素。
      方法  按照全国艾滋病哨点监测实施方案要求,采用横断面研究,在2016 — 2020年利用滚雪球抽样、群体宣传、活动场所招募等方式招募MSM展开调查。
      结果  共调查并纳入分析1 870例MSM,年龄(34.99±13.39)岁。 其中27.4%(505/1 870)的研究对象在此次调查中首次接受HIV检测。 本次调查中首次和非首次接受HIV检测的MSM中HIV抗体阳性检测率分别为13.7%和8.4%,差异有统计学意义(χ2=11.40,P<0.001)。 在首次接受HIV检测的MSM人群中,高中或中专学历及大专及以上学历相对初中及以下学历HIV检测阳性的风险较低(OR=0.46,95% CI:0.23~0.92,P=0.029;OR=0.37,95% CI:0.16~0.84,P=0.017);相比近1年被诊断性病者,未被诊断性病者HIV检测阳性的风险较低(OR=0.29,95% CI:0.09~0.92,P=0.036);相比在酒吧/歌舞厅/茶室/会所获得的样本,自愿咨询与监测点所得样本HIV检测阳性的风险较高(OR=2.35,95% CI:1.21~4.56,P=0.011);相对获得艾滋病预防相关卫生服务者,未获得相关服务者HIV检测阳性的风险较高(OR=1.83,95% CI:1.07~3.11,P=0.026)。
      结论  台州市首次接受HIV检测的MSM中HIV风险较高,需要对学历较低、有性病史、自愿咨询与监测点等人群进行重点监测。

     

    Abstract:
      Objective  To understand the HIV infection status and the influencing factors in men who have sex with men (MSM) receiving the first and non-first HIV-test in Taizhou, Zhejiang province, from 2016 to 2020.
      Methods  A cross-sectional study was conducted in MSM selected through through snowball sampling, health education and field recruitment in Taizhou during 2016–2020 according to the requirements of the national HIV sentinel surveillance protocol.
      Results  A total of 1 870 MSM with mean age of (34.99±13.39) years were surveyed and included in the analysis, in whom, 27.4% (505/1 870) received the first HIV testing in this survey. The positive rates of HIV in the MSM receiving the first and non-first HIV testing were 13.7% and 8.4%, respectively, the difference was significant ( χ2=11.40, P<0.001). Among MSM who received the first HIV testing, the HIV positive rate was lower in those with senor high school, secondary technical school and college and higher education levels than in those with junior high school or lower education levels (OR=0.46, 95% CI: 0.23–0.92, P=0.029; OR=0.37, 95% CI: 0.16–0.84, P=0.017) and in those without STD diagnoses than in those with STD diagnosis in last year STD (OR=0.29, 95% CI: 0.09–0.92, P=0.036), but the HIV positive rate was higher in samples from volunteer consulting and surveillance sites than in samples obtained at bars/dance clubs/tea rooms/clubs (OR=2.35, 95% CI: 1.21–4.56, P=0.011) and in MSM who received no HIV prevention services than in those who received HIV prevention services (OR=1.83, 95% CI: 1.07–3.11, P=0.026).
      Conclusion  The risk of HIV infection was higher in MSM who received HIV testing for the first time in Taizhou. It is necessary to strengthen the HIV counseling and sentinel surveillance for MSM with lower education level and history of STDs.

     

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