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目的了解包头市男男性行为人群(MSM)艾滋病病毒(HIV)感染状况及其影响因素,为今后防控策略提供依据。方法应用SPSS 17.0软件,分析包头市2011-2012年MSM人群艾滋病哨点监测数据。结果 2011年调查402人,HIV阳性18例,感染率4.5%;2012年调查409人,HIV阳性24例,感染率5.9%,两年平均感染率为5.2%。单因素分析显示,民族、文化程度、最近1次肛交安全套使用、患性病是MSM人群HIV感染的影响因素;多因素Logistic回归分析显示,文化程度与HIV感染呈正相关,大专以上学历的MSM较大专以下者的HIV感染率高。患有性病可以增加HIV感染机会,最近1次与同性发生性行为时使用安全套可以减少HIV感染机会。结论包头市MSM人群艾滋病防控工作到了关键时期,加强对高学历MSM人群的宣传教育,增强其危险防范意识,推广安全套使用,提供方便规范的性病诊疗服务,有助于降低HIV感染的可能性。
Objective To understand the status of HIV infection among men who have sex with men (MSM) and its influencing factors in Baotou City, and to provide basis for future prevention and control strategies. Methods SPSS 17.0 software was used to analyze the sentinel surveillance data of MSM in Baotou from 2011 to 2012. Results In 2011, 402 people were surveyed and 18 were HIV positive, with an infection rate of 4.5%. In 2012, 409 people were surveyed and 24 were HIV positive, with an infection rate of 5.9%. The average infection rate in two years was 5.2%. Univariate analysis showed that ethnicity, educational level, condom use in the last anal intercourse, and sexually transmitted diseases were the influencing factors of HIV infection in MSM population. Multivariate logistic regression analysis showed that there was a positive correlation between educational level and HIV infection. The following HIV infection rate is high. Suffering from sexually transmitted diseases can increase the chances of HIV infection and the use of condoms during the last sexual encounter with same-sex adults can reduce the chances of HIV infection. Conclusion The prevention and control of AIDS in MSM population in Baotou City has reached a crucial stage. Publicity and education for MSM population with higher education qualifications are strengthened, their awareness of danger prevention is promoted, the use of condoms is promoted, the convenience of normative STD diagnosis and treatment service is provided, and the possibility of HIV infection is reduced. .