[1]赵立华,蒋岸,张蕴慧,等.宁夏男男性行为者HIV新发感染及影响因素分析[J].中国皮肤性病学杂志,2015,(01):50-52.[doi:10.13735/j.cjdv.1001-7089.2015.0050]
 ZHAO Li hua,JIANG An,ZHANG Yun hui,et al.Study on Incidence of HIV and Its Influencing Factors among MSM in Ningxia[J].The Chinese Journal of Dermatovenereology,2015,(01):50-52.[doi:10.13735/j.cjdv.1001-7089.2015.0050]
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宁夏男男性行为者HIV新发感染及影响因素分析
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《中国皮肤性病学杂志》[ISSN:1001-7089/CN:61-1197/R]

卷:
期数:
2015年01期
页码:
50-52
栏目:
性传播疾病
出版日期:
2015-01-01

文章信息/Info

Title:
Study on Incidence of HIV and Its Influencing Factors among MSM in Ningxia
作者:
赵立华蒋岸张蕴慧王雪敏
宁夏自治区疾病预防控制中心,宁夏 银川 750004
Author(s):
ZHAO LihuaJIANG AnZHANG YunhuiWANG Xueming
Ningxia Hui Autonomous Region Center for Disease Control and Prevention,Yinchuan 750004,China
关键词:
男男性行为人群艾滋病队列研究新发感染影响因素
Keywords:
Men who have sex with menAIDSCohort studyHIV incidenceInfluencing factors
分类号:
R 512.91
DOI:
10.13735/j.cjdv.1001-7089.2015.0050
文献标志码:
B
摘要:
目的了解宁夏男男性行为者的艾滋病病毒新发感染情况,并分析其影响因素及队列保持情况,为决策提供建议。方法采用前瞻性开放性队列研究方法,2011年4-6月建立队列,6个月及12个月后分别随访,问卷调查收集社会人口学、行为学等信息和艾滋病病毒检测情况。艾滋病新发感染率的影响因素采用COX回归分析。结果剔除本底招募中的18例艾滋病病毒抗体阳性,共调查符合条件的男男性行为者726例。随访组309例中,艾滋病病毒新发感染率为2.90/100人年(95%CI:1.45~5.80)。多因素分析艾滋病病毒新发感染的危险因素为近6个月4个以上性伴(HR=13.82,95%CI:6.55~24.10),保护因素为近1年接受过咨询检测(HR=0.04,95%CI:0.01~0.15)。肛交时使用安全套,接受艾滋病相关服务随访者较脱失者高。脱失人群未婚或离异的比例较高(P<0.05)。结论宁夏男男性行为人群中HIV发病率较发达地区低,存在不安全性行为,随访人群接受干预的比例较脱失人群高。应加大检测咨询为主的综合干预措施,遏制艾滋病在该人群的传播。
Abstract:
ObjectiveTo investigate the HIV infection situation among men who have sex with men(MSM)in Ningxia and to examine the related factors with the HIV infection and the cohort retention.MethodsA prospective cohort established during April 2011June 2011,6 months and 12 months followup,patricians completed the questionnaire which included social demographic characteristics,sex behaviors,and other in formations,the influence factors of new HIV infections by COX regression analysis.ResultsThe 726 MSM participants,310 participants were followed at least two times,the incidence of HIV were 2.90/100 manyear (95%CI:1.45~5.80).The multivariate analysis showed that the more than 4 sexual partners was a risk factors(HR=13.819,95%CI:6.547~24.987),and received testing consultation was protective factors(HR=0.040,95%CI:0.013~0.148).There was statistical difference in condom use with homosexual behavior,acceptability of AIDS related services,and marriage between followup group and depigmentation group(P<0.05).ConclusionThe HIV incidence of MSM in Ningxia are lower in the developed area,MSM has a certain proportion of unsafe sex behavior,followup group acceptability of AIDS related services is higher than depigmentation group.We should increase the testing and counseling intervention based measures to curb the spread of AIDS in MSM.

参考文献/References:

[1] 李东亮,高彦杰,于明润,等.北京市男男性行为者HIV新发感染率及影响因素研究[J].中华流行病学杂志,2012,33(7):663-666.
[2] 中华人民共和国卫生部,联合国艾滋病规划署,世界卫生组织.2011年中国艾滋病疫情估计[R].北京,2011:11-12.
[3] 中国疾病预防控制中心性病艾滋病预防控制中心.全国艾滋病哨点监测实施方案(试行)操作手册[S].2011:16-18.
[4] 冯连贵,丁贤彬,卢戎戎,等.重庆市男男性行为者HIV抗体阳转率及其影响因素研究[J].中华疾病控制杂志,2011,15(7):564-567.
[5] 杨东智,吴忠兰,赵立华,等.BED发病捕获酶联法检测宁夏男男性行为人群HIV新发感染[J].宁夏医学杂志,2012,34(4):611-612.
[6] 张政,李清春,邵一鸣,等.北京市男男性行为人群队列随访中高危行为变化的调查研究[J].中国艾滋病性病,2009,15,15(6):586-591.
[7] Baggaley RF,White RG,Boily MC.HIV transmission risk through anal intercourse:systematic review metaanalysis and implication for HIV prevention[J].Int J Epidemiol,2010,39(4):1047-1062.
[8] 赵秀萍,曹小平,张福斯,等.苏州市男男性行为人群HIV感染的配比病例队列研究[J].中国艾滋病性病,2010,16(6):558-561.

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备注/Memo

备注/Memo:
[基金项目]中美艾滋病防治合作项目(ChinaUS CooperationGlobal AIDS Program,GAP)(2011-2012-宁夏-10)
更新日期/Last Update: 2015-01-25