【摘要】 目的分析郑州市男男性行为者(MSM)艾滋病病毒(HIV)及性病(STD)感染状况与流行病学特征,为MSM艾滋病流行控制提供科学依据。方法采用横断面调查方法,对郑州市MSM社会人口学特征、性行为特征及HIV/STD感染状况进行调查。结果共调查467名MSM,其中21~40岁占77.5%(362人),大专及以上文化程度占58.2%(272人),39.8%已婚或与女性同居。HIV抗体阳性率13.3%(62例),梅毒和2型单纯疱疹病毒(HSV-2)感染率分别为6.4%(30例)和11.3%(53例)。寻找性伴场所为浴池的MSM的HIV感染率为20.0%(27/135),显著高于其他类型MSM(χ2=7.46,P=0.006);梅毒感染者和HSV-2感染者HIV阳性率高于非梅毒感染者和非HSV-2感染者(χ2=7.79,P=0.005;χ2=6.57,P=0.01)。结论郑州市MSM的HIV感染率高,同时高危性行为普遍存在,性病患者是HIV感染的高危人群,应作为艾滋病预防控制的重点人群。更多还原

【Abstract】 Objective To analyze HIV/Sexual transmitted disease(STD)infection status and epidemiological characters among 467 men who have sex with men(MSM)and provide scientific evidence for HIV/AIDSprevention and control among MSM.Methods A cross-sectional survey was conducted in Zhengzhou.Information was collected in the survey including social demographical characters,sexual behavioral characters,and HIV/STI infection among MSM.Results 467 MSM were recruited,and 77.6%(362/467)of them were aged between 21-40 years old.58.2%(272/467)had education level of college and above,and 39.8% got married or living together with female partners.Infection rate of HIV,syphilis and HSV-2were 13.3%(62/467),6.4%(30/467)and 11.3%(53/467)respectively.MSM having homosexual partners mainly in public bathhouse had HIV infection rate of 20%(27/135),higher than other MSM(χ2=7.46,P=0.006).MSM infected with syphilis or HSV-2had a higher HIV infection rate than those without infection(χ2=7.79,P=0.005;χ2=6.57,P=0.01).Conclusion HIV prevalence among MSM in Zhengzhou is of a higher level.High risk behaviors are common among MSM.MSM with STD is of high risks to get HIV infection and measures should be taken for AIDS prevention and control among MSM.更多还原