摘要目的 了解目前新疆奎屯市男男性行为接触人群(men who have sex with men, MSM)艾滋病相关知识、行为学情况及艾滋病病毒感染状况,为今后干预工作提供依据。 方法 在新疆奎屯市采用滚雪球和网络招募的方式对MSM人群进行问卷调查,并采集血样进行艾滋病病毒(HIV)、梅毒及丙型肝炎(HCV)抗体检测,并对收集的所有数据进行统计描述、单因素χ2检验及多因素二分类logistic回归分析。 结果 本次共调查奎屯市MSM者244人,其中艾滋病知识的知晓率为84.02%,艾滋病病毒感染率7.41%,梅毒抗体阳性2人(0.82%),丙肝未检出阳性患者,其中梅毒、艾滋双感染1例 。单因素及多因素分析显示除最近6个月与同性发生性行为时安全套的使用情况是奎屯市HIV感染的主要影响因素(P<0.05),而其余各因素差异均无统计学意义(P＞0.05)。多因素分析显示,每次都用安全套的MSM者发生HIV感染的风险是有时使用安全套的MSM者的0.174倍(95%CI:0.064~0.470),是HIV感染的保护因素。 结论 奎屯市MSM人群艾滋病病毒感染率较高,但安全套坚持使用会明显的降低艾滋病感染的风险,故因积极的对MSM人群开展综合性的干预教育工作,并提高安全套坚持使用率,从而有效的控制该人群艾滋病的感染率。
Abstract：Objective To investigate the status of HIV/AIDS-related knowledge, behavior and human immunodeficiency virus (HIV) infection among men who have sex with men (MSM) in Kuitun City so as to provide evidence for developing related prevention and control measures. Methods Snowball sampling and network recruiting methods were used to recruit MSM in Kuitun City, Xinjiang, and then a questionnaire survey was conducted. The blood samples were collected for testing the antibodies against HIV, syphilis and hepatitis C virus (HCV). At last, all the data were analyzed by descriptive, univariate and multivariate logistic regression analyses. Results A total of 244 MSM were recruited in this investigation. The awareness rate of HIV/AIDS-related knowledge was 84.02%, and the HIV infection rate was 7.41%. 2 (0.82%) MSM tested positive for syphilis antibody, but none of the MSM positive for HCV antibody. 1 case of syphilis and HIV co-infection was detected. Univariate and multivariate logistic regression analyses revealed that no statistically significant differences were found in all the factors affecting HIV infection (P>0.05) except consistent condom use in homosexual behavior during the last six months(P<0.05). Multivariate regression analysis showed that the risk of HIV infection in MSM with consistent condom use in homosexual behavior was 0.174 times that in MSM with inconstant condom use(95%CI:0.064-0.470), indicating that consistent condom use in homosexual behavior was the protective factor for HIV infection. Conclusions The HIV infection rate of MSM group in Kuitun City is high. Consistent condom use can significantly decline the risk of HIV infection; and hence, it is necessary to actively conduct comprehensive intervention and education and improve consistent condom use among MSM group so as to effectively control the HIV infection rate among them.
杨爱学, 李淼. 奎屯市244例MSM人群艾滋病知识行为及感染状况分析[J]. 实用预防医学, 2018, 25(5): 576-578.
YANG Ai-xue, LI miao. HIV/AIDS-related knowledge and behavior and statusof HIV infection among 244 MSM in Kuitun City. , 2018, 25(5): 576-578.
2018, Vol. 25 
