唐仁海, 何春燕, 项丽芬, 高洁, 汤杨, 李林, 王雪贤, 杨跃诚, 王继宝, 姚仕堂, 叶润华, 何纳, 丁盈盈, 段松. 2018年德宏州385例男男性行为者艾滋病、梅毒及淋病检测情况分析[J]. 上海预防医学, 2021, 33(12): 1127-1130. DOI: 10.19428/j.cnki.sjpm.2021.20999
引用本文: 唐仁海, 何春燕, 项丽芬, 高洁, 汤杨, 李林, 王雪贤, 杨跃诚, 王继宝, 姚仕堂, 叶润华, 何纳, 丁盈盈, 段松. 2018年德宏州385例男男性行为者艾滋病、梅毒及淋病检测情况分析[J]. 上海预防医学, 2021, 33(12): 1127-1130. DOI: 10.19428/j.cnki.sjpm.2021.20999
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TANG Ren-hai, HE Chun-yan, XIANG Li-fen, GAO Jie, TANG Yang, LI Lin, WANG Xue-xian, YANG Yue-cheng, WANG Ji-bao, YAO Shi-tang, YE Run-hua, HE Na, DING Ying-ying, DUAN Song. AIDS， syphilis and gonorrhea testing results among 385 men who have sex with men in Dehong Prefecture in 2018[J]. Shanghai Journal of Preventive Medicine, 2021, 33(12): 1127-1130. DOI: 10.19428/j.cnki.sjpm.2021.20999
Citation: TANG Ren-hai, HE Chun-yan, XIANG Li-fen, GAO Jie, TANG Yang, LI Lin, WANG Xue-xian, YANG Yue-cheng, WANG Ji-bao, YAO Shi-tang, YE Run-hua, HE Na, DING Ying-ying, DUAN Song. AIDS， syphilis and gonorrhea testing results among 385 men who have sex with men in Dehong Prefecture in 2018[J]. Shanghai Journal of Preventive Medicine, 2021, 33(12): 1127-1130. DOI: 10.19428/j.cnki.sjpm.2021.20999
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2018年德宏州385例男男性行为者艾滋病、梅毒及淋病检测情况分析

AIDS， syphilis and gonorrhea testing results among 385 men who have sex with men in Dehong Prefecture in 2018

    摘要
  • 摘要:
    目的了解云南省德宏傣族景颇族自治州（简称“德宏州”）男男性行为者（MSM）艾滋病、梅毒、淋病感染情况及接受淋病检测的影响因素。
    方法采用横断面调查，对德宏州2018年接触到的385例MSM接受艾滋病、梅毒、淋病检测的情况进行描述和分析。采用多因素logistic回归分析MSM人群接受淋病检测的影响因素。
    结果385例MSM的艾滋病和梅毒检测率均为100.0%，HIV抗体阳性率为10.6%（41/385），梅毒阳性率为14.8%（57/385）；仅117例MSM愿意并接受了淋病奈瑟菌的检测，检测率为30.4%，阳性率为13.7%（16/117）。多因素分析显示，本地户籍（aOR=2.48，95%CI为1.33~4.65，P=0.004）和梅毒感染者（aOR=2.59，95%CI为1.43~4.71，P=0.002）的淋病检测率较高。
    结论德宏州MSM人群艾滋病、梅毒和淋病的阳性率较高，必须加强性病艾滋病综合干预措施，提高淋病的检测率。

     

    Abstract:
    ObjectiveTo understand the infection of AIDS， syphilis， and gonorrhea in men who have sex with men （MSM）， and the factors influencing the acceptance of gonorrhea testing in Dehong Dai Jingpo Autonomous Prefecture （Dehong Prefecture）， Yunnan Province.
    MethodsAcross-sectional survey was conducted to describe and analyze the acceptance of AIDS， syphilis， and gonorrhea testing among MSM tracked in Dehong Prefecture in 2018.
    ResultsA total of 385 MSM were included in the analysis， with a 100.0% HIV and syphilis testing rate. The HIV antibody positivity rate was 10.6% （41/385） and the positivity rate of syphilis antibody was 14.8%（57/385）. Only 30.4% of the subjects were willing to test for gonorrhea， and 13.7%（16/117）of them were test positive. Further multifactorial analysis revealed that local MSM and syphilis co-infected individuals were more likely to be tested for gonorrhea （aOR=2.48， 95%CI=1.33-4.65， P=0.004； aOR=2.59， 95%CI=1.43-4.71， P=0.002）.
    ConclusionThe positive rates of AIDS， syphilis and gonorrhea in MSM population in Dehong Prefecture are relatively high. Integrated interventions of STD/AIDS and gonorrhoea detection should be strengthened.

     

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