宣舟斌, 韩雪, 商颖, 徐湘, 李志义, 陈隽, 谢梦, 张宏伟, 丁一波. 146名男男性行为高校学生HIV、梅毒感染现状[J]. 上海预防医学, 2017, 29(11): 863-866. DOI: 10.19428/j.cnki.sjpm.2017.11.009
引用本文: 宣舟斌, 韩雪, 商颖, 徐湘, 李志义, 陈隽, 谢梦, 张宏伟, 丁一波. 146名男男性行为高校学生HIV、梅毒感染现状[J]. 上海预防医学, 2017, 29(11): 863-866. DOI: 10.19428/j.cnki.sjpm.2017.11.009
shu
Zhou-bin XUAN, Xue HAN, Ying SHANG, Xiang XU, Zhi-yi LI, Jun CHEN, Meng XIE, Hong-wei ZHANG, Yi-bo DING. Status and related factors analysis on HIV and syphilis infection among MSM in colleges in Yangpu District, Shanghai[J]. Shanghai Journal of Preventive Medicine, 2017, 29(11): 863-866. DOI: 10.19428/j.cnki.sjpm.2017.11.009
Citation: Zhou-bin XUAN, Xue HAN, Ying SHANG, Xiang XU, Zhi-yi LI, Jun CHEN, Meng XIE, Hong-wei ZHANG, Yi-bo DING. Status and related factors analysis on HIV and syphilis infection among MSM in colleges in Yangpu District, Shanghai[J]. Shanghai Journal of Preventive Medicine, 2017, 29(11): 863-866. DOI: 10.19428/j.cnki.sjpm.2017.11.009
shu

146名男男性行为高校学生HIV、梅毒感染现状

Status and related factors analysis on HIV and syphilis infection among MSM in colleges in Yangpu District, Shanghai

    摘要
  • 摘要:
    目的调查上海市杨浦区高校男男性行为者(MSM)的高危行为特征及人类免疫缺陷病毒(HIV)及梅毒感染状况，为上海高校MSM人群的艾滋病防控提供参考依据。
    方法2014年1月—2015年12月，在上海市杨浦区各高校内采用滚雪球法招募高校MSM人群, 并进行问卷调查，同时开展HIV及梅毒血清学检测。
    结果146名MSM调查学生中，年龄为17~33岁，平均(23.5±3.0)岁，其中以本科生为主，占52.0%。138名被调查者在最近6个月发生过同性肛交行为，其中无保护性行为占50.7%。140名被调查者最近6个月发生过同性口交行为，其中无保护性行为85.6%。教育层次与无保护性行为之间差异有统计学意义(χ肛交2=12.5，P=0.006)。28人发生过异性性行为，其中安全套使用率为35.7%。有无女朋友与无保护同性肛交行为差异无统计学意义(χ2=0.337，P=0.562)。研究对象中HIV感染率为4.1%，梅毒感染率为2.7%，其中合并HIV感染2人。
    结论杨浦区高校MSM人群无保护性行为发生率高，应加强健康教育与行为干预。

     

    Abstract:
    ObjectiveTo investigate the high-risk behavior characteristics and infection status of HIV and syphilis among men who have sex with men (MSM) in colleges in Yangpu District, Shanghai. To provide basic information for the prevention and control of AIDS among MSM population in colleges, and offer reference for the prevention and control strategy of this population or the educational propaganda model of sexual education in colleges.
    MethodsQuestionnaire surveys were conducted among MSM recruited in college by snowball method from January 2014 to December 2015;HIV and syphilis serology detections were carried out at the same time.
    ResultsOf the 146 MSM respondents aged from 17 to 33 years old, the average age was 23.5±3.0. Undergraduate students accounted for majority, 52%; 138 respondents had homosexual anal sex in the last 6 months, including 50.7% unprotected sexual behavior. 140 respondents had homosexual oral sex in the last six months, including 85.6% unprotected sexual behavior. There were significant differences between education level and unprotected sexual behavior (χanal sex2=12.5, P=0.006). And 28 persons had heterosexual behaviors, among which condom use rate was 35.7%. No significant difference was found between having a girl friend and unprotected homosexual anal sex (χ2=0.337, P=0.562). The HIV infection and syphilis infection rate were 4.1% and 2.7% respectively. Two were co-infected among them.
    ConclusionsIn view of the high incidence of unprotected behavior in MSM population in Yangpu District, the departments concerned should strengthen health education and behavioral intervention.

     

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