陈潇潇, 乔晓彤, 沈伟伟, 汪剡灵, 许圆圆, 林海江, 蔡统利. 台州市2010—2017年哨点监测50岁以上男男性行为人群HIV感染状况及相关因素分析[J]. 上海预防医学, 2018, 30(12): 980-985. DOI: 10.19428/j.cnki.sjpm.2018.18822
引用本文: 陈潇潇, 乔晓彤, 沈伟伟, 汪剡灵, 许圆圆, 林海江, 蔡统利. 台州市2010—2017年哨点监测50岁以上男男性行为人群HIV感染状况及相关因素分析[J]. 上海预防医学, 2018, 30(12): 980-985. DOI: 10.19428/j.cnki.sjpm.2018.18822
CHEN Xiao-xiao, QIAO Xiao-tong, SHEN Wei-wei, WANG Jing-ling, XU Yuan-yuan, LIN Hai-jiang, CAI Tong-li. Sentinel surveillance on HIV status and related factors among men who have sex with men above 50 years in Taizhou Prefecture from 2010 to 2017[J]. Shanghai Journal of Preventive Medicine, 2018, 30(12): 980-985. DOI: 10.19428/j.cnki.sjpm.2018.18822
Citation: CHEN Xiao-xiao, QIAO Xiao-tong, SHEN Wei-wei, WANG Jing-ling, XU Yuan-yuan, LIN Hai-jiang, CAI Tong-li. Sentinel surveillance on HIV status and related factors among men who have sex with men above 50 years in Taizhou Prefecture from 2010 to 2017[J]. Shanghai Journal of Preventive Medicine, 2018, 30(12): 980-985. DOI: 10.19428/j.cnki.sjpm.2018.18822

台州市2010—2017年哨点监测50岁以上男男性行为人群HIV感染状况及相关因素分析

Sentinel surveillance on HIV status and related factors among men who have sex with men above 50 years in Taizhou Prefecture from 2010 to 2017

  • 摘要:
    目的了解浙江省台州市2010—2017年艾滋病哨点监测对象中,50岁以上男男性行为者(MSM)的HIV感染状况及行为特征,分析其相关因素,为制定针对性干预策略提供依据。
    方法利用台州市2010—2017年MSM哨点监测资料,分析50岁以上者的人口学特征、艾滋病知识知晓情况、性行为特征, 并通过多因素回归分析HIV感染状况及相关因素。
    结果2010—2017年,共调查334名50岁以上的MSM,HIV阳性率为14.1%。334人的平均年龄为(59.6±7.2)岁,初中及以下学历者占76.0%,艾滋病知识知晓率为85.6%。其中,最近6个月与同性发生肛交性行为的占78.7%,每次都用安全套的比例为30.4%;最近6个月与同性发生商业性行为的占4.8%,与异性发生性行为的占37.1%。多因素分析显示,梅毒阳性是HIV感染的危险因素(OR=2.81,95%CI为1.14~6.89),知晓艾滋病相关知识是HIV感染的保护因素(OR=0.37,95%CI为0.15~0.94)。
    结论台州市50岁以上MSM的HIV阳性率较高,高危行为广泛存在,应加强对该人群动态HIV监测和高危行为干预,减少不安全性行为。

     

    Abstract:
    ObjectiveTo investigate the HIV infection status and behavioral characteristics of men who have sex with men (MSM) over the age of 50 in Taizhou during 2010-2017 HIV sentinel surveillance, analyze the related factors of HIV infection, and provide basis for developing targeted intervention strategies.
    Methods HIV sentinel surveillance data from 2010 to 2017 in Taizhou was used to analyze the demographic characteristics, HIV awareness, and sexual behaviors of MSM over the age of 50.Also, HIV infection status and related factors were analyzed by multivariate regression analysis.
    ResultsA total of 334 MSM aged over 50 were surveyed by HIV sentinel surveillance in 2010-2017, and the HIV positive rate was 14.1%.The average age of the 334 MSM was (59.6±7.2) years, and those with junior high school education and below accounted for 76.0%, with awareness of AIDS knowledge being 85.6%.And 78.7% of them had anal sex with men in the past 6 months.Among them, 30.4% used condoms each time.And 4.8% of them had commercial sex with men and 37.1% had sex with women in the past 6 months.Multivariate analysis showed that syphilis-positiveness was a risk factor for HIV infection and awareness of HIV-related knowledge proved to be a protective factor for HIV infection.
    Conclusion The MSM over 50 years old in Taizhou has a high rate of HIV-positiveness and high-risk behaviors exist.It is imperative to strengthen dynamic HIV surveillance for this population and behavioral intervention to reduce HIV related risky behavior.

     

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