Ma Yanmin, Li Ning, Sun Dingyong, Nie Yugang, Li Jie, Wang Zhe
Institute for STD/AIDS Prevention and Control, Henan Provincial Center for Disease Control and Prevention, Zhengzhou 450016, China.
Institute for STD/AIDS Prevention and Control, Henan Provincial Center for Disease Control and Prevention, Zhengzhou 450016, China. Email:
Zhonghua Liu Xing Bing Xue Za Zhi. 2015 Feb;36(2):158-61.
To understand the infection status of HIV among men who have sex with men (MSM) in Henan province and provide scientific evidence for the development of AIDS prevention and control measures.
The analysis was conducted on the data about incidence of HIV infection and related risk factors among MSM in Henan from 2008 to 2013, which were obtained from AIDS reporting information system and AIDS survey in MSM.
The constituent of HIV infection in MSM increased from 1.3% in 2008 to 17.1% in 2013. The HIV infection rate in MSM increased from 4.69% in 2008 to 8.33% in 2013 (trend χ² = 39.24, P < 0.001). Univariate analysis indicated that the risk factors related with HIV infection included age (χ² = 21.03, P < 0.001), education level (χ² = 31.66, P < 0.001), occupation (χ² = 14.59, P = 0.01), condom use in the last anal sex (χ² = 134.97, P < 0.001), condom use in anal sex during past 6 months (χ² = 97.15, P < 0.001), STI history (χ² = 67.21, P < 0.001) and syphilis prevalence (χ² = 163.60, P < 0.001). Multivariate analysis indicated that HIV infection related risk factors included age, STD history, syphilis prevalence and poor awareness of AIDS related knowledge.
The incidence of HIV infection among MSM in Henan increased rapidly, and homosexual transmission has become the major route of HIV infection. HIV infection related risk behavior is prevalent among MSM, therefore, it is necessary to take effective measures to prevent and control HIV/AIDS in MSM.
了解河南省男男性行为者（MSM）艾滋病病毒（HIV）感染状况，为制定艾滋病防控措施提供科学依据。
对2008年至2013年河南省MSM的HIV感染发病情况及相关危险因素数据进行分析，数据来源于艾滋病疫情报告信息系统及MSM艾滋病专项调查。
MSM中HIV感染构成比由2008年的1.3%上升至2013年的17.1%。MSM的HIV感染率由2008年的4.69%上升至2013年的8.33%（趋势χ² = 39.24，P < 0.001）。单因素分析表明，与HIV感染相关的危险因素包括年龄（χ² = 21.03，P < 0.001）、文化程度（χ² = 31.66，P < 0.001）、职业（χ² = 14.59，P = 0.01）、最近一次肛交时是否使用安全套（χ² = 134.97，P < 0.001）、近6个月肛交时安全套使用情况（χ² = 97.15，P < 0.001）、性传播感染史（χ² = 67.21，P < 0.001）及梅毒患病率（χ² = 163.60，P < 0.001）。多因素分析表明，与HIV感染相关的危险因素包括年龄、性传播疾病史、梅毒患病率及艾滋病相关知识知晓率低。
河南省MSM的HIV感染率上升迅速，同性传播已成为HIV感染的主要途径。MSM中存在与HIV感染相关的危险行为，因此，有必要采取有效措施防控MSM人群中的HIV/AIDS。
