中国男男性行为人群中HIV感染和梅毒的流行率、性行为及艾滋病相关知识知晓情况：对2010年至2013年收集数据的Meta分析

[Prevalence of HIV infection and syphilis, sexual behaviors and awareness of HIV/AIDS related knowledge among men who have sex with men in China: a Meta-analysis of data collected from 2010 to 2013].

作者信息

Huang Qin, Li Qiaoqiao, Li Yuan, Zeng Gang, Cui Xinyu, Yan Peijing, Lyu Fan, Luan Rongsheng

机构信息

West China School of Public Health, Sichuan University, Chengdu 610041, China.

National Center for STD/AIDS Control and Prevention, Chinese Center for Disease Control and Prevention.

出版信息

Zhonghua Liu Xing Bing Xue Za Zhi. 2015 Nov;36(11):1297-304.

PMID:26850255

Abstract

OBJECTIVE

To understand the time and area specific prevalence of HIV infection and syphilis, sexual behaviors and awareness of HIV/AIDS related knowledge among men who have sex with men (MSM) in the mainland of China during 2010-2013.

METHODS

All the published academic papers on the prevalence of HIV infection and syphilis among MSM in the mainland of China from 2010 to 2013 were collected from CNKI, Wanfang and PubMed databases. Meta-analysis was performed by using software Stata 12.0.

RESULTS

Sixty six papers were selected. From 2010 to 2013 the pooled prevalence of HIV infection were 7.7% among the MSM (95% CI: 7.2%-8.3% ) and increased year by year, but the pooled prevalence of HIV infection was highest in southwestern China (12.0%). The pooled prevalence of syphilis were 10.9% among the MSM (95% CI: 9.8%-12.1%), and the pooled prevalence of syphilis was highest in southern China (14.4%). The incidence of anal sex was high (84.2%) in the past 6 months, but the consistent condom use rate was low (44.8%). The AIDS related knowledge awareness was high in the MSM (88.4%).

CONCLUSION

The prevalence of HIV infection and syphilis were high among the MSM in the mainland of China during 2010-2013. It is necessary to explore the comprehensive intervention measures to promote condom use among MSM although they have high awareness of AIDS related knowledge.

摘要

目的

了解2010 - 2013年中国内地男男性行为者（MSM）中HIV感染和梅毒的时间及地区特异性流行率、性行为以及HIV/AIDS相关知识知晓情况。

方法

从中国知网、万方和PubMed数据库收集2010年至2013年中国内地关于MSM中HIV感染和梅毒流行率的所有已发表学术论文。使用Stata 12.0软件进行Meta分析。

结果

共筛选出66篇论文。2010年至2013年，MSM中HIV感染的合并流行率为7.7%（95%CI：7.2% - 8.3%），且逐年上升，但中国西南部HIV感染的合并流行率最高（12.0%）。MSM中梅毒的合并流行率为10.9%（95%CI：9.8% - 12.1%），中国南部梅毒的合并流行率最高（14.4%）。过去6个月内肛交发生率较高（84.2%），但坚持使用避孕套的比例较低（44.8%）。MSM对艾滋病相关知识的知晓率较高（88.4%）。