Hui Shan, Li Yi, Yan Hongmei, Guo Wei, Tong Xue, Wang Kaili
Heilongjiang Provincial Center for Disease Control and Prevention, Harbin 150030, China.
National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention.
Zhonghua Liu Xing Bing Xue Za Zhi. 2015 Dec;36(12):1381-3.
To estimate the incidence of human immunodeficiency virus (HIV) infection among men who have sex with men (MSM) and its related factors in Harbin, Heilongjiang province.
A total of 661 MSM were recruited at baseline study from April to June 2013, and followed at 6 months, 12 months, and 18 months periods, respectively. Face to face questionnaire interviews were conducted and venous blood was collected for HIV testing among these people. Univariate logistic regression model was used to identify the factors associated with lost-to-follow-up in the cohort.
At the end of 18-month follow-up period, the HIV incidence density in the cohort was 4.23/100 person year (95%CI: 2.91/100 person year-5.93/100 person year) , with the follow-up rate of loss as 15.4%. Factors as failed to receiving the intervention programs, being at older age, with higher education level and receiving no HIV testing in this MSM community, were related to the loss of follow-up.
The HIV incidence rate was high among the MSM in Harbin. MSM community based cohort study could improve the efficiency on the study for the problems of follow-up.
评估黑龙江省哈尔滨市男男性行为者(MSM)中人类免疫缺陷病毒(HIV)感染的发生率及其相关因素。
2013年4月至6月在基线研究中招募了661名MSM,并分别在6个月、12个月和18个月时进行随访。对这些人进行面对面问卷调查访谈,并采集静脉血进行HIV检测。采用单因素logistic回归模型确定队列中失访的相关因素。
在18个月的随访期结束时,该队列中的HIV发病密度为4.23/100人年(95%可信区间:2.91/100人年 - 5.93/100人年),失访率为15.4%。在这个MSM群体中,未接受干预项目、年龄较大、教育程度较高以及未进行HIV检测等因素与失访有关。
哈尔滨MSM中的HIV发病率较高。基于MSM群体的队列研究可以提高对随访问题的研究效率。