Guo W, Meng X J, Li D M, Cai Y, Fan J X, Huang B
Jilin Provincial Center for Disease Control and Prevention, Changchun 130062, China.
Wuxi Municipal Center for Disease Control and Prevention, Wuxi 210423, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2017 Dec 10;38(12):1655-1659. doi: 10.3760/cma.j.issn.0254-6450.2017.12.015.
To explore the HIV epidemic and related factors among MSM in Jilin province. During the implementation of sentinel surveillance program from 2010 to 2015, continuous cross-sectional studies were conducted to monitor the awareness of AIDS, sexual behavior, HIV and syphilis positive rates, with the sample size no less than 400 in each surveillance site. From 2010 to 2015, a total of 7 823 MSM were involved in this study. The overall HIV prevalence among MSM was 5.4% (42/7 823), with an increasing trend during 2010 and 2015 (Trend test (2)=110.023, <0.001). The rates of awareness on AIDS were higher than 90.0%. The proportion of consistent condom use was 27.0% (2 112/7 823) in the last 6 months, and significant differences were found in these years ((2)=234.038, <0.001). Results from multivariate logistic regression analysis showed that the HIV infection related risk factors among MSM in Jilin province would include: residency from other provinces (a=1.797, 95%: 1.185-2.726), recruitment through internet (a=1.717, 95%: 1.332-2.215), diagnosed of having sexually transmitted diseases in the previous year (a=1.893, 95%: 1.356-2.643) and positive testing on syphilis (a=4.309, 95%: 3.097-5.995). And consistent condom uses in the last 6 months (a=0.387, 95%: 0.143-0.557), tested HIV in the last year (a=0.632, 95%: 0.375-0.891) were preventive factors. HIV prevalence was increasing among MSM in Jilin province, but both the proportion of consistent condom use and the former HIV testing rate were at a low level. Aggressive measurement including consistent condom use and periodical HIV testing among MSM was warranted.
为探索吉林省男男性行为人群(MSM)中的艾滋病流行情况及相关因素。在2010年至2015年哨点监测项目实施期间,开展连续性横断面研究,以监测艾滋病知晓情况、性行为、HIV和梅毒阳性率,每个监测点样本量不少于400例。2010年至2015年,共有7823名MSM参与本研究。MSM中HIV总体感染率为5.4%(42/7823),在2010年至2015年呈上升趋势(趋势检验(2)=110.023,<0.001)。艾滋病知晓率高于90.0%。过去6个月中坚持使用避孕套的比例为27.0%(2112/7823),各年份间差异有统计学意义((2)=234.038,<0.001)。多因素logistic回归分析结果显示,吉林省MSM中HIV感染相关危险因素包括:外省户籍(a=1.797,95%CI:1.185-2.726)、通过网络招募(a=1.717,95%CI:1.332-2.215)、前一年诊断为性传播疾病(a=1.893,95%CI:1.356-2.643)及梅毒检测阳性(a=4.309,95%CI:3.097-5.995)。而过去6个月坚持使用避孕套(a=0.387,95%CI:0.143-0.557)、前一年进行过HIV检测(a=0.632,95%CI:0.375-0.891)为保护因素。吉林省MSM中HIV感染率呈上升趋势,但坚持使用避孕套比例及既往HIV检测率均处于较低水平。有必要对MSM采取包括坚持使用避孕套及定期进行HIV检测在内的积极措施。