HIV and syphilis among men who have sex with men in China: the time to act is now.
HIV and syphilis among men who have sex with men in China: the time to act is now.
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DOI：
10.1097/olq.0b013e3181d13d2b
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发表时间：
2010-04
影响因子：
3.1
通讯作者：
Chen XS
中科院分区：
文献类型：
--
作者：
Muessig KE;Tucker JD;Wang BX;Chen XS
自从1989年在北京发现首例男男性行为者（MSM）感染人类免疫缺陷病毒（HIV）以来，越来越多的研究证实，在这一人群中，性传播疾病（STD）和HIV的流行正在不断扩大。在这期杂志中，Xu等报道了在中国北方一个12个月的男男性接触人群中，HIV和梅毒感染的高发病率。2他们的研究结果与其他中国城市MSM研究的结果一致。3，4对中国男男性行为者总数的估计差异很大，从200万到1000万不等。5，6虽然男男性接触者占中国成年男性人口的2%至4%，7但据估计，他们占2007年所有艾滋病毒新发病例的12.2%。8目前的健康监测和教育外展工作覆盖了不到15%的中国男男性接触者。4.尽管过去10年来疾病监测有所改善，但对男男性行为者的常规监测仍然不完整。在有限的诊所为基础的卫生服务的设置梅毒和艾滋病的高发病率的人口众多，可能会燃料在中国的男男性接触者的人群内外持续的疾病传播。
Since the first case of human immunodeficiency virus (HIV) among Chinese men who have sex with men (MSM) was discovered in 1989 in Beijing, 1 a growing body of research has documented substantial and expanding epidemics of sexually transmitted diseases (STDs) and HIV within this group. In this issue of the journal, Xu et al report a disturbingly high incidence of HIV and syphilis infections among a 12-month MSM cohort in northern China. 2 Their results are consistent with findings observed from other urban Chinese studies of MSM. 3, 4Estimates of the total number of MSM in China vary widely, ranging from 2 to 10 million. 5, 6 While MSM account for 2% to 4% of the Chinese adult male population, 7 they comprise an estimated 12.2% of all new HIV cases in 2007. 8 Fewer than 15% of all Chinese MSM are covered by current health surveillance and education outreach efforts. 4 Although disease monitoring has improved in the last 10 years, routine surveillance of MSM remains incomplete. A large population with high incidence of syphilis and HIV in the setting of limited clinic-based health services may fuel continued disease transmission within and beyond China's MSM population.