Prevalence and Correlates of HIV and Syphilis Infections Among Men Who Have Sex With Men in Seven Provinces in China With Historically Low HIV Prevalence
Prevalence and Correlates of HIV and Syphilis Infections Among Men Who Have Sex With Men in Seven Provinces in China With Historically Low HIV Prevalence
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DOI：
10.1097/qai.0b013e3181c7db43
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发表时间：
2010-02-01
影响因子：
3.6
通讯作者：
Jia, Yujiang
中科院分区：
文献类型：
--
作者：
Xiao, Yan;Sun, Jiangping;Jia, Yujiang
目的：为了解我国艾滋病病毒（HIV）低流行地区男男性行为者（MSM）艾滋病病毒（HIV）和梅毒（梅毒）感染情况，采用横断面调查方法，对4省、2自治区、1直辖市的20个市（区）进行调查。测量了社会经济/行为风险因素。结果：在4983名MSM中，HIV感染率为2.9%（0%~ 15.1%），梅毒感染率为9.8%（1.3%~ 29.3%）。梅毒感染与年龄较大[校正比值比（AOR）= 2.9; 95%置信区间（CI）：2.0 - 4.3]、未婚或同居有关（AOR = 0.7; 95% CI：0.5-0.9），教育程度较低（AOR = 1.3; 95% CI：1.0 - 1.7），与男性肛交时避孕套使用不一致（AOR 1.4; 95%CI：1.0至1.8），居住在内蒙古（AOR = 23.9; 95%CI：9.7 ~ 58.6），吉林（AOR = 7.9; 95%CI：3.4 ~ 18.3），黑龙江（AOR = 7.1; 95% CI：3.1至16.6）、辽宁（AOR = 6.1; 95% CI：2.6至14.2）或重庆（AOR 5.9; 95% CI：2.5至13.9）。艾滋病毒感染与年龄较大有关（AOR = 3.7; 95% CI：2.0 - 6.7），教育程度较低（AOR = 2.9; 95% CI：1.8 - 4.7），与男性肛交时避孕套使用不一致（AOR = 1.91; 95% CI：1.2 - 3.2），梅毒感染（AOR = 2.1; 95%CI：1.3 ~ 3.4），（AOR = 8.2; 95% CI：1.1 ~ 61.4）或重庆市（AOR = 57.2; 95% CI：7.9 ~ 414.4）。结论：我国MSM人群中HIV和梅毒感染率已达到警戒水平，急需采取相应的应对措施。
Objectives: To assess HIV and syphilis infection among men who have sex with men (MSM) in Chinese regions with historically low HIV prevalence.Method: A cross-sectional survey was conducted in 20 cities or districts across 4 provinces, 2 autonomous regions, and a municipality. Socioeconomic/behavioral risk factors were measured. Blood samples were tested for HIV via enzyme-linked immunosorbent assay and Western blot confirmation and syphilis via rapid plasma reagin and passive particle agglutination test for detection of Treponema pallidum Antibodies.Results: Of 4983 MSM participants, 2.9% were HIV infected (range: 0%-15.1%) and 9.8% were syphilis infected (1.3%-29.3%). Syphilis infection was associated with older age [adjusted odds ratio (AOR) = 2.9; 95% confidence interval (CI): 2.0 to 4.3], not being married or cohabiting (AOR = 0.7; 95% CI: 0.5-0.9), less education (AOR = 1.3; 95% CI: 1.0 to 1.7), inconsistent condom use during anal sex with men (AOR 1.4; 95% CI: 1.0 to 1.8), and living in inner Mongolia (AOR = 23.9; 95% CI: 9.7 to 58.6), Jilin (AOR = 7.9; 95% CI: 3.4 to 18.3), Heilongjiang (AOR = 7.1; 95% CI: 3.1 to 16.6), Liaoning (AOR = 6.1; 95% CI: 2.6 to 14.2), or Chongqing (AOR 5.9; 95% CI: 2.5 to 13.9). HIV infection was associated with older age (AOR = 3.7; 95% CI: 2.0 to 6.7), less education (AOR = 2.9; 95% CI: 1.8 to 4.7), inconsistent condom use during anal sex with men (AOR = 1.91; 95% CI: 1.2 to 3.2), syphilis infection (AOR = 2.1; 95% CI: 1.3 to 3.4), and living either in Liaoning (AOR = 8.2; 95% CI: 1.1 to 61.4) or Chongqing (AOR = 57.2; 95% CI: 7.9 to 414.4).Conclusions: HIV and syphilis have reached alarming rates in China's MSM population, thus, appropriate responses are urgently needed.