中国全科医学Issue(11)：1260-1263,1264,5.DOI:10.3969/j.issn.1007-9572.2015.11.008
乌鲁木齐市男男性行为者HIV感染状况及其影响因素
HIV Infection Status and Its InfIuencing Factors Among MSM in Urumqi
摘要
Abstract
Objective To investigate HIV infection status and its influencing factors in men who have sex with men ( MSM)in Urumqi and provide references for intervention in high-risk behavior among MSM. Methods We recruited MSM who were older than 18,had homosexual behavior by self account and were voluntary to receive questionnaire survey,blood sampling and detection from Tianshan District and Shayibake District in Urumqi on site,on the Internet and from social groups from May to August in 2013. ResuIts A total of 857 MSM were investigated. Uygur nationality HIV positive rate was 13. 1%(14/107),higher than that of Han nationality〔7. 2%(32/445)〕(χ2 =3. 922,P=0. 048). In the past 6 months,804 (93. 8%)had homosexual behavior,173(20. 2%)had homosexual behavior with only one people,107(12. 5%)had both homosexual and heterosexual behavior,and the usage rate of condom for the above three types was 38. 3%(308/804),77. 5%(134/173)and 28. 0%(30/107)respectively. In the past 6 months,the rate for purchase and offer of commercial homosexual behavior was 3. 9%(33/857)and 1. 8%(15/857),and the usage rate of condom was 84. 8%(28/33)and 66. 7%(10/15)respectively. The detection rate of antibody for HIV was 8. 3%(71/857). Multi -factor Logistic analysis showed that homosexual behavior in past 6 mouths〔OR =5. 820,95%CI(1. 302,26. 015)〕,homosexual behavior without protection measure〔OR = 2. 475,95% CI(1. 255,4. 879)〕,positive syphilis〔OR = 4. 208,95% CI(1. 979,8. 947)〕were influencing factors for HIV in MSM in Urumqi. ConcIusion High-risk sexual behavior is prevalent among MSM in Urumqi. The rate of HIV infection and sexual behavior mode vary with different ethnic groups. Covert activities,frequent high -risk sexual behavior and lack of access to HIV prevention services are the main reasons for HIV infection among MSM.关键词
获得性免疫缺陷综合征/同性恋,男性/性行为/感染/影响因素分析/乌鲁木齐Key words
Acquired immunodeficiency syndrome/Homosexuality,male/Sexual behavior/Infection/Root Cause analysis/Urumqi分类
医药卫生引用本文复制引用
王森路,郭妮娅,胡晓敏,陈学玲,胡晓远,马媛媛,倪明健..乌鲁木齐市男男性行为者HIV感染状况及其影响因素[J].中国全科医学,2015,(11):1260-1263,1264,5.基金项目
国家“十二五”科技重大专项（2013ZX10004907）；中美艾滋病防治合作项目 （）
