上海预防医学2025，Vol.37Issue(8)：637-642,668,7.DOI:10.19428/j.cnki.sjpm.2025.25120
2021-2024年上海市男男同性性行为人群人类免疫缺陷病毒新报告阳性率及其影响因素
Newly reported HIV positivity rate and its influencing factors among men who had sex with men in Shanghai from 2021 to 2024
摘要
Abstract
[Objective]To investigate the trend and influencing factors of newly reported human immunodeficiency virus(HIV)positivity rate among men who had sex with men(MSM)in Shanghai from 2021 to 2024,and to provide evidence for formulating scientific prevention and control measures of AIDS.[Methods]Multiple rounds of cross-sectional questionnaire surveys were conducted among MSM by Shanghai Qing'ai Health Promotion Center.Pearson and Cochran-Armitage trend χ2 tests were used to analyze the differences and changes in population characteristics and newly reported HIV positivity rates.A logistic regression model was applied for multivariate analyses of factors associated with newly reported HIV positivity.[Results]A total of 1 653 MSM who had not been previously diagnosed with HIV infection were surveyed.The newly reported HIV positivity rates in 2021,2023,and 2024 were 7.87%,3.91%,and 3.06%,respectively,showing a decreasing trend(χ2trend=13.460,Ptrend<0.001).Multivariate analyses revealed that MSM aged 18‒<25 years,residing locally for<1 year,identifying as bisexual,lacking HIV knowledge,and having≥10 same-sex partners in the past 6 months exhibited higher newly reported HIV positivity rates.Conversely,MSM knowledgeable about HIV prevention,residing locally for 1‒5 years,and engaging in oral sex with male partners in the past 6 months demonstrated lower HIV positivity rates.Annual analyses revealed that MSM with HIV knowledge had lower newly reported HIV positivity rates in 2023 and 2024(aOR=0.300,95%CI:0.811‒0.111;aOR=0.202,95%CI:0.085‒0.483).[Conclusion]The newly reported HIV positivity rate among MSM in Shanghai from 2021 to 2024 showed a decline.Future interventions should focus on young and mobile MSM,strengthen HIV knowledge education through platforms such as the internet,promote safe sexual behaviors and regular testing,and further expand the coverage of pre-exposure prophylaxis(PrEP)and post-exposure prophylaxis(PEP)to control HIV transmission within this population.关键词
男男同性行为者/艾滋病/人类免疫缺陷病毒/知晓率/阴性率Key words
men who have sex with men/acquired immune deficiency syndrome/human immunodeficiency virus/awareness/positivity rate分类
医药卫生引用本文复制引用
王震宇,卜佳青,尹宁,夏庆华,岳清,宁镇,刘春馨..2021-2024年上海市男男同性性行为人群人类免疫缺陷病毒新报告阳性率及其影响因素[J].上海预防医学,2025,37(8):637-642,668,7.基金项目
国家重点研发计划项目(2022YFC2304902) （2022YFC2304902）
上海市加强公共卫生体系建设三年行动计划(2023-2025年)重点学科项目(GWVI-11.1-05) （2023-2025年）
