摘要
目的分析2009-2013年北京市昌平区男男性行为者（MSM）的艾滋病疫情特征。方法利用2014年1月1日下载的艾滋病网络直报信息系统中截至2013年12月31日的人类免疫缺陷病毒感染者/艾滋病病人（HIV/AIDS）定时数据库,采用SPSS19.0和Excel 2007软件进行分析。艾滋病检测咨询信息管理系统中,根据求询者的求询原因和HIV抗体检测结果统计MSM的HIV抗体检出率。结果艾滋病病例报告系统显示,2009-2013年男男性传播已成为昌平区艾滋病传播的最主要途径。与其他传播途径相比,男男性传播HIV/AIDS病例具有以下明显的特征：20~39岁青壮年为主（71.8%）、文化程度较高（具有大专及以上学历者占57.1%）、未婚为主（75.4%）、家政/商业服务（46.4%）及学生（7.5%）所占比例很高、流动性强（84.1%）、检测咨询（34.5%）、专题调查（20.6%）及无偿献血（5.6%）检出比例较高。艾滋病检测咨询信息管理系统显示,MSM的HIV抗体阳性检出率呈逐年上升趋势（χ2=14.531,P=0.006）。结论 2009-2013年昌平区男男性传播艾滋病报告病例构成比增长快速,艾滋病检测咨询中MSM的HIV抗体阳性检出率逐年上升,表明MSM艾滋病流行严重,需要开展较为系统的男男性行为人群的监测和干预工作,遏制艾滋病的进一步传播蔓延。
Objective To analyze the epidemic characteristics of human immunodeficiency virus / acquired immune deficiency syndrome（HIV / AIDS） among men who have sex with men（MSM） from 2009 to 2013 in Changping district,Beijing,China.Methods The data were obtained through the network reporting information system. The distribution of MSM transmission was analyzed. HIV testing and counseling information management system,based on the reasons for seeking consultation seeking consultation and HIV antibody test results to statistics MSM with HIV antibody detection rate. SPSS19.0 and Excel 2007 software were used for analysis. HIV antibody detection rate among the MSM was estimated based on the reasons for seeking consultation and the HIV antibody test results obtained from HIV testing and counseling information management system.Results Data from HIV / AIDS case reporting system showed that MSM transmission had become the main route of HIV transmission in Changping district.Compared with other routes of spreading,MSM transmission showed the following obvious characteristics：20 to 39 years olds（71.8%）,having higher education background（have a college degree or above accounted for 57.1%）,unmarried（75.4%）,housekeeping / business services and students（accounted for 46.4% and 7.5%,respectively）,with high mobility floating population（84.1%）,testing and counseling（VCT）（34.5%）,special investigations（20.6%） and having history of blood donation（5.6%）.Data from HIV testing and counseling information management system indicated MSM HIV-antibody positive rate showing an increasing trend（χ2=14.531,P=0.006）. Conclusion The proportion of HIV transmission among MSM was on the rapid rise from 2009 to 2013 in Changping district; MSM HIV-antibody positive rate increased year by year. Further promotion of condom use,carry out more systematic monitoring and behavioral intervention of MSM should be strengthened to curb the further spread of AIDS.
出处
《热带医学杂志》
CAS
2015年第10期1409-1412,共4页
Journal of Tropical Medicine
关键词
艾滋病
男男性行为者
昌平
Acquired immune deficiency syndrome
Men who have sex with men
Changping
