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预防医学  2018, Vol. 30 Issue (6): 545-548    DOI: 10.19485/j.cnki.issn2096-5087.2018.06.002
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浙江省HIV感染MSM人群的性伴网络特征分析
陈琳,马瞧勤,周欣,王憓,姜婷婷,罗明宇,杨介者,潘晓红
浙江省疾病预防控制中心艾滋病性病防制所,浙江 杭州 310051
Characteristics of sexual network of HIV positive MSM in Zhejiang Province
CHEN Lin,MA Qiao-qin,ZHOU Xin,WANG Hui,JIANG Ting-ting,LUO Ming-yu,YANG Jie-zhe,PAN Xiao-hong
Zhejiang Provincial Center for Disease Control and Prevention,Hangzhou,Zhejiang 310051,China
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摘要 目的 了解浙江省HIV感染男男性行为(MSM)人群性伴网络特征及HIV传播情况。方法 以2015年9月—2016年9月杭州市、宁波市和温州市新报告的HIV阳性MSM人群及其性伴为调查对象,对社会人口学特征、性伴类型、性伴间联系强度和性行为状况等进行问卷调查,并采集性伴血样检测HIV抗体。结果 共纳入HIV感染MSM 321例,报告既往性伴2 614人,其中同性固定性伴占9.87%,同性临时性伴占84.89%,配偶占3.71%,非婚异性性伴占1.53%;调查时仍与同性固定性伴、同性临时性伴、配偶和非婚异性性伴保持性关系者分别占37.78%、45.00%、36.56%和66.67%;最近6个月与同性固定性伴、同性临时性伴、配偶发生性行为时从不使用安全套的比例分别为27.91%、16.36%和44.00%。共纳入HIV感染MSM人群的性伴139人,HIV抗体确证阳性19例,阳性率为13.67%;同性固定性伴、同性临时性伴和配偶HIV抗体确证阳性率分别为28.26%、3.77%和11.43%;非婚异性性伴中未检出HIV抗体确证阳性。结论 HIV感染MSM人群的性行为网络规模以同性临时性伴网络最大,其与同性固定性伴、同性临时性伴均存在安全套使用率低等高危行为;同性固定性伴和配偶的HIV抗体阳性率较高。
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陈琳
马瞧勤
周欣
王憓
姜婷婷
罗明宇
杨介者
潘晓红
关键词 艾滋病男男性行为人群性伴网络    
AbstractObjective To understand the characteristics of sexual network of 321 HIV positive MSM and HIV infection status among sexual partners in Zhejiang Province. Methods A cross-sectional study selected HIV positive MSM diagnosed between September,2015 and September,2016 were conducted in Hangzhou,Ningbo,Wenzhou in Zhejiang Province using self-administrated questionnaire. Information related to socio-demographic characteristics,risky behavior,size of sexual network were collected. Results A total of 321 HIV positive MSM were recruited in this study. 71.76% aged 20 to 40 years old and 51.71% were native. The rate of self-reported sexual behavior with stable homosexual partners,casual homosexual partners,spouse and other heterosexual partners at investigation were 37.78%,45.00%,36.56% and 66.67%. The rate of never using condom with stable homosexual partners,casual homosexual partners,spouse were 27.91%,16.36% and 44.00%. HIV positive rate among stable homosexual partners,casual homosexual partners,spouse and other heterosexual partners were 28.26%,3.77%,11.43% and 0.00%. Conclusion The size of sexual network was large,especially in casual sexual network. Unsafe sexual behavior,like consistent condom use was low and multiple sexual partners . HIV infection was high among stable homosexual partners and spouse.
Key wordsHIV    MSM    Sexual network
          出版日期: 2018-06-04
中图分类号:  R512.91  
基金资助:浙江省医药卫生省部共建项目(2015PYA004);浙江省医药卫生科技项目(2018RC026)
通信作者: 马瞧勤,E-mail:qqma@cdc.zj.cn   
作者简介: 陈琳,硕士,主管医师,主要从事性病艾滋病防制工作
引用本文:   
陈琳,马瞧勤,周欣,王憓,姜婷婷,罗明宇,杨介者,潘晓红. 浙江省HIV感染MSM人群的性伴网络特征分析[J]. 预防医学, 2018, 30(6): 545-548.
CHEN Lin,MA Qiao-qin,ZHOU Xin,WANG Hui,JIANG Ting-ting,LUO Ming-yu,YANG Jie-zhe,PAN Xiao-hong. Characteristics of sexual network of HIV positive MSM in Zhejiang Province. Preventive Medicine, 2018, 30(6): 545-548.
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http://www.zjyfyxzz.com/CN/10.19485/j.cnki.issn2096-5087.2018.06.002      或      http://www.zjyfyxzz.com/CN/Y2018/V30/I6/545
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