青年学生中男男性行为人群HIV梅毒感染率及估计HIV发病率的趋势分析.docVIP

青年学生中男男性行为人群HIV、梅毒感染率及估计HIV发病率的趋势分析 冯连贵,丁贤彬,卢戎戎,徐世明、郭晓嘉、杨明芳、徐静、郑建琼（400042 重庆，重庆市疾病预防控制中心） [摘要] 目的 了解青年学生中男男性行为人群HIV、梅毒感染率及估计HIV发病率趋势状况，为开展该人群的干预提供建议。方法 分析2006-2009年青年学生中男男性行为人群调查资料，比较分析HIV、梅毒感染率以及估计的HIV发病率的趋势。估计HIV发病率=HIV阳性数/（年龄-与男性发生首次性行为的年龄）之和。结果 2006-2009年分别调查了青年学生MSM人群210、206、181和190人，最近一次与男性肛交时安全套使用率由2006年的48.0%上升至2009年的64.3%，最近六个月与男性发生无保护性肛交的比例由2006年的71.1%下降至2009年的65.3%。2006-2009年HIV感染率为4.3%、3.9%、11.0%、11.1%,梅毒感染率为7.1%、3.9%、2.8%、5.8%，对22岁及以下年龄组的估计发病率为1.4%、0.9%、2.4%和2.5%。结论 重庆市MSM人群中青年学生HIV感染率高并呈上升的趋势，估计发病率也呈上升的趋势，流行形势严峻，急需针对该人群开展艾滋病防治工作。 [关键词] 男男性接触人群；青年学生；艾滋病；感染率；估计发病率 [中图法分类号] [文献标志码] A Analysis on the trend of the prevalence of HIV and Syphilis and estimated HIV incidence among young male students who have sex with men Feng Lianui, Ding Xianbin, Lu Rongrong, Xu Shiming,Guo Xiaojia, Yang Mingfang, Zheng Jianqiong.(Chongqing Center for disease prevention and control, Chongqing 400042，China ) [Abstract] Objective To understand the prevalence of HIV and Syphilis and the estimated HIV incidence among young male students who have sex with men is to provide the suggestion for the intervention. Methods The data of the cross-sectional survey conducted from 2006 to 2009 were analyzed and compared the trend of HIV, Syphilis prevalence and estimated HIV incidence from 2006 to 2009 among young male students who have sex with men. Estimated HIV incidence =Number HIV infections/sum of (current age–age at start of anal intercourse). Results A total of 210, 206, 181 and 190 young male students who have sex with men were investigated in 2006,2007,2008 and 2009 respectively. The rate of condom use during sex with men in the last time increased from 48.0% in 2006 to 64.3% in 2009. The proportion of unprotected anal sex with men decreased from 71.1% in 2006 to 65.3% in 2009. HIV prevalence was 4.3%, 3.9%, 11.0% and 11.1% from 2006-2009 respectively. Syphilis prevalence was 7.1%, 3.9%, 2.8% and 5.8% from 2006-2009 respectively. HIV incidence estimated among