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目的了解金华市男男性行为人群(MSM)HIV阳性者的疫情及变化趋势,为针对该人群开展的艾滋病防治工作提供依据。方法回顾分析金华市2002-2012年MSM中HIV阳性者的疫情特征,并对自愿咨询与检测(VCT)门诊MSM求询者的资料和2012年MSM哨点的监测资料,采用IBM SPSS 11.0软件进行分析。结果 2002-2012年共报告MSM HIV感染者261例,占总HIV阳性者数的20.3%(261/1 283);其中20~39岁占81.2%(212/261);2005-2012年年平均增长率为71.1%。与总的疫情相比,MSM疫情呈现年轻化、以未婚为主、文化程度相对较高、当地户籍所占比较高等特点。同性性伴数中位数为4人。结论相关部门应进一步加大MSM的HIV筛查和阳性者的发现力度,加强对MSM中HIV阳性者的随访管理与阳性干预,减少二代传播,降低新发感染。
Objective To understand the epidemic situation and trend of HIV-positive men who have sex with men who have sex with men (MSM) in Jinhua City, and provide the basis for AIDS prevention and control work in this population. Methods The epidemic characteristics of HIV-positive MSM in Jinhua from 2002 to 2012 were retrospectively analyzed. The data of MSM informants in voluntary counseling and testing (VCT) clinic and the monitoring data of MSM sentinel surveillance in 2012 were analyzed by using IBM SPSS 11.0 software analysis. Results A total of 261 MSM HIV-infected persons were reported in 2001-2012, accounting for 20.3% (261/1 283) of the total number of HIV-positive persons, of which 81.2% (212/261) were 20-39 years old. The average annual average of 2005-2012 The growth rate is 71.1%. Compared with the total outbreak, the outbreak of MSM is young, unmarried, with a relatively high level of education and a relatively high proportion of local residents. The median number of same sex partners was 4. Conclusion Related departments should further increase MSM HIV screening and positive persons to find out, strengthen MSM HIV-positive follow-up management and positive intervention to reduce the second generation of transmission, reduce the new infection.