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目的了解漯河市男男性接触者(MSM)人群中艾滋病病毒(HIV)、丙型肝炎病毒(HCV)与梅毒螺旋体(TP)的感染状况,为对该目标人群实施有效的行为干预措施和制定有效的控制策略提供依据。方法以常规检测信息为基础寻找种子,采用分类滚雪球方法招募184名研究对象进行问卷调查,采集静脉血进行HIV、HCV和TP抗体检测。结果结果共招募184名男男性接触者作为研究对象,其中问卷和采集的样本均完整和符合要求的研究对象180名,平均年龄(26.32±5.80)岁。共检出HIV(14/180)例,阳性率7.78%;TP血清学阳性(19/180)例,阳性率10.56%;HCV抗体阳性(3/180)例,阳性率1.67%。感染状况与被调查对象的年龄、婚姻状况、文化程度和活动场所密切相关。结论男男性接触者性行为特征导致TP、HIV感染风险较高,存在局部流行的可能性,需要采取有针对性的综合防治措施加以控制,防止其流行及向一般人群的传播。HCV感染率相对较低,但其传播的主要方式为血液传播,在MSM人群中也能造成播散,应重视对HCV的综合防治。
Objective To understand the infection status of HIV, HCV and Treponema pallidum (TP) among MSM in Luohe City, so as to implement effective behavioral interventions and effective measures for this target population Control strategy to provide the basis. Methods Based on routine test information, 184 subjects were recruited by the classified snowball method for questionnaire survey, and venous blood was collected for the detection of HIV, HCV and TP antibodies. Results A total of 184 MSM were enrolled in the study. Among them, 180 questionnaires and collected samples were complete and satisfactory, with an average age of (26.32 ± 5.80) years. HIV (14/180) cases were detected, the positive rate was 7.78%. The positive rate of TP serology (19/180) was 10.56%. The positive rate of HCV antibody (3/180) was 1.67%. The status of infection is closely related to the age, marital status, educational level and venue of the respondent. Conclusions The characteristics of sexual behavior of MSM lead to the high risk of TP and HIV infection and the possibility of local epidemic. Therefore, we need to take targeted and comprehensive prevention and control measures to control and prevent its spread and spread to the general population. HCV infection is relatively low, but its main mode of transmission of blood transmission, can also cause dissemination in the MSM population, should pay attention to the comprehensive prevention and treatment of HCV.