深圳市龙岗区MSM人群HIV、TP、HSV-2病毒感染状况及影响因素分析
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摘要
目的研究深圳市龙岗区男男性行为(MSM)人群艾滋病(HIV)、梅毒(TP)、生殖器疱疹病毒Ⅱ型(HSV-2)的感染状况并分析其影响因素。方法回顾性分析2015年6月~2018年6月深圳市龙岗区MSM人群1604例的病历资料,以及患者的血液样本分别检测HIV、TP、HSV-2抗体检测结果。分析MSM人群HIV、TP、HSV-2感染与各项基本资料的关系,并做多因素Logistic回归分析。结果 2015年6月~2018年6月1604例MSM人员HIV、TP、HSV-2感染率分别为15.46%(248/1604)、7.23%(116/1604)、2.12%(34/1604),三组比较,差异有统计学意义(P <0.05)。单因素Logistic回归分析发现:影响深圳市龙岗区2015年6月~2018年6月1604例MSM人员HIV感染的因素包括年龄、婚姻、文化程度、职业以及月收入。单因素Logistic回归分析发现:影响深圳市龙岗区2017年1604例MSM人员TP感染的因素包括年龄以及职业(P <0.05)。单因素Logistic回归分析发现:影响深圳市龙岗区2017年1604例MSM人员HSV-2感染主要与职业有关(P <0.05)。经多因素Logistic回归分析可得:MSM人群HIV感染的危险因素包括年龄≥30岁、已婚、文化程度较低、非学生职业以及月收入<2000元;TP感染的危险因素包括年龄≥30岁、非学生职业;HSV-2感染的危险因素为非学生职业。结论深圳市MSM人群HIV、TP、HSV-2的感染状况不容乐观,HIV、TP感染率较高,应针对上述因素制定相关干预措施,以达到降低MSM人群HIV、TP、HSV-2感染的发生风险。
Objective To study the infectious status of human immunodeficiency virus(HIV),treponemapallidum(TP) and genital herpesvirus type Ⅱ(HSV-2) in men who have sex with men(MSM) in Longgang district of Shenzhen and to analyze its influencing factors. Methods The medical records of 1,604 MSM patients in Longgang district of Shenzhen from June 2015 to June 2018 were retrospectively analyzed.The results of HIV,TP and HSV-2 antibody tests were also tested with the blood samples of the patients.The relationship between HIV,TP,HSV-2 infection and various basic data in MSM population was analyzed,and multivariate Logistic regression analysis was performed. Results The infection rates of HIV,TP and HSV-2 of 1604 MSM personnel from June 2015 to June 2018 were 15.46%(248/1604),7.23%(116/1604) and 2.12%(34/1604),respectively.The difference among the three groups was statistically significant,(all P < 0.05).Univariate Logistic regression analysis found that factors affecting HIV infection in 1604 MSM personnel from June 2015 to June 2018 in Longgang district of Shenzhen included age, marriage,education,occupation and monthly income.Univariate Logistic regression analysis found that the factors affecting TP infection in 1604 MSM personnel in Longgang district of Shenzhen in 2017 included age and occupation(all P < 0.05).Univariate Logistic regression analysis found that the HSV-2 infection of 1604 MSM personnel in Longgang district of Shenzhen was mainly related to occupation(P < 0.05).Multivariate Logistic regression analysis showed that risk factors for HIV infection in MSM population included age over 30 years old,married status,low education level,non-student occupation and monthly income less than 2000 Yuan.Risk factors for TPinfection included age over 30 years old and non-student occupation.Risk factors for HSV-2 infection were nonstudent occupations. Conclusion The infection status of HIV,TP and HSV-2 in MSM population in Shenzhen is not optimistic,and infection rates of HIV and TP are high.Related intervention measures should be developed according to the above factors to reduce the risk of HIV,TP and HSV-2 infections in MSM population.
Objective To study the infectious status of human immunodeficiency virus(HIV),treponemapallidum(TP) and genital herpesvirus type Ⅱ(HSV-2) in men who have sex with men(MSM) in Longgang district of Shenzhen and to analyze its influencing factors. Methods The medical records of 1,604 MSM patients in Longgang district of Shenzhen from June 2015 to June 2018 were retrospectively analyzed.The results of HIV,TP and HSV-2 antibody tests were also tested with the blood samples of the patients.The relationship between HIV,TP,HSV-2 infection and various basic data in MSM population was analyzed,and multivariate Logistic regression analysis was performed. Results The infection rates of HIV,TP and HSV-2 of 1604 MSM personnel from June 2015 to June 2018 were 15.46%(248/1604),7.23%(116/1604) and 2.12%(34/1604),respectively.The difference among the three groups was statistically significant,(all P < 0.05).Univariate Logistic regression analysis found that factors affecting HIV infection in 1604 MSM personnel from June 2015 to June 2018 in Longgang district of Shenzhen included age, marriage,education,occupation and monthly income.Univariate Logistic regression analysis found that the factors affecting TP infection in 1604 MSM personnel in Longgang district of Shenzhen in 2017 included age and occupation(all P < 0.05).Univariate Logistic regression analysis found that the HSV-2 infection of 1604 MSM personnel in Longgang district of Shenzhen was mainly related to occupation(P < 0.05).Multivariate Logistic regression analysis showed that risk factors for HIV infection in MSM population included age over 30 years old,married status,low education level,non-student occupation and monthly income less than 2000 Yuan.Risk factors for TPinfection included age over 30 years old and non-student occupation.Risk factors for HSV-2 infection were nonstudent occupations. Conclusion The infection status of HIV,TP and HSV-2 in MSM population in Shenzhen is not optimistic,and infection rates of HIV and TP are high.Related intervention measures should be developed according to the above factors to reduce the risk of HIV,TP and HSV-2 infections in MSM population.
引文
[1]李桂玲,姜红,韵霞,等.50岁及以上男男性行为人群人类免疫缺陷病毒和梅毒感染率及其影响因素[J].中国老年学杂志,2018,38(2):447-449.
[2]钟坚,李骏,谭琳琳,等.梧州市男男性行为人群艾滋病流行现状及影响因素调查[J].中国药物滥用防治杂志,2017,23(5):264-266.
[3]鲍燕,沈冰,宁镇,等.男男性传播HIV感染者对早期抗病毒治疗的可接受性及影响因素研究[J].上海预防医学,2018,30(3):217-222.
[4]杨兴光,张娜,郝连正,等.2007-2016年山东经不同性途径男性HIV感染者和艾滋病患者流行病学特征分析[J].中华预防医学杂志,2018,52(3):292-295.
[5]周小盟,许欣,张洪艳,等.2012-2015年成都市龙泉驿区青年学生哨点艾滋病基本知识行为的调查和HIV感染情况分析[J].预防医学情报杂志,2018,34(4):449-452.
[6]鲍燕,顾凯凯,宁镇,等.上海市静安区2016年新报告性传播艾滋病男性患者的流行病学分析[J].中国初级卫生保健,2018,32(3):66-68.
[7]韩莹,潘晶,韩秀云,等.山东省济南市男男性行为人群HIV、梅毒、及人类单纯疱疹病毒2型感染状况分析[J].中华疾病控制杂志,2018,22(8):844-845.
[8]陈婧,王蒙蒙,潘发明,等.滁州市2012-2015年艾滋病病毒感染者/艾滋病患者病例流行特征分析[J].安徽医药,2018,22(3):450-455.
[9]谢梅茂,熊仪,王忠军,等.中国学生男男性行为者艾滋病感染状况分析[J].中国医药导报,2018,15(2):172-175.
[10]谢亚利,陈柏芬,张巧利,等.东莞市男男性行为人群艾滋病防治网络干预效果评价[J].预防医学情报杂志,2018,34(3):273-277.
[11]景兴科,杨海峰.艾滋病患者心理社会因素与生存质量的相关性分析[J].浙江预防医学,2017,29(7):724-726.
[12]杨一偲,刘岩琳,罗超,等.哈尔滨市2010-2015年青年学生艾滋病预防知识行为与HIV感染情况变化分析[J].中国公共卫生管理,2017,33(3):370-374.
[13]罗朝莲,王卫军,余军,等.钦州市区女性性工作者安全套使用情况及其影响因素分析[J].中国卫生事业管理,2017,34(9):707-711.
[14]罗淑星,周海龙,周超,等.男男性行为人群艾滋病患者心理健康状况与性行为调查分[J].预防医学情报杂志,2017,33(5):450-453.
[15]郑志女.心理护理干预对艾滋病患者免疫功能的影响分析[J].中国实用医药,2017,12(11):160-161.
[16]赵琬,张星灿,杨瑛,等.2013-2014年上海市闵行区婚检人群HSV-2感染情况及影响因素分析[J].复旦学报(医学版),2017,44(5):596-601.
[2]钟坚,李骏,谭琳琳,等.梧州市男男性行为人群艾滋病流行现状及影响因素调查[J].中国药物滥用防治杂志,2017,23(5):264-266.
[3]鲍燕,沈冰,宁镇,等.男男性传播HIV感染者对早期抗病毒治疗的可接受性及影响因素研究[J].上海预防医学,2018,30(3):217-222.
[4]杨兴光,张娜,郝连正,等.2007-2016年山东经不同性途径男性HIV感染者和艾滋病患者流行病学特征分析[J].中华预防医学杂志,2018,52(3):292-295.
[5]周小盟,许欣,张洪艳,等.2012-2015年成都市龙泉驿区青年学生哨点艾滋病基本知识行为的调查和HIV感染情况分析[J].预防医学情报杂志,2018,34(4):449-452.
[6]鲍燕,顾凯凯,宁镇,等.上海市静安区2016年新报告性传播艾滋病男性患者的流行病学分析[J].中国初级卫生保健,2018,32(3):66-68.
[7]韩莹,潘晶,韩秀云,等.山东省济南市男男性行为人群HIV、梅毒、及人类单纯疱疹病毒2型感染状况分析[J].中华疾病控制杂志,2018,22(8):844-845.
[8]陈婧,王蒙蒙,潘发明,等.滁州市2012-2015年艾滋病病毒感染者/艾滋病患者病例流行特征分析[J].安徽医药,2018,22(3):450-455.
[9]谢梅茂,熊仪,王忠军,等.中国学生男男性行为者艾滋病感染状况分析[J].中国医药导报,2018,15(2):172-175.
[10]谢亚利,陈柏芬,张巧利,等.东莞市男男性行为人群艾滋病防治网络干预效果评价[J].预防医学情报杂志,2018,34(3):273-277.
[11]景兴科,杨海峰.艾滋病患者心理社会因素与生存质量的相关性分析[J].浙江预防医学,2017,29(7):724-726.
[12]杨一偲,刘岩琳,罗超,等.哈尔滨市2010-2015年青年学生艾滋病预防知识行为与HIV感染情况变化分析[J].中国公共卫生管理,2017,33(3):370-374.
[13]罗朝莲,王卫军,余军,等.钦州市区女性性工作者安全套使用情况及其影响因素分析[J].中国卫生事业管理,2017,34(9):707-711.
[14]罗淑星,周海龙,周超,等.男男性行为人群艾滋病患者心理健康状况与性行为调查分[J].预防医学情报杂志,2017,33(5):450-453.
[15]郑志女.心理护理干预对艾滋病患者免疫功能的影响分析[J].中国实用医药,2017,12(11):160-161.
[16]赵琬,张星灿,杨瑛,等.2013-2014年上海市闵行区婚检人群HSV-2感染情况及影响因素分析[J].复旦学报(医学版),2017,44(5):596-601.
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