目的 了解济南市男男性行为人群艾滋病感染状况和影响因素,为济南市艾滋病防治政策和策略的制定提供参考依据.方法 采用连续采样的方法在取得研究对象人群知情同意的前提下,对2012年11月至2013年3月到济南市疾病预防控制中心(CDC)艾滋病自愿咨询检测门诊的男男性行为者(MSM)共300人进行了问卷调查及采血检测艾滋病、梅毒抗体.利用EpiData软件录入数据,用SPSS 17.0软件做logistic回归分析.结果 本次调查共有31例艾滋病抗体阳性,感染率为10.33％.在多因素分析中,首次性行为年龄＜20岁和最近6个月与男性发生肛交性行为时不能每次都使用安全套是艾滋病感染的危险因素.结论 男男同性传播艾滋病所占比例逐年提高,已成为济南市报告HIV感染最主要的传播途径.在男男性行为人群中提倡减少性伴和发生性行为时每次都使用安全套应是今后干预工作中的重点.

目的 了解济南市2012年疾病预防控制(疾控)机构艾滋病自愿咨询检测(VCT)人群中,主动求询和被动求询者的筛查结果及人口学特征,为相关政策的制定提供依据.方法 下载艾滋病综合防治数据信息管理系统2012年济南市艾滋病自愿咨询检测数据,筛选疾控机构数据,对数据中主动求询和被动求询者进行分层对比,通过SPSS 17.0统计学软件进行x2分析,P＜0.05为差异有统计学意义.结果 主动求询者的筛查阳性率为2.29％(110/4814),被动求询者为0.83％(23/2761).有主动求询意识的男性占73.64％(3545/4814),31岁以下的占76.24％(3670/4814),未婚/离异/丧偶的占75.86％ (3652/4814);主动求询者中高中或中专及以上者占80.76％(3888/4814),被动求询者中高中或中专及以下者占77.44％(2138/2761).所有求询者中50岁及以上的筛查阳性率为7.94％(5/63),50岁以下人群为1.70％(128/7512),80.00％(4/5)是通过男男性行为感染.结论 济南市2012年疾控机构艾滋病VCT人群中,主动求询者HIV阳性检出率大于被动求询者,女性、已婚有配偶、文化程度较低者的主动求询意识差,求询者中50岁及以上人群HIV阳性检出率较高,应针对具体情况采取相应的干预措施.

目前经性途径传播已经成为中国艾滋病的主要传播途径[1],中国艾滋病流行形式正处于从高危人群向一般人群扩散的关键时期,在没有有效药物和疫苗控制的情况下,开展针对各类人群的预防艾滋病的健康教育以及行为干预是非常必要的.济南市截至2013年7月累计报告HIV/AIDS共981人,其中异性传播267人,占27.2％;同性传播512人,占52.2％.济南市从没有对嫖客这一高危人群做过深入调查,了解济南市男男性行为者(Men who have sex with men,MSM)和嫖客的艾滋病知识知晓状况和性行为,有利于针对性地开展宣传教育、咨询服务和行为干预,为有关部门制定防治策略和措施提供科学依据,具有重要的社会意义和现实意义.

[Objective]To understand the situation of HIV voluntary counseling and testing(VCT) in Jinan city CDC,so as to provide scientific basis for the work of VCT in Jinan.[Methods]The basic information and HIV antibody test of the persons were statistically analyzed in Jinan city CDC VCT outpatient service in 2010.[Results]Among 1 568 cases,92.22% of them were males and those at 20 to 29 years of age accounted for 64.67%,the men who have sex with men accounted for 58.48%,those who have nocommercial non fixed sexual behavior accounted for 25.32%.37 were HIV positive,with a positive rate of 2.36%.[Conclusion]The focus group of HIV VCT in Jinan are the men who have sex with men.

[Objective]To understand the HIV voluntary counseling and testing(VCT) in Jinan city and grasp the key groups for HIV/AIDS control and prevention.[Methods]From 2006 to 2010 in Ji'nan CDC,the information of HIV voluntary counseling and testing clinic seeking consultation was analyzed.[Results]There were 8 350 receiving counseling services.The groups were mainly concentrated in the age group 20 to 39 years,accounting for 85.16%.Males were 91.21% and females were 8.79%.There were several reasons for seeking consultation in which non-marital heterosexual sex accounted for 37.34%,men who have sex with men(MSM) accounted for 51.96%,blood transfusion accounted for 0.86%.HIV antibody positive average rate was 1.46%,and 0.98%,0.69%,1.07%,2.10%,and 2.37% respectively during 2006-2010(P0.01) .The positive rate of people who had non-marital heterosexual sex was 0.42%(13/3 091) and the positive rate of men who had sex with men was 2.35%(100/4 255) .[Conclusion]VCT clinic can detect the H IV infected people/patients,and to reduce the spread of AIDS The current emphasis of AIDS prevention and control should be the groups of MSM and sexual chaos.

[Objective] To investigate the situation of HIV infection and the correlative factors among bisexuality persons in Ji'nan city,and to provide some reference for MSM intervention.[Methods]From April to June 2008,investigation was conducted among 185 MSM with RDS(Respondent Driven Sampling),and HIV,syphilis and HCV were tested.[Results]185 persons were investigated.58.38% MSM had sex with women in the past six months.47.03% MSM who had sex with men didn't use condoms and 70.37% MSM who had sex with women didn't use condoms in the past six months(P0.01).The knowing rate of basic knowledge of AIDS was 80.54%,and 44.86% MSM received AIDS interven-tion.The positive rate of HIV was 1.08%.The positive rate of TPPA was 7.02%.The positive rate of HCV was 2.16%.[Conclusion]Bisexual MSM are a bridge population of infecting HIV,Syphilis and HCV.

<正>无论是在发达国家还是发展中国家,艾滋病自愿咨询检测(VCT)都已成为及早发现HIV感染者和艾滋病患者的有效途径之一。VCT服务工作有利于及时发现HIV感染者和艾滋病患者,使更多的HIV感染者了解自己的感染状况,及时得到治疗、关怀等必要的服务。为自愿接受艾滋病咨询检测

Objective To investigate the syphilis and HIV infection situation and its influencing factors among men who have sex with men(MSM),and therefore to provide scientific basis for prevention of high-risk behaviors among MSM.Methods Respondent driven sampling as well as anonymous questionnaire were used among 500 MSM.Blood samples of the participants were collected for testing of syphilis and HIV.Softwares of RDSAT and SPSS 15.0 were used for statistic analysis.Results Of the 500 participants,3.1% were HIV positive(95% CI 1.3-5.1);7.0% were diagnosed with syphilis(95% CI 4.9-9.2);46.3% reported male sexual orientation by self-identification(95% CI 41.3-51.5);0.7% were co-infected with syphilis and HIV.Conclusion Syphilis infection situation is serious in MSM.Intervention and control of sexually transmitted disease(STD),sense of HIV/STD infection as well as safe sexual behavior should be strengthened among MSM.

目的 对济南市男男性行为人群(MSM)的行为特征和高危行为进行分析,为制定防治政策提供依据.方法 2008年4-6月,使用同伴推动抽样法,在济南市开展MSM人群的流行病学调查,使用RDSATT软件进行统计分析.结果 调查500名MSM,平均年龄29.6岁,高中及以下学历占52.6%,未婚者、流动人口居多.涉及多种职业,其中农民工占13.8%.发生首次性行为平均年龄20.8岁,第一个性伴多为男性.性交方式主要为口交和肛交.近6个月平均性伴数4.5个,近一半为约会情人或一夜情.有12.4%的人有过商业性行为,且80.8%的人在商业性行为时从不使用安全套.有34.7%的人近6个月与异性发生过性行为.结论 济南市MSM人群危险性行为普遍存在,农民工中的MSM值得关注.通过异性性传播的危险犹存,应继续在该人群中开展健康教育与行为干预.