中国学生男男性行为者艾滋病感染状况分析
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摘要
目的分析我国2006年1月~2016年12月学生男男性行为者(MSM)艾滋病感染率的状态和变化规律。方法在中国知网(CNKI)、维普中文科技期刊数据库和万方数据知识服务平台数据库,检索发表于2006年1月1日~2016年12月31日关于中国学生MSM艾滋病感染的相关数据。检索关键词:男男(同)性行为或男男(同)性接触、艾滋病或获得性免疫缺陷、学生和感染率。结果最终纳入相关文献共8篇:研究学生MSM合计2295例,来源于全国8个地区,其中人类免疫缺陷病毒(HIV)阳性例数为107(4.66%)。HIV感染率与研究时间不存在线性关系,暂不能认为学生MSM人群中,HVI感染呈逐年上升趋势。以秦岭淮河区划我国的南北地理分界,南北方学生MSM感染率比较,差异无统计学意义(P=0.449)。南方合计学生MSM 1205例,HIV阳性60例,感染率为4.98%;北方合计学生MSM 1090例,HIV阳性47例,感染率为4.31%。结论明确中国学生MSN人群中HIV感染情况,根据相关特点制订合理建议,为中国艾滋病的防治提供科学依据。
Objective To analyze the status and changes of acquired immunodeficiency syndrome(AIDS) prevalence among the male students who have sex with men(MSM) from January 2006 to December 2016 in China. Methods Data related to MSM infection among Chinese students during the period from January 1 th 2006 to December 31 th 2016 were searched in the datases included CNKI, wangfang and VIP database. Key words: MSM, HIV/AIDS, student and infection rate. Results A total of 8 articles were included in the study, which was found in 8 regions of the country. The total number of MSM in the study was 2295, and the HIV infection cases were 107(4.66%). There was no linear relationship between the infection rate of HIV and the time of study; and it cannot be assumed that HVI infection was increasing year by year in the MSM population. The state was divided into the north and south, while there was no statistically significant difference between the two areas(P = 0.449): 1205 cases of MSM in the south, the HIV positive cases were 60(4.98%), while the cases in the north was 1090 and 47(4.66%) cases were HIV positive. Conclusion It is important to determine the prevalence of HIV infection among MSN in Chinese students and make reasonable suggestions according to the characteristics of HIV infection. It will provide scientific evidence for AIDS control and prevention in China.
Objective To analyze the status and changes of acquired immunodeficiency syndrome(AIDS) prevalence among the male students who have sex with men(MSM) from January 2006 to December 2016 in China. Methods Data related to MSM infection among Chinese students during the period from January 1 th 2006 to December 31 th 2016 were searched in the datases included CNKI, wangfang and VIP database. Key words: MSM, HIV/AIDS, student and infection rate. Results A total of 8 articles were included in the study, which was found in 8 regions of the country. The total number of MSM in the study was 2295, and the HIV infection cases were 107(4.66%). There was no linear relationship between the infection rate of HIV and the time of study; and it cannot be assumed that HVI infection was increasing year by year in the MSM population. The state was divided into the north and south, while there was no statistically significant difference between the two areas(P = 0.449): 1205 cases of MSM in the south, the HIV positive cases were 60(4.98%), while the cases in the north was 1090 and 47(4.66%) cases were HIV positive. Conclusion It is important to determine the prevalence of HIV infection among MSN in Chinese students and make reasonable suggestions according to the characteristics of HIV infection. It will provide scientific evidence for AIDS control and prevention in China.
引文
[1]中国疾病预防控制中心性病艾滋病预防控制中心性病控制中心.2015年12月全国艾滋病性病疫情及主要防治工作进展[J].中国艾滋病性病,2016,22(2):69.
[2]Shang H,Zhang LQ.MSM and HIV-1 infection in China[J].National Science Review,2015,2(4):388-391.
[3]Liu D,Jiang Z,Xiu C,et al.Sexually transmitted infection prevalence and related risk factors among heterosexual male methamphetamine users in China[J].Int J STD AIDS,2017,28(12):1208-1214.
[4]Li YZ,Xu JJ,Reilly KH,et al.Prevalence of HIV and syphilis infection among high school and college student MSM in China:Asystematic review and meta-analysis[J].PLo S ONE,2013,8(7):e69137.
[5]郭燕,李龙,周宁.天津市2011~2014年15~24岁人群HIV流行特征分析[J].中国性科学,2016,25(6):85-89.
[6]韩莹,韩秀云,李建卓,等.济南市男男性行为人群艾滋病病毒?梅毒及丙型肝炎感染状况分析[J].中国卫生检验杂志,2016,25(13):1951-1953.
[7]陈莲芬,陈朱,唐贤龙,等.三亚市高校学生男男性行为人群艾滋病知识及相关疾病流行现状[J].中国学校卫生,2013,34(9):1036-1038.
[8]郑建东,庞琳,徐杰,等.北京市大学生男男性行为人群HIV与梅毒感染相关流行病学调查[J].中国艾滋病性病,2011,17(3):358-359,362.
[9]何勤英,王晓冬,于飞,等.学生男男性行为人群行为特征及HIV感染危险因素[J].预防医学情报杂志,2011,27(11):890-893.
[10]杜桂英,姜宝法.聊城市男男性行为大中学生艾滋病知识态度行为及HIV感染状况[J].中国学校卫生,2011,32(11):1312-1313.
[11]冯连贵,丁贤彬,卢戎戎,等.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[J].第三军医大学学报,2010,32(24):2644-2646.
[12]朱军礼,张洪波,吴红花.学生中122名男男性行为者HIV/STD高危行为及其感染状况分析[J].中国艾滋病性病,2007,13(4):350-352.
[13]贾平,中国艾滋病法律与公共政策—以权利保障和受影响人群为核心[J].中国艾滋病性病,2016,22(3):222-225.
[14]郝阳,崔岩,孙新华,等.“四免一关怀”政策实施十年来中国艾滋病疫情变化及特征分析[J].中华疾病控制杂志,2014,18(5):369-374.
[15]Wang Z,Wu X,Lau J,et al.Prevalence of and factors associated with unprotected anal intercourse with regular and nonregular male sexual partners among newly diagnosed HIV-positive men who have sex with men in China[J].HIV Med,2017,18(9):635-646.
[16]杨中荣,金玫华,董正全,等.中国内地大中学生中男男性行为者HIV感染率的Meta分析[J].卫生研究,2013,42(4):689-692.
[17]陶桃,曹越,殷维,等.不同活动场所MSM人群艾滋病知识行为比较研究[J].公共卫生与预防医学,2011,22(6):5-8.
[18]Leonard NR,Rajan S,Gwadz MV,et al.HIV testing parterns among urban YMSN of color[J].Health Enduc Behav,2014,41(6):673-681.
[19]黄凤荣,黄红,庄鸣华,等.上海市52名青少年男同性恋者社会心理和性行为状况调查[J].上海交通大学学报:医学版,2010,30(5):581-584.
[20]金玫华,杨中荣.董正全.利用互联网开展MSM艾滋病知识干预效果评估[J].中国艾滋病性病,2013,19(9):695.
[2]Shang H,Zhang LQ.MSM and HIV-1 infection in China[J].National Science Review,2015,2(4):388-391.
[3]Liu D,Jiang Z,Xiu C,et al.Sexually transmitted infection prevalence and related risk factors among heterosexual male methamphetamine users in China[J].Int J STD AIDS,2017,28(12):1208-1214.
[4]Li YZ,Xu JJ,Reilly KH,et al.Prevalence of HIV and syphilis infection among high school and college student MSM in China:Asystematic review and meta-analysis[J].PLo S ONE,2013,8(7):e69137.
[5]郭燕,李龙,周宁.天津市2011~2014年15~24岁人群HIV流行特征分析[J].中国性科学,2016,25(6):85-89.
[6]韩莹,韩秀云,李建卓,等.济南市男男性行为人群艾滋病病毒?梅毒及丙型肝炎感染状况分析[J].中国卫生检验杂志,2016,25(13):1951-1953.
[7]陈莲芬,陈朱,唐贤龙,等.三亚市高校学生男男性行为人群艾滋病知识及相关疾病流行现状[J].中国学校卫生,2013,34(9):1036-1038.
[8]郑建东,庞琳,徐杰,等.北京市大学生男男性行为人群HIV与梅毒感染相关流行病学调查[J].中国艾滋病性病,2011,17(3):358-359,362.
[9]何勤英,王晓冬,于飞,等.学生男男性行为人群行为特征及HIV感染危险因素[J].预防医学情报杂志,2011,27(11):890-893.
[10]杜桂英,姜宝法.聊城市男男性行为大中学生艾滋病知识态度行为及HIV感染状况[J].中国学校卫生,2011,32(11):1312-1313.
[11]冯连贵,丁贤彬,卢戎戎,等.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[J].第三军医大学学报,2010,32(24):2644-2646.
[12]朱军礼,张洪波,吴红花.学生中122名男男性行为者HIV/STD高危行为及其感染状况分析[J].中国艾滋病性病,2007,13(4):350-352.
[13]贾平,中国艾滋病法律与公共政策—以权利保障和受影响人群为核心[J].中国艾滋病性病,2016,22(3):222-225.
[14]郝阳,崔岩,孙新华,等.“四免一关怀”政策实施十年来中国艾滋病疫情变化及特征分析[J].中华疾病控制杂志,2014,18(5):369-374.
[15]Wang Z,Wu X,Lau J,et al.Prevalence of and factors associated with unprotected anal intercourse with regular and nonregular male sexual partners among newly diagnosed HIV-positive men who have sex with men in China[J].HIV Med,2017,18(9):635-646.
[16]杨中荣,金玫华,董正全,等.中国内地大中学生中男男性行为者HIV感染率的Meta分析[J].卫生研究,2013,42(4):689-692.
[17]陶桃,曹越,殷维,等.不同活动场所MSM人群艾滋病知识行为比较研究[J].公共卫生与预防医学,2011,22(6):5-8.
[18]Leonard NR,Rajan S,Gwadz MV,et al.HIV testing parterns among urban YMSN of color[J].Health Enduc Behav,2014,41(6):673-681.
[19]黄凤荣,黄红,庄鸣华,等.上海市52名青少年男同性恋者社会心理和性行为状况调查[J].上海交通大学学报:医学版,2010,30(5):581-584.
[20]金玫华,杨中荣.董正全.利用互联网开展MSM艾滋病知识干预效果评估[J].中国艾滋病性病,2013,19(9):695.