论文部分内容阅读
目的了解中国跨性别MSM人群及非跨性别MSM的高危性行为特征及HIV/梅毒检测情况,并比较两个人群的差异,为制定针对性的防治措施提供依据。方法利用互联网招募跨性别MSM及非跨性别MSM,收集其高危性行为、HIV/梅毒检测史等资料进行分析。结果本研究共从30个省份招募MSM 1 320例,其中52例(3.94%)为跨性别MSM。跨性别MSM人群及非跨性别MSM自我报告的HIV感染率分别为11.11%,5.67%。多因素分析显示,跨性别MSM人群更可能选择跨性别者作为性伴(调整后OR(a OR)=8.113,95%CI:2.559~25.692),更少与女性伴侣居住(aOR=0.102,95%CI:0.021~0.402);跨性别MSM人群的HIV及梅毒检测率均低于非跨MSM(aOR_(HIV)=0.363,95%CI:0.203~0.652;a OR_(syphilis)=0.423,95%CI:0.203~0.907)。结论跨性别MSM人群HIV感染率较高而检测率较低,需要进一步促进该人群的HIV/梅毒检测,从而控制HIV/梅毒在该人群的进一步传播。
Objective To understand the high-risk sexual behaviors and HIV / syphilis detection status of transgender MSM and non-transsexual MSM in China and to compare the differences between the two groups in order to provide a basis for the development of targeted prevention and treatment measures. Methods Internet transgender MSM and non-transgender MSM were recruited to collect information on their high-risk sexual behaviors and HIV / syphilis detection history. Results A total of 1 320 MSM cases were recruited from 30 provinces, of which 52 (3.94%) were transgender MSM. Self-reported HIV prevalence among transgender MSM and non-transgender MSM was 11.11% and 5.67% respectively. Multivariate analysis showed that transgender MSM were more likely to choose trans partners as partners (adjusted OR (a OR) = 8.113, 95% CI: 2.559 to 25.692) and fewer females (aOR = 0.102, 95 % CI: 0.021-0.402). The detection rates of HIV and syphilis among transgender MSM population were lower than those of non-transmentized MSM (aOR_ (HIV) = 0.363, 95% CI: 0.203-0.652; a syphilis = 0.423, 95% CI: 0.203 ~ 0.907). Conclusions HIV prevalence is high and the detection rate is low in transgender MSM population. HIV / syphilis testing needs to be further promoted in this population so as to control the further transmission of HIV / syphilis in this population.