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《Chinese Journal of AIDS & STD》 2010-06
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A case-control study of HIV infection among men who have sex with men in Suzhou

ZHAO Xiu-ping,CAO Xiao-Ping,ZHANG Fu-Xin,et al.(Suzhou Center for Disease Prevention and Control,Suzhou,Jiangsu 215004,China)  
Objective To investigate factors associated with HIV infection among men who have sex with men(MSM) and recommend strategies for improved interventions to reduce the risk of HIV among them.Methods A case-control study was conducted among MSM in Suzhou.MSM who were confirmed as HIV-positive in a MSM survey from May,2008 through July,2009 were defined as study(case) group and those who were detected as HIV negative were defined as control group at a ratio of 1 to 4.All subjects completed the same questionnaire covering socio-demography,sexual behavior and AIDS knowledge.Results A total of 58 cases were enrolled in the study group and 232 cases – in the control group.Conditioned logistic regression analysis was performed to investigate which factors were associated with HIV infection.The univariate analysis indicated that college education or above(OR=0.40,95% CI: 0.20,0.78),the registered permanent residence outside Suzhou(OR=2.19,95% CI: 1.05,4.55),having five or more homosexual partners in the past 6 months(OR=2.29,95% CI: 1.15,4.56),having homosexual receptive anal intercourse(AI)(OR=2.30,95% CI: 1.16,4.59),never or rarely using condoms in homosexual AI(OR=4.20,95% CI: 1.95,9.08) in the past 6 months and syphilis infection(OR=2.28,5%CI:1.17,4.41) were associated with HIV infection.The multivariate analysis showed that college education or above(OR=0.45,95%CI:0.21,0.98) and never or rarely using condoms in homosexual AI(OR=3.76,95% CI:1.60,8.84)were independently associated with HIV infection.Conclusions Higher education reduced HIV risk while never or rarely using condoms in homo sexual AI was a risk factor for HIV infection among MSM.Intensive interventions to promote condom use among MSM are urgently needed.
【Fund】: 江苏省预防医学科研项目(YZ2006004)~~
【CateGory Index】: R512.91
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