中国麻风皮肤病杂志 ›› 2023, Vol. 39 ›› Issue (12): 878-883.doi: 10.12144/zgmfskin202312878

• 论著 • 上一篇    下一篇

天津市使用新型毒品的男男性行为者梅毒感染状况调查

时同鑫1,崔壮2,于泽洋2,王肖萌2,杨杰3   

  1. 1天津市河西区疾病预防控制中心,天津，300201；2天津医科大学，天津，300203； 3天津深蓝公卫中心，天津，300122
  • 出版日期:2023-12-15 发布日期:2023-11-21

Investigation on syphilis infection among men who have sex with men using recreational drugs in Tianjin

SHI Tongxin1, CUI Zhuang2, YU Zeyang2, WANG Xiaomeng2, YANG Jie3   

  1. 1 Hexi District Center for Disease Control and Prevention, Tianjin 300201, China; 2 Tianjin Medical University, Heping District,Tianjin 300203, China; 3 Tianjin Shenlan Public Health Center, Hongqiao District, Tianjin 300122, China
  • Online:2023-12-15 Published:2023-11-21

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摘要： 目的：了解天津市男男性行为者（men who have sex with men，MSM）新型毒品使用者梅毒感染情况。方法：本研究自2020年10月至2021年9月，通过线上与线下招募结合的方式，招募使用新型毒品的MSM。收集参与者基本人口学信息、性行为情况、新型毒品使用等信息。使用统计学检验比较使用新型毒品的MSM中梅毒感染者与非感染者的特征差异。结果：最终纳入研究的使用新型毒品的MSM共计416人，年龄20~70岁，平均(35.17±9.41)岁。梅毒感染者107例，感染率为25.72%。亚硝酸盐吸入剂（Rush Popper）是使用最为广泛的毒品，使用新型毒品的梅毒感染者与非感染者在年龄（P=0.003）、婚姻状况（P=0.024）、工作状态（P=0.001）、自身HIV感染状况认知（P=0.021）以及最近一次肛交安全套使用情况（P=0.020）等变量上的差异具有统计学意义。MSM梅毒感染的多因素分析显示，在最近一次肛交中不使用安全套是该人群感染梅毒的危险因素（OR=2.416）。结论：天津市使用新型毒品的MSM人群中梅毒的感染率处于较高的水平。

关键词: 梅毒, 男男性行为者, 新型毒品, 艾滋病

Abstract: Objective: To To investigate syphilis infection among new drug men who have sex with men (MSM) in Tianjin. Methods: From October 2020 to September 2021, MSM using new drugs were recruited through a combination of online and offline recruitment. Basic demographic information, sexual behavior, and new drug use were collected. Statistical tests were used to compare the characteristics of syphilis infected and non-infected MSM using novel drugs. Results: A total of 416 MSM using novel drugs were included in the study, ranging in age from 20 to 70 years old, with an average age of 35.17±9.41 years old. 107 patients were infected with syphilis, the infection rate was 25.72%. The most common drug was Rush Popper. There were statistically significant differences in age (P=0.003), marital status (P=0.024), working status (P=0.001), awareness of HIV status (P=0.021), and condom use during last anal sex (P=0.020) among patients with syphilis and non-infected persons. Failure to use a condom during the most recent anal intercourse was a risk factor for syphilis in this population (OR=2.416). Conclusion: The infection rate of syphilis in MSM using new drugs in Tianjin is at a high level.

Key words: syphilis, men who have sex with men, recreational drugs, HIV