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首页> 外文期刊>Japanese journal of infectious diseases >The Epidemic of Human Immunodeficiency Virus, Hepatitis C Virus, and Syphilis Infection, and the Correlates of Sexually Transmitted Infections among Men Who Have Sex with Men in Zhenjiang, Jiangsu, China
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The Epidemic of Human Immunodeficiency Virus, Hepatitis C Virus, and Syphilis Infection, and the Correlates of Sexually Transmitted Infections among Men Who Have Sex with Men in Zhenjiang, Jiangsu, China

机译：中国江苏省镇江市人类免疫缺陷病毒，丙型肝炎病毒和梅毒感染的流行以及与男性发生性行为的性传播感染的相关性

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A cross sectional survey was performed to investigate the epidemic of human immunodeficiency virus (HIV), hepatitis C virus (HCV), syphilis, and HIV-1 subtype infections among men who have sex with men (MSM) and to evaluate factors that were correlated with sexually transmitted infections (STIs) among 657 MSM in Zhenjiang, Jiangsu, during 2012–2013. Data on socio-demographic parameters and risky behaviors were collected, and blood samples were obtained. In this survey, the prevalence of STIs due to HIV (5.3%), HCV (0.6%), and syphilis (19.2%) were measured. Of 35 HIV-infected MSM, 1 (0.2%) and 17 (2.6%) were co-infected with HCV and syphilis. Among 33 samples with available HIV-1 genomic fragment sequences, 6.1% B, 72.7% CRF01_AE, and 21.2% CRF07_BC were identified. Multivariate logistic regression analysis showed that age 30 years (odds ratio [OR] 2.002; 95% confidence interval [CI], 1.144–3.502) and having had STI symptoms in the past year (OR, 11.673; 95% CI, 3.092–44.078) were positively correlated with having an STI, while consistent use of a condom when having sex with male partners (OR, 0.621; 95% CI, 0.408–0.945) was significantly associated with a low STI rate. The worsening epidemic of HIV, HCV, and syphilis infections, and the prevalence of complex subtypes of HIV-1 and other risk factors suggest that effective intervention strategies should be strengthened for MSM in Zhenjiang, Jiangsu.
机译：进行了一项横断面调查，以调查与男男性接触的男性中的人类免疫缺陷病毒（HIV），丙型肝炎病毒（HCV），梅毒和HIV-1亚型感染的流行情况，并评估相关因素2012-2013年间，江苏镇江地区657名男男性接触者中患有性传播感染（STIs）。收集有关社会人口统计学参数和危险行为的数据，并获得血液样本。在这项调查中，测量了由艾滋病毒（5.3％），丙肝病毒（0.6％）和梅毒（19.2％）引起的性传播感染的患病率。在35个被HIV感染的MSM中，有1个（0.2％）和17个（2.6％）被HCV和梅毒共同感染。在33个具有可用HIV-1基因组片段序列的样本中，鉴定出6.1％B，72.7％CRF01_AE和21.2％CRF07_BC。多元logistic回归分析显示，年龄> 30岁（比值比[OR] 2.002; 95％置信区间[CI]，1.144-3.502），并且在过去的一年中有STI症状（OR，11.673; 95％CI，3.092- 44.078）与性传播感染呈正相关，而与男性伴侣发生性行为时持续使用安全套（OR，0.621; 95％CI，0.408-0.945）与性传播感染率低显着相关。 HIV，HCV和梅毒感染的流行在加剧，HIV-1复杂亚型的流行和其他危险因素表明，应在江苏镇江加强针对MSM的有效干预策略。

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