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目的研究上海市艾滋病自愿咨询检测(VCT)门诊就诊人群,Ⅱ型单纯疱疹病毒(HSV-2)感染率及其影响因素。方法对2007年3月至11月,自愿前往上海市闸北区和普陀区疾病预防控制中心(CDC)VCT门诊就诊者,进行面对面的匿名问卷调查,并抽取5ml静脉血分离血清检测HSV-2、艾滋病病毒(HIV)抗体。结果研究期间共有291人自愿接受艾滋病咨询检测,其中男性占81.8%,女性占18.2%。HSV-2抗体阳性者27人,感染率为9.3%,HIV抗体阳性者1人,阳性率为0.3%。研究对象的安全套使用率不高,近3个月性生活中每次都使用安全套的比例为37.5%。与固定性伴和非固定性伴的安全套使用差异无统计学意义。女性研究对象报告的安全套使用率明显低于男性。女性、较低文化程度者HSV-2感染率较高。结论上海市有必要在VCT门诊中同时开展HSV-2的检测和咨询。提高女性自我保护意识和安全套使用率,仍然是性病艾滋病防治工作的重点。
Objective To investigate the prevalence of HSV-2 infection and its influential factors in the voluntary counseling and testing (VCT) clinic in Shanghai. Methods From March to November 2007, volunteers went to Zhabei District and Shanghai Putuo District Center for Disease Control and Prevention (CDC) VCT clinics voluntarily to conduct face-to-face anonymous questionnaire survey, and 5ml venous blood was collected to detect HSV-2, HIV antibody. Results A total of 291 volunteers received AIDS counseling and testing during the study period, of which 81.8% were men and 18.2% were women. 27 were positive for HSV-2 antibody, the infection rate was 9.3%, HIV antibody positive one, the positive rate was 0.3%. The condom use rate was low in the study subjects. Condom use was 37.5% in every 3 months of life. There was no significant difference in the use of condoms between regular partners and non-regular partners. Condom use reported by women was significantly lower than that of men. Female, lower literacy HSV-2 infection rate is higher. Conclusion It is necessary for Shanghai to conduct simultaneous HSV-2 testing and counseling in VCT clinics. Raising awareness of female self-protection and condom use remains the focus of HIV / AIDS prevention and treatment.