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目的 了解2013-2015年保定市莲池区性病门诊就诊者中男性艾滋病性病感染状况、艾滋病知识知晓率及高危行为状况,为完善人群哨点监测体系和制定综合防治策略提供依据。方法 依据《全国艾滋病哨点监测实施方案》对保定市莲池区性病门诊男性就诊者进行监测,对结果进行数据整理和统计分析。结果 2013-2015年共监测性病门诊男性就诊者1 200名,每年400名。以20~29岁年龄组、在婚、汉族和河北省户籍为主;艾滋病知识知晓率为92.6%,2013年最高,2015年最低,3年间知晓率差异有统计学意义(χ2=80.659,P=0.000);最近3个月与暗娼或临时性伴发生过性行为的分别占11.3%和12.8%,注射过毒品的占0.25%,与同性发生过肛交性行为的占15.8%。最近3个月与暗娼或临时性伴发生过性行为、与同性发生过肛交性行为比例3年间差异有统计学意义(χ2=43.618,P=0.000;χ2=22.363,P=0.000和χ2=14.795,P=0.001);HIV、梅毒和HCV抗体阳性检出率分别为0.5%、10.1%和0.7%。梅毒和HCV抗体阳性检出率3年间差异有统计学意义(χ2=67.298,P=0.000;χ2=13.146,P=0.000)。结论 2013-2015年间性病门诊艾滋病知识知晓率和高危行为发生率均有差异,要继续加强性病门诊的监测,加强宣传内容的全面性和形式的多样化,减少艾滋病、性病和丙肝的传播。
Objective To understand the prevalence of HIV / AIDS and the high-risk behavior of HIV among STD clinic patients in Lianchi District, Baotou from 2013 to 2015. It provides a basis for improving the surveillance system of sentinel disease and formulating a comprehensive prevention and control strategy. Methods According to “National AIDS Sentinel Surveillance Implementation Plan” to monitor the male patient in the Lianchi District STD clinic in Baoding, the data were analyzed and the results were analyzed. Results A total of 1 200 male STD clinic patients were monitored during 2013-2015, and 400 per year. The age of 20 ~ 29 age group, marriage, Han and Hebei Province, the main household registration; AIDS awareness was 92.6%, the highest in 2013, the lowest in 2015, three years awareness rate was statistically significant (χ2 = 80.659, P = 0.000). In the recent 3 months, 11.3% and 12.8% of them had sexual intercourse with female sex workers or temporary sexual partners respectively, 0.25% of those who had been injected with drugs and 15.8% of those who had sex with same sex. The ratio of anal sex with homosexuals who had sexual intercourse with female sex workers in the recent 3 months was significant (χ2 = 43.618, P = 0.000; χ2 = 22.363, P = 0.000 and χ2 = 14.795 , P = 0.001). The positive rates of HIV, syphilis and HCV antibody were 0.5%, 10.1% and 0.7% respectively. The detection rate of syphilis and HCV antibody was statistically significant difference between the three years (χ2 = 67.298, P = 0.000; χ2 = 13.146, P = 0.000). Conclusions There is a difference in the rate of AIDS knowledge and high-risk behaviors among STD clinics between 2013 and 2015. We should continue to strengthen the surveillance of STD clinics to enhance the comprehensiveness and diversification of publicity contents and reduce the spread of AIDS, sexually transmitted diseases and hepatitis C virus.