目的了解性病门诊男性就诊者中人类免疫缺陷病毒(HIV)、梅毒螺旋体(TP)的感染状况及相关因素,为在该人群中实施相关防治措施提供依据。方法于2013、2014连续2年4—6月对天津市某性病门诊年龄>15岁的男性就诊者进行问卷调查,同时采集静脉血检测HIV、TP抗体,并对结果进行分析。结果共收集800例性病门诊男性就诊者,平均年龄为(30.4±8.2)岁,艾滋病(AIDS)知识的总知晓率为90.6%(725/800),HIV抗体阳性率为5.4%(43/800),TP抗体阳性率为7.0%(56/800)。多因素logistic回归分析结果表明,HIV感染的主要影响因素是同性肛交性行为(OR=5.360,95%CI=2.676~10.734)和TP感染(OR=4.014,95%CI=1.761~9.145);TP感染的主要影响因素是HIV感染(OR=3.602,95%CI=1.525~8.508)。结论性病门诊男性就诊者HIV、TP感染率较高,应依托性病门诊开展有效的AIDS性病宣传干预工作,尤其应加强警示性教育宣传。 Objective To understand the infection status and related factors of human immunodeficiency virus (HIV) and Treponema pallidum (TP) in male outpatients in STD clinics, and to provide basis for the implementation of relevant prevention and treatment measures in this population. Methods A questionnaire survey was conducted among male patients aged> 15 in a STD clinic in Tianjin from April to June in 2013 and 2014. At the same time, HIV and TP antibodies were collected from venous blood and the results were analyzed. Results A total of 800 male STD clinic patients were collected, with an average age of (30.4 ± 8.2) years old. The total awareness rate of AIDS knowledge was 90.6% (725/800) and HIV antibody positive rate was 5.4% (43/800 ), The positive rate of TP antibody was 7.0% (56/800). Multivariate logistic regression analysis showed that the main influencing factors of HIV infection were homosexual anal sex (OR = 5.360, 95% CI = 2.676-10.734) and TP infection (OR = 4.014, 95% CI 1.761-9.145) The main influencing factor of infection was HIV infection (OR = 3.602, 95% CI = 1.525-8.508). Conclusion STD clinics have a higher prevalence of HIV and TP infection in HIV-infected men and women. STD clinics should effectively rely on STD clinics to carry out effective AIDS STD interventions. In particular, vigilance education campaigns should be strengthened.