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目的了解常州市性病门诊就诊者艾滋病相关知识、高危行为和艾滋病、梅毒等性传播疾病的感染情况及其影响因素。方法依据《全国艾滋病哨点监测方案》,对性病门诊男性就诊者实施哨点监测。结果2012—2014年共监测性病门诊就诊者1211例,采集有效血样1199份。HIV、梅毒和丙型肝炎病毒(HCV)抗体阳性率分别为4.6%、15.0%和0.9%。2012、2013和2014年的艾滋病知识总体知晓率分别为89.2%、97.0%和98.3%。监测对象中,与暗娼和临时性伴发生过性行为分别占70.3%和21.2%,注射过毒品占0.5%,与同性发生过肛交性行为占9.8%。多因素Logistic分析显示,非江苏省户籍、注射吸毒、同性肛交性行为是HIV感染的主要危险因素(P<0.05)。结论常州市性病门诊就诊者性病感染率高。对性病门诊就诊者进行HIV抗体检测,能够有效发现潜在感染者,同时以性病门诊为依托的艾滋病宣传教育和行为干预亟待加强。
Objective To understand the AIDS-related knowledge, high-risk behaviors and HIV / AIDS and syphilis infections in Changzhou STD clinics and their influential factors. Methods Based on the National AIDS Sentinel Surveillance Program, sentinel surveillance was performed on male patients attending STD clinics. Results A total of 1211 STD clinic patients were monitored during 2012-2014, and 1199 valid blood samples were collected. The positive rates of HIV, syphilis and hepatitis C virus (HCV) were 4.6%, 15.0% and 0.9% respectively. The overall awareness rate of AIDS knowledge in 2012, 2013 and 2014 was 89.2%, 97.0% and 98.3% respectively. Among the monitoring subjects, 70.3% and 21.2% of them had sexual intercourse with female sex workers and temporary partners, 0.5% of them had injected drugs, and 9.8% of them had homosexuality with same sex. Multivariate Logistic analysis showed that non-Jiangsu household registration, drug abuse and same-sex anal sex were the major risk factors of HIV infection (P <0.05). Conclusion STD clinic patients in STD infection rate is high. HIV antibody testing for STD clinic patients can effectively identify potential HIV infected persons. At the same time, HIV / AIDS publicity, education and behavioral interventions based on STD clinics need to be strengthened.