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目的了解广州市三类性病艾滋病高危人群的行为特征、梅毒相关知晓水平及HIV和梅毒感染情况,为制定性病艾滋病防治策略与干预措施提供科学依据。方法对暗娼、男男性行为人群(MSM)和吸毒人员三类人群进行面对面问卷调查,采集静脉血检测HIV和梅毒抗体。结果分别调查暗娼245人、MSM 319人、吸毒人员472人,梅毒相关知识知晓率由高到低依次为吸毒人员57.84%,MSM53.92%,暗娼33.06%,三组差异有统计学意义(P<0.01);HIV感染率由高到低依次为MSM 8.81%,吸毒人员2.34%,暗娼中未发现HIV感染病例,差异有统计学意义(P<0.01);现症梅毒感染率由高到低依次为MSM 4.72%,吸毒人员3.18%,暗娼1.21%,差异无统计学意义(P>0.05)。暗娼在商业性交易中每次都使用安全套占29.80%,9.80%从不使用安全套。MSM在肛交性行为中每次都使用安全套的比例为38.21%,固定性伴的比例为35.88%。29.87%的吸毒人员与配偶或固定性伴外的异性发生过性行为,每次都使用安全套的比例为33.33%。结论广州市高危人群性病艾滋病流行的危险因素广泛存在,应加强综合监测和干预工作,控制性病艾滋病的进一步扩散。
Objective To understand the behavioral characteristics, the level of knowledge about syphilis and the prevalence of HIV and syphilis in three STD / AIDS patients in Guangzhou, and provide a scientific basis for the development of STD and AIDS prevention strategies and interventions. Methods The face-to-face questionnaire was conducted among three groups of female sex workers, MSM and drug addicts. Venous blood was collected to detect HIV and syphilis antibody. Results There were 245 CSMs, 319 MSM and 472 drug addicts. The awareness rate of syphilis was 57.84%, MSM53.92% and female sex workers were 33.06% respectively from high to low, the differences among the three groups were statistically significant (P <0.01). The HIV prevalence rates were MSM 8.81% and drug addicts 2.34% from high to low, no HIV infection was found in commercial sex workers, the difference was statistically significant (P <0.01); the incidence of syphilis infection from high to low Followed by MSM 4.72%, drug users 3.18%, 1.21% of commercial sex workers, the difference was not statistically significant (P> 0.05). Female sex workers use condoms for 29.80% of their commercial transactions each time, and 9.80% never use condoms. MSM used condom every time in anal sex ratio was 38.21%, fixed sex ratio was 35.88%. 29.87% of drug addicts had sexual intercourse with their spouses or other sexually-related sexually transmitted diseases, with 33.33% of them using condoms each time. Conclusions The prevalence of STD / AIDS in high-risk population in Guangzhou is widespread. Therefore, comprehensive monitoring and intervention should be strengthened to control the further spread of STD and AIDS.