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目的分析镇江市艾滋病流行现状和发展趋势,为制定有效防治策略提供依据。方法采取哨点监测、重点人群筛查和专题流行病学调查等方法,收集男男性行为者(MSM)性传播疾病报告资料。结果 2012年全市共筛查MSM 426例,检出HIV抗体阳性者24人,检出率为5.63%(95%CI:3.44%~7.82%)。在此类群体中其他通过性传播疾病,HBV检出阳性率为8.92%(95%CI:6.21%~11.63%),梅毒特异性抗体检出阳性率为24.18%(95%CI:20.11%~28.25%),HCV阳性率仅为0.23%(95%CI:0.22%~0.68%)。结论镇江市艾滋病流行现状和发展趋势表明MSM性传播疾病检出率较高,应进一步加大对此类群体的监测、健康教育、行为干预和“四免一关怀”的力度。
Objective To analyze the status quo and development trend of AIDS epidemic in Zhenjiang and provide evidence for effective prevention and control strategies. Methods Sentinel surveillance, screening of key populations and special epidemiological survey methods were used to collect information on sexually transmitted diseases among men who have sex with men (MSM). Results In 2012, a total of 426 MSM were detected in the city. 24 HIV positive individuals were detected. The detection rate was 5.63% (95% CI: 3.44% -7.82%). Among the other sexually transmitted diseases in these populations, the positive rate of HBV detection was 8.92% (95% CI: 6.21% ~ 11.63%). The positive rate of syphilis-specific antibodies was 24.18% (95% CI: 20.11% 28.25%). The positive rate of HCV was only 0.23% (95% CI: 0.22% ~ 0.68%). Conclusion The current situation and development trend of AIDS epidemic in Zhenjiang shows that the detection rate of MSM sexually transmitted diseases is high, and the monitoring, health education, behavioral intervention and “Four Frees and One Care” of these groups should be further strengthened.