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目的了解中山市2010-2015年性传播疾病门诊男性就诊者艾滋病哨点监测情况,分析该目标人群高危行为发生情况、血清学检测情况变化趋势。方法按照《全国艾滋病哨点监测工作方案》要求,采取连续抽样方法,对在监测期内符合条件的性病门诊男性就诊者进行问卷调查和血清学检测。结果2010-2015年共监测2 406例,≤49岁者占81.42%(1 959/2 406);已婚或同居占79.05%(1 902/2 406),呈增长趋势(χ~2趋势=4.266,P=0.039);知晓率从2010年的63.50%增加至2015年的90.50%(χ~2趋势=77.123,P<0.001);近三个月的嫖娼比例和有临时性伴比例及近一年的患过性病比例、接受安全套/咨询检测服务比例均下降(P均<0.001)。≥50岁者较≤49岁者的知晓率更低(68.46%vs.85.20%,P<0.001),接受安全套/咨询检测服务的比例更低(7.40%vs.11.80%,P=0.007)。结论中山市性传播疾病门诊对男性就诊者人群干预工作已初见成效,但仍存在流行风险,≥50岁人群需引起更多关注。
Objective To understand the status of sentinel surveillance of AIDS in male patients of sexually transmitted disease clinic in 2010-2015 in Zhongshan City, analyze the occurrence of high-risk behaviors and the trend of serological detection in this target population. Methods According to the “National AIDS Sentinel Surveillance Program”, a continuous sampling method was used to conduct questionnaire and serological tests on eligible male STD clinic patients. Results A total of 2 406 cases were monitored between 2010 and 2015, accounting for 81.42% (9595/2406) who were ≤49 years old; 79.05% (1 902/2 406) married or living together, showing an increasing trend (χ ~ 2 trend = 4.266, P = 0.039); The awareness rate increased from 63.50% in 2010 to 90.50% in 2015 (χ ~ 2 trend = 77.123, P <0.001); The proportion of prostitutes in three months and the proportion of temporary partners The proportion of one-year STDs and condom / counseling and testing services declined (P <0.001). People over 50 years of age had a lower awareness rate than those under 49 years (68.46% vs.85.20%, P <0.001) and condoms / counseling services (7.40% vs.11.80%, P = 0.007). Conclusion The sexually transmitted disease outpatient service in Zhongshan City has already achieved initial success in the male intervention population. However, there are still epidemiological risks. People over 50 years old should pay more attention to it.