2010-2011年浦东新区高危人群艾滋病和梅毒的监测分析  

Surveillance of AIDS and syphilis in different high-risk groups in Pudong New District of Shanghai,2010-2011

作　　者：汤琰[1] 盛燕华[1] 王涛[1] 李旭[1] 

机构地区：[1]上海市浦东新区疾病预防控制中心,上海200136

出　　处：《中国艾滋病性病》2012年第8期540-542,共3页Chinese Journal of Aids & STD

摘　　要：目的通过对高危人群的监测,了解艾滋病、性病的流行现状及传播途径,为控制艾滋病及梅毒的传播与蔓延提供现实依据。方法对2010-2011年的五类高危人群的血液样本进行抗-HIV、抗-TP的血清学监测,并对不同人群的监测结果进行比较分析。结果 HIV感染率在自愿咨询检测(VCT)人群中最高,暗娼(FSW)人群中最低;梅毒螺旋体(TP)感染率在性病(STD)门诊人群中最高,VCT人群中最低。2010～2011年,HIV及TP感染率在VCT同性性传播人群分别为10.7%、12.7%及4.13%、7.75%;VCT异性性传播人群分别为1.96%、1.85%及1.31%、0.15%。艾滋病在五类高危人群中的感染分布及感染率均无明显变化;VCT同性性传播人群与异性性传播人群两年感染率比较,两人群差异均无统计学意义(P>0.05),但VCT同性性传播人群的HIV感染率显著高于异性性传播人群(P<0.05)。梅毒在五类高危人群中的感染分布及感染率有所变化,其中FSW、STD人群感染率两年比较差异有统计学意义(P<0.05),其余三类人群差异无统计学意义(P>0.05)。VCT同性性传播人群、异性性传播人群两年TP感染率之间比较,同性性传播人群差异无统计学意义(P>0.05),异性性传播人群差异有统计学意义(P<0.05),但VCT同性性传播人群TP感染率两年来均显著高于异性传播人群(P均<0.05)。结论继续做好各类高危人群的监测工作,进一步改进监测策略,提高监测效果并及时对艾滋病性病患者进行心理疏导,提高艾滋病性病的防治工作效果。Objective By monitoring different high-risk groups, to find out the prevailing current situation of AIDS and STD and the ways of spreading, so as to provide realistic basis for containing the spread of AIDS and syphilis. Method Serum specimens were collected from 5 high risk groups for HIV antibody and treponema pallidum（TP） antibody （antibody-TP） detection from 2010 to 2011, and the results of detection in the 5 groups were compare＆ Results In the past two years,the infection rate of HIV was the highest among VCT group, while it was the lowest among FSW group; TP was the highest among the STD clinic group, while it was the lowest among VCT group. The infection rates of HIV and TP in VCT homosexual transmission group were 10.7%, 12. 7% and 4.13%, 7.75% respectively, while the infection rates of HIV and TP in VCT heterosexual transmission group were 1. 96 %, 1.85 % and 1. 31%, 0. 15 % respectively. In the past two years, the infection rates of HIV and the distribution of the infection among the five high-risk groups did not change obviously; the HIV infection rates in the VCT homosexual and heterosexual transmission groups had no significant difference in the past two years （P〉 0. 05）, but the HIV infection rate in the homosexual group was significantly higher than in the heterosexual group （P〈0. 05）.The syphilis infection rate and infection distribution in the five high-risk groups had some change. Among them, the infection rate in FSW and STD clinic groups had remarkable differences during the two years （P〉0. 05）while the difference in the re- maining three groups was not notable （P〉0. 05） ; the syphilis infection rate in the VCT homosexual transmission group had no notable change in the past two yearse （P〉0. 05） while that in the heterosexual group did have remarkable change （P〉0. 05） However,the TP infection rate in the homosexual group was significantly higher than in the heterosexual group （P〈0. 05）. Conclusion It is essential to continue to provide proper

关 键 词：艾滋病 梅毒 高危人群 监测 

分 类 号：R512.91[医药卫生—内科学] R759[医药卫生—临床医学]