泰州市2009～2011年性病门诊男性就诊者监测结果分析  

Analysis of HIV sentinel surveillance among male STD clinic attendants from 2009-2011 in Taizhou City

作　　者：徐亚斌[1] 于明润[1] 朱中奎[1] 潘龙[1] 张翔[1] 杨建国[1] 高歌[2] 

机构地区：[1]江苏泰州市疾病预防控制中心,江苏泰州225300 [2]苏州大学放射医学与公共卫生学院

出　　处：《现代预防医学》2013年第8期1521-1523,共3页Modern Preventive Medicine

基　　金：国家自然科学基金支助项目(30972548)

摘　　要：目的分析泰州市性病门诊男性就诊者艾滋病相关行为变化及艾滋病病毒感染流行趋势,为艾滋病综合防治和科学干预提供信息和依据。方法 2009～2011年连续开展性病门诊男性就诊者综合监测,在监测期内以重复横断面调查的方法对性病门诊男性就诊人群进行问卷调查并采血。结果 3年间共监测性病门诊男性就诊者2071人,共检出6例HIV感染者和40例梅毒感染者,感染率分别为0.1%～0.5%和9.3%～16.0%,检出1例丙肝感染者。最近3个月与小姐和临时性伴发生过性行为的比例分别为63.2%～65.3%和18.7%～26.4%。12.7%～21.1%的就诊者近1年有性病史,0～0.4%与男性发生过肛交。性病门诊男性就诊者艾滋病知晓率为78.1%～86.8%。艾滋病干预覆盖率为8.3%～18.5%,覆盖率不断提高(Z=5.44,P﹤0.0001)。近1年参加过HIV检测且知道检测结果的比例为1.4%～8.8%,呈逐年提高趋势(Z=4.97,P﹤0.0001)。结论泰州市性病门诊男性就诊者艾滋病流行处于较低水平。需要在进一步扩大干预覆盖面和提高HIV检测率比例的同时,加强艾滋病和性病综合防治工作。OBJECTIVE To monitor the time trend of behaviors change related to HIV/AIDS epidemic and HIV prevalence among male clients in STD （sexually transmitted diseases） clinics, and to provide information and basis for comprehensive HIV prevention responses and evaluation of intervention effectiveness. METHODS During the year of 2009 to 2011, a series of cross-sectional surveys were conducted, and blood samples were collected to test for HIV, syphilis and Hepatitis C. RESULTS A total of 2071 eligible male attendants completed questionnaires and blooding from 2009 to 2011, the prevalence of HIV and syphilis was 0.1%-0.5% and 9.3%-16.0%, respectively. 63.2%-65.3% and 18.7%-26.4% of male attendants had sex with female sex workers and casual partners. 12.7%-21.1% reported having been diagnosed with STDs in last year, and 0-0.4% had anal sex with men in the last 3 months. The awareness rate on HIV/AIDS transmission was 78.1%-86.8%. 1.4%-8.8% and 8.3% -18.5% of the subjects reached HIV testing and intervention services in last year, respectively, and the both of proportion was increasing. CONCLUSION The HIV prevalence of male STD clinic attendants was at a low level. It is necessary to take more comprehensive and effective measures to strengthen the prevention of HIV and STD, while further expanding the coverage of intervention and improving the proportion of HIV testing rate.

关 键 词：HIV 性病门诊 性病 监测 

分 类 号：R512.91[医药卫生—内科学]