接受性病转介服务的MSM情况分析  

Analysis of men who have sex with men receiving the STD referral services

作　　者：曹宁校 余庆[3] 李士樑 董汉生 葛凤琴 许丹丹 蒋宁[1,2] 

机构地区：[1]中国医学科学院皮肤病医院 [2]中国疾病预防控制中心性病控制中心,南京210042 [3]武汉馨缘工作组,武汉430000 [4]武汉市皮肤病防治院,武汉430030

出　　处：《中国艾滋病性病》2015年第4期290-292,共3页Chinese Journal of Aids & STD

基　　金：中盖艾滋病项目(一次性活动)~~

摘　　要：目的了解社区组织发现并转介到性传播疾病（STD）医疗机构的男男性行为人群（MsM）的特征，提出健康干预的建议。方法建立社区组织与医疗机构的联系网络，通过日常咨询服务转介疑似STD患者接受检查诊断和治疗。对转介成功并诊断治疗者进行个人信息询问登记和分析。结果156例被转介的STD患者中，98．7％为汉族，武汉当地户籍占87．8％；52．6％年龄为20～30岁之间，68．6％未婚，50．6％独居，75．6％为大本及以上学历；学生、干部职员和商业服务人员分别占20％以上；无收入者占22．5％。诊断为梅毒的占73．7％，艾滋病病毒（HIV）感染占35．9％，尖锐湿疣占16．7％；22．4％为梅毒和HIV混合感染。门诊咨询检测62例，新发现HIV感染者17例；安全套使用率为44．22％。结论应重视对于学生、未婚、独居和高学历群体的健康干预，对商业服务人员的健康教育也需要给予重视，应该加强STD就诊者的HIV推荐检测。同时要加大安全套使用推广力度，提高MSM群体行为的安全性。Objective To understand the characteristics of men who have sex with men （MSM） that had been found and referred to the medical institutions by community organizations, and provide the suggestions for the health intervention. Methods The network was established between community organizations and medical institutions. The suspected patients were found through routine counseling service and referred to medical institutions. They would receive the sexually transmitted diseases （STD） inspection, diagnosis and treatment. The respondents of suc-cess referral were requested to participate in the investigation. Results 98.7% of patients referred were Han ethnic group among 156 cases. 87.8% of respondents registered their residence in Wuhan. That 52.6% were 20 to 30 years old, 68.6% were unmarried, 50.6% were living alone and 75.6% were college diploma or above among the all patients. The main occupation was university student. Officer, staff and business clerk accounted for more than 20% respectively. 22.5% of respondents didn＇t have regular income. 73.7% of patients were syphilis cases, and 35.9% of that was HIV infection. 16.7% of patients were genital warts cases. The proportion of syphilis and HIV co-infection was 22.4%. Among 62 cases seeking counseling and testing service, 17 cases were found as new HIV infection. The rate of condom use was 44.22%. Conclusion The health intervention were implemented on the target population including college students, unmarried, living alone and highly educated population. The staff of business services also needs to be carried out more health education. HIV testing should be recommended to all the patients who seeking services in STD clinics. Meanwhile condom use should be promoted by intensity activities and coverage of protected behavior should be improved among MSM populations.

关 键 词：性传播疾病 男男性行为人群 转介服务 性安全 

分 类 号：R759[医药卫生—皮肤病学与性病学]