广东省江门市性病门诊促进HIV及梅毒检测效果分析  

Effect Analysis of Promoting HIV and Syphilis Testing in Jiangmen,Guangdong

作　　者：沈鸿程 黄澍杰[1] 文美贞[2] 谭雪玲[2] 冯丽珊[2] 陈洁珊[2] 郑迎军[3] 郑和平[1] 杨斌[1] 王晓春[3] 

机构地区：[1]广东省皮肤性病防治中心,广州510095 [2]江门市皮肤医院,广东江门529000 [3]中国疾病预防控制中心性病艾滋病预防控制中心,北京102201

出　　处：《中国艾滋病性病》2016年第1期32-34,41,共4页Chinese Journal of Aids & STD

基　　金：广东省科技计划项目(503138971102)~~

摘　　要：目的了解广东省江门市性病门诊艾滋病病毒(HIV)及梅毒检测工作现况,评估性病门诊促进HIV及梅毒检测的效果。方法选择广东省江门市的4家医疗机构,收集快速评估、性病门诊就诊者个案表等资料进行分析。结果快速评估2014年第一季度性病门诊1404例就诊者,其HIV和梅毒检测率分别28.35%(398例)、39.89%(560例)。研究期间共计纳入性病门诊就诊者1409例,男女性别之比为1∶1.11,平均年龄为34岁。门诊类别中皮肤性病科比例最大,占78.64%(1108例)。1409例中,650例就诊者有性病症状(46.13%)。799例接受HIV检测(56.71%),确诊HIV新发病例15例,阳性率1.88%;966例接受梅毒检测(68.56%),确诊梅毒新发病例85例,阳性率为8.80%;HIV(χ2=264.9,P<0.01)及梅毒(χ2=293.2,P<0.01)的检测率差异有统计学意义。超过半数的拒绝者认为没有必要进行检测。结论该研究从医疗机构、医务人员、性病门诊就诊者三个方面综合考虑,证实性病门诊促进HIV及梅毒检测的有效性及可行性,有助于推动HIV及梅毒的综合防控。Objective To understand the HIV and syphilis testing situation,and to explore effective practice to promote HIV and syphilis testing.Methods Four medical institutions were selected as pilot units in Jiangmen city.The training,promotion,and rewards were carried out for HIV and syphilis testing.Data of the visitors to STD clinics were collected and analyzed.Results Among the total number of 1 404 STD clinic clients recruited in the 1st quarter of 2014 for the baseline survey,the HIV and syphilis testing rate were 28.35%（398）and 39.89%（560）respectively.During the pilot study period,1 409 STD clinic clients were intervened with HIV and syphilis testing,the ratio of male and female was 1：1.11 with the mean age of 34 years old.Among the different outpatient service categories,the skin venereal division had the largest proportion（78.64%）.About half of the STD clinic clients（46.13%）had symptoms.799clients（56.71%）received HIV testing with the positive rate of 1.88%;966clients（68.56%）were tested for syphilis with prevalence of 8.80%.The different rates between HIV（χ2=264.9,P〈0.01）and syphilis（χ2=293.2,P〈0.01）were statistically significant.More than half of the clients rejected the testing,thinking there was no need.Conclusion The HIV and syphilis testing rates among STD clinic clients in Jiangmen is relatively low,calling for needs to strengthen HIV and syphilis testing for STD clinic clients in medical institutions to promote more comprehensive HIV/syphilis prevention and control.

关 键 词：性病门诊 艾滋病病毒 梅毒 检测 

分 类 号：R373.9[医药卫生—病原生物学] R759.1[医药卫生—基础医学]