性病门诊男性就诊者HIV/TP感染状况及影响因素  

HIV/TP infection and related factors of among male attendees of STD clinic

作　　者：左桐[1] 庞作章[2] 齐秀英[1] ZUO Tong PANG Zuo-zhang QI Xiu-ying(Department of Epidemiology and Biostatistics, School of Public Health, Tianjin Medical University, Tianjin 300070, Chin)

机构地区：[1]天津医科大学公共卫生学院,天津300070 [2]天津市疾病预防控制中心预防医学门诊

出　　处：《中国公共卫生》2017年第3期361-364,共4页Chinese Journal of Public Health

摘　　要：目的了解性病门诊男性就诊者中人类免疫缺陷病毒(HIV)、梅毒螺旋体(TP)的感染状况及相关因素,为在该人群中实施相关防治措施提供依据。方法于2013、2014连续2年4—6月对天津市某性病门诊年龄>15岁的男性就诊者进行问卷调查,同时采集静脉血检测HIV、TP抗体,并对结果进行分析。结果共收集800例性病门诊男性就诊者,平均年龄为(30.4±8.2)岁,艾滋病(AIDS)知识的总知晓率为90.6%(725/800),HIV抗体阳性率为5.4%(43/800),TP抗体阳性率为7.0%(56/800)。多因素logistic回归分析结果表明,HIV感染的主要影响因素是同性肛交性行为(OR=5.360,95%CI=2.676~10.734)和TP感染(OR=4.014,95%CI=1.761~9.145);TP感染的主要影响因素是HIV感染(OR=3.602,95%CI=1.525~8.508)。结论性病门诊男性就诊者HIV、TP感染率较高,应依托性病门诊开展有效的AIDS性病宣传干预工作,尤其应加强警示性教育宣传。Objective To examine the prevalence and related factors of human immunodeficiency virus （HIV） and Treponema pallidum （TP） infection among male persons visiting sexually transmitted disease （STD） clinic and to provide evidences for carrying out relevant interventions in the population.Methods Questionnaire survey and venous blood collection for HIV and TP antibody detection were performed among male voluntary STD clinic attendees aged〉15 years between April and June from 2013 to 2014 in Tianjin city.Results For a total of 800 male attendees surveyed,the average age was 30.4±8.2 years;the overall rate of awareness about AIDS was 90.6%;the positive rates of HIV and TP antibody were 5.4% and 7.0%,respectively.The results of logistic regression analysis showed that main related factors for HIV infection among the attendees included having homosexual anal sex （odds ratio [OR]=5.360,95% confidence interval [95%CI]=2.676-10.734） and with TP infection （OR=4.014,95%CI=1.761-9.145）;while the main related factor of TP infection was HIV infection （OR=3.602,95%CI=1.525-8.508）.Conclusion The infection rates of HIV and TP are relatively high among male STD clinic attendees in Tianjin city,suggesting effective health education and intervention on HIV and STD should be implemented among the population.

关 键 词：性病门诊 男性 艾滋病(AIDS) 梅毒 

分 类 号：R512.91[医药卫生—内科学]