广东省中山市2010-2015年性传播疾病门诊男性就诊者艾滋病哨点监测结果分析  

Analysis of AIDS Sentinel Surveillance among Male STD Clients in Zhongshan from 2010 to 2015

作　　者：来学惠[1] 舒波[1] 陈楚莹[1] 陈建海[1] 孙映梅[1] 李晓莹[1] 苏少冰[1] 

机构地区：[1]中山市疾病预防控制中心,广东中山528403

出　　处：《中国皮肤性病学杂志》2017年第9期984-986,共3页The Chinese Journal of Dermatovenereology

摘　　要：目的了解中山市2010-2015年性传播疾病门诊男性就诊者艾滋病哨点监测情况,分析该目标人群高危行为发生情况、血清学检测情况变化趋势。方法按照《全国艾滋病哨点监测工作方案》要求,采取连续抽样方法,对在监测期内符合条件的性病门诊男性就诊者进行问卷调查和血清学检测。结果2010-2015年共监测2 406例,≤49岁者占81.42%(1 959/2 406);已婚或同居占79.05%(1 902/2 406),呈增长趋势(χ~2趋势=4.266,P=0.039);知晓率从2010年的63.50%增加至2015年的90.50%(χ~2趋势=77.123,P<0.001);近三个月的嫖娼比例和有临时性伴比例及近一年的患过性病比例、接受安全套/咨询检测服务比例均下降(P均<0.001)。≥50岁者较≤49岁者的知晓率更低(68.46%vs.85.20%,P<0.001),接受安全套/咨询检测服务的比例更低(7.40%vs.11.80%,P=0.007)。结论中山市性传播疾病门诊对男性就诊者人群干预工作已初见成效,但仍存在流行风险,≥50岁人群需引起更多关注。Objective To understand the situation of AIDS sentinel surveillance among sexually transmitted disease（STD）clinic in Zhongshan from 2010 to 2015,and analyze the trend of high risk behaviors and serological results.Methods According to the National AIDS Sentinel Surveillance Project, using continuing sampling method, STD clients who met the criterion were recruited,followed by questionnaire investigation tests.Results From 2010 to 2015,2 406 subjects were involved; proportion of age ≤ 49 years old was 81.42%（1 959/2 406）; the ratio who were married or in relationship was 79.05%,which increased year by year（linear trend χ^2=4.266,P=0.039）.Awareness rate was 90.50% in 2015,up from 63.50% in 2010（linear trend χ^2 =77.123,P〈0.001）.The proportion of commercial sexual behavior occurrence in last 3 months decreased, also like the proportion of casual sexual behavior occurrence in last 3 months and coverage ratio of free condom/counseling ＆ test（each linear trend P〈0.001）.Awareness rate of the group of age≥50 years old was higher than the group of age≤49 years old（68.46% vs. 85.20%,P〈0.001）,as the same as the proportion of free condom/counseling ＆ test（7.40% vs. 11.80%,P=0.007）.Conclusion Intervention against AIDS among STD outpatients in Zhongshan has already worked,but the epidemic risk factors exist yet.More attention should be paid to the population older than 50 years old.

关 键 词：艾滋病 哨点监测 性传播疾病 

分 类 号：R512.91[医药卫生—内科学]