武汉市2014—2018年性病门诊男性就诊者艾滋病哨点监测结果分析  

Analysis of Sentinel Surveillance on HIV/AIDS among Male Patients in Sexually Transmitted Disease(STD)Clinics in Wuhan from 2014 to 2018

作　　者：张敏[1] 罗莉[1] 曹琳[1] 胡荣[1] 许骏[1] 王夏[1] ZHANG Min;LUO Li;WANG Xia(Wuhan Centers for Disease Prevention and Control,Wuhan,430015,China)

机构地区：[1]武汉市疾病预防控制中心艾滋病防制所,湖北武汉420022

出　　处：《中国社会医学杂志》2021年第2期218-221,共4页Chinese Journal of Social Medicine

基　　金：湖北省卫生厅科研基金项目(WJ2018H262)。

摘　　要：目的了解武汉市性病门诊男性就诊者艾滋病监测情况,分析目标人群高危行为以及HIV、HCV和梅毒感染状况,为制定科学的防艾措施提供依据。方法按照《全国艾滋病哨点监测实施方案》,用连续采样方法,对2014—2018年监测期内所有符合条件的对象进行问卷调查并采集血样进行检测,每年监测400人,共完成样本量2000例。采用卡方检验比较各年度艾滋病知识知晓情况、行为学监测结果等的差异。结果性病门诊男性就诊者年龄以19~56岁为主,占91.20%,平均年龄(35.80±12.55)岁。各年度对“一个感染了艾滋病病毒的人能从外表上看出来吗”“蚊虫叮咬会传播艾滋病吗”两个问题回答的正确率均较低(<80.00%),艾滋病相关知识知晓率平均为75.10%,2015年后知识知晓率呈逐年上升趋势,5年间知晓率的差异有统计学意义(χ^(2)=25.32,P<0.01)。最近3个月与暗娼发生性行为的比例平均为37.70%;最近3个月与临时性伴发生性行为的比例平均为49.70%。近5年HIV、梅毒和HCV的阳性率平均值分别为2.80%、19.50%、1.45%。结论性病门诊男性就诊者近年来艾滋病知识知晓率有所提升,但某些知识点的知晓率仍较低,该人群的高危性行为比例和HIV、梅毒阳性率仍较高,需加强对该类人群的宣传教育和预防干预,以减少性病艾滋病的传播。Objective To investigate the HIV/AIDS surveillance of male patients in sexually transmitted disease(STD)clinics in Wuhan,to analyze the target population's high-risk behaviors and their infection status of HIV,HCV and syphilis,and to provide a basis for formulating scientific prevention measures of AIDS.Methods In accordance with the National AIDS Sentinel Monitoring Implementation Plan,continuous sampling was used to conduct a questionnaire survey on all eligible subjects during the monitoring period from 2014 to 2018 and blood samples were collect for testing.400 people were monitored each year,with a total sample size of 2000 cases.The chi-square test was used to compare the differences in awareness of AIDS knowledge and results of behavioral monitoring in each year.Results Male patients in STD clinics were mainly 19~56 years old,accounting for 91.20%of the total population,with an average age of 35.80±12.55 years old.In each year,for two questions"Can a person infected with HIV see it from the outside"and"Does mosquito bites transmit AIDS?",the correct rate were low(<80.00%).The average awareness rate of AIDS-related knowledge was 75.10%.The knowledge awareness rate has been increasing year by year after 2015,and the difference in awareness rate within 5 years was statistically significant(χ^(2)=25.32,P<0.01).The average rate of having sex with prostitutes in the last 3 months was 37.70%.The average rate of having sex with temporary partners in the last 3 months was 49.70%.The average positive rates of HIV,syphilis and HCV in the past five years were 2.80%,19.50%,and 1.45%respectively.Conclusion The awareness rate of AIDS knowledge among male patients in STD clinics has increased in recent years,but the awareness rate of certain knowledge points is still low.The high-risk sexual behaviors and HIV and syphilis positive rates of this population are still high.It is necessary to strengthen publicity and promote education and preventive interventions to reduce the spread of STDs and AIDS.

关 键 词：性病门诊 男性就诊者 艾滋病 哨点监测 

分 类 号：R512.91[医药卫生—内科学] R181.82[医药卫生—临床医学]