安徽省2010—2020年性病门诊男性就诊者HIV感染状况及影响因素分析  

Analysis of HIV infection status and influencing factors among male STD outpatients in Anhui province,2010—2020

作　　者：沈月兰[1] 程晓莉[1] 刘爱文[1] 秦义组[1] 缪礼锋[1] 吴建军[1] 肖永康[1] 苏斌[1] 周兰兰[2] SHEN Yue-lan;CHENG Xiao-li;LIU Ai-wen;QIN Yi-zu;MIAO Li-feng;WU Jian-jun;XIAO Yong-kang;SU Bin;ZHOU Lan-lan(Anhui Provincial Center for Disease Control and Prevention,Hefei 230601,Anhui,China;不详)

机构地区：[1]安徽省疾病预防控制中心,安徽合肥230601 [2]珠海市疾病预防控制中心

出　　处：《安徽预防医学杂志》2021年第6期437-440,449,共5页Anhui Journal of Preventive Medicine

基　　金：2017年安徽省卫生与计划生育委员会科研计划项目(2017jk002);珠海市科技计划医疗卫生项目(ZH2202200071HJL)。

摘　　要：目的分析2010—2020年安徽省性病门诊男性就诊者HIV感染状况及影响因素,为预防和控制该人群HIV感染提供科学支持。方法2010—2020年在哨点监测期内以重复性横断面调查的方式对安徽省16个市的性病门诊男性就诊者进行调查,通过问卷调查研究对象社会人口学特征及相关行为情况,采集血样检测HIV抗体。结果共调查65043名性病门诊男性就诊者,2010—2020年HIV抗体阳性率分别为0.2%、0.3%、0.3%、0.5%、0.5%、0.6%、0.7%、1.0%、1.1%、1.0%和0.6%(χ^(2)=53.069,P<0.001),HIV抗体总阳性率为0.6%。二元logistic回归分析显示,未婚(AOR=6.051,95%CI:1.495~24.485)和最近一年被诊断为性病(AOR=2.762,95%CI:2.254~3.384)是性病门诊男性就诊者感染HIV的危险因素。结论安徽省性病门诊男性就诊者HIV抗体阳性率呈现上升趋势,应加强医疗机构性病门诊的HIV检测力度,开展针对性的HIV宣传和干预工作。Objective To analyze HIV infection and its influencing factors among male STD outpatients in Anhui province from 2010 to 2020,so as to provide valuable information for the prevention and control of HIV infection in this pupulation.Methods During the sentinel surveillance period from 2010 to 2020,a repetitive cross-sectional survey was conducted among male STD outpatients in 16 cities of Anhui Province.The social demographic,behavioral and serological information was collected through questionnaire survey and blood sample collection.Results A total of 65043 male STD outpatients were investigated.From 2010 to 2020,the positive rates of HIV antibody were 0.2%,0.3%,0.3%,0.5%,0.5%,0.6%,0.7%,1.0%,1.1%,1.0%and 0.6%,respectively(χ^(2)=53.069,P<0.001).The total positive rate of HIV antibody was 0.6%.Binary logistic regression analysis showed that unmarried(AOR=6.051,95%CI:1.495~24.485)and had sexually transmitted disease in last year(AOR=2.762,95%CI:2.254~3.384)were the risk factors of HIV infection in male STD outpatients.Conclusion The positive rate of HIV antibody among male STD outpatients in Anhui province is increasing.It is necessary to expand the HIV testing in STD outpatients of medical system,and improve the effectiveness and pertinence of HIV publicity and intervention.

关 键 词：性病门诊男性就诊者 人类免疫缺陷病毒 哨点监测 危险因素 

分 类 号：R512.91[医药卫生—内科学]