2015—2019年辽宁省艾滋病哨点七类人群HIV、梅毒和HCV感染状况分析  

Analysis on HIV,syphilis and HCV infection among seven groups of AIDS sentinel population in Liaoning Province from 2015 to 2019

作　　者：孙笠翔[1] 周丹[1] 赵砚[1] 王莉[1] 潘珊[1] 吕娅妮[1] 康续 SUN Li-xiang;ZHOU Dan;ZHAO Yan;WANG Li;PAN Shan;LYU Ya-ni;KANG Xu(Sexually Transmitted Disease of AIDS Prevention and Control Center,Liaoning Province Center for Disease Control and Prevention,Shenyang 110005,China)

机构地区：[1]辽宁省疾病预防控制中心艾滋病与性传播疾病预防控制所,沈阳110005

出　　处：《医学动物防制》2022年第4期325-329,共5页Journal of Medical Pest Control

基　　金：辽宁省自然基金资助计划—辽宁地区HIV-1的耐药现状及分子流行病学研究(2020-MS-358)。

摘　　要：目的分析2015—2019年辽宁省艾滋病监测哨点七类人群HIV、梅毒和丙型肝炎病毒(HCV)感染状况,为辽宁省艾滋病防治提供理论依据。方法2015—2019年在国家艾滋病哨点监测期对辽宁省男男性行为人群、暗娼、性病门诊男性就诊者、吸毒者、孕产妇、青年学生、男性流动人口七类人群进行监测,分析该人群基本信息、行为学情况、血清学结果等指标。结果2015—2019年辽宁省男男性行为人群HIV阳性检出率从7.8%下降至3.5%(χ^(2)=47.090,P<0.01),性病门诊男性就诊者历年HIV阳性检出率低于2.0%,其他人群HIV阳性检出率均处于较低水平;性病门诊男性就诊者梅毒阳性检出率从11.6%降至9.8%(χ^(2)=24.651,P<0.01),吸毒者梅毒阳性检出率由4.8%上升到6.6%(χ^(2)=15.545,P<0.01),男男性行为人群梅毒从2.9%降至2.3%(χ^(2)=55.252,P<0.01),暗娼梅毒阳性检出率由1.8%下降到1.3%(χ^(2)=14.761,P<0.01),其他人群梅毒阳性检出率低于1.0%;吸毒者HCV阳性检出率由15.6%下降至9.2%(χ^(2)=46.076,P<0.01),其他人群HCV阳性检出率均较低。结论男男性行为人群是辽宁省艾滋病流行的重点人群,性病门诊男性就诊者中梅毒仍处于较高水平,吸毒者中HCV感染率最高。Objective To provide theoretical basis for AIDS prevention and control in Liaoning Province by analyzing the status of HIV,syphilis and hepatitis C virus(HCV)infection among seven groups of population in Liaoning Province from 2015 to 2019.Methods Seven categories of population including the men who have sex with men(MSM),prostitute,male clients in sexually transmitted disease(STD)clinics,drug users,pregnant and lying in women,young students and male floating population in Liaoning Province from 2015 to 2019 were monitored during national AIDS sentinel surveillance period.The basic information,behavioral status and serological results of the population were analyzed.Results The HIV positive rate of MSM population decreased from 7.8%in 2015 to 3.5%in 2019(χ^(2)=47.090,P<0.01).The HIV positive rate of male outpatients in STD clinics over the years was lower than 2.0%,and the HIV positive rate of other populations was at a low level;the positive rate of syphilis in male STD outpatients decreased from 11.6%to 9.8%(χ^(2)=24.651,P<0.01),the positive rate of syphilis in drug users increased from 4.8%to 6.6%(χ^(2)=15.545,P<0.01),syphilis in men who have sex with men decreased from 2.9%to 2.3%(χ^(2)=55.252,P<0.01),syphilis in prostitutes decreased from 1.8%to 1.3%(χ^(2)=14.761,P<0.01),and the positive rate of syphilis in other groups was less than 1.0%;and the positive rate of HCV in drug users decreased from 15.6%to 9.2%(χ^(2)=46.076,P<0.01).The positive rate of HCV in other populations was low.Conclusion MSM population is considered to be key population of AIDS epidemic in Liaoning Province.Syphilis remain ranking at a high level among male clients in STD clinics,and HCV infection rate of patient among drug users ranks highest degree.

关 键 词：艾滋病 HIV 梅毒 丙型病毒性肝炎 哨点监测 血清学检测 阳性检出率 

分 类 号：R181.81[医药卫生—流行病学]