2010-2020年云南省性病门诊男性就诊者艾滋病哨点监测结果分析  

Analysis of Sentinel Surveillance Among Male Patients in STD Clinics in Yunnan Province From 2010 to 2020

作　　者：张祖样 宋丽军[1] 肖民扬 王晓雯[1] 牛瑾[1] 付丽茹[1] 罗红兵[1] 李雪华 ZHANG Zuyang;SONG Lijun;XIAO Minyang;WANG Xiaowen;NIU Jin;FU Liru;LUO Hongbing;LI Xuehua(Yunnan Provincial Center for Disease Control and Prevention,Kunming 650034,China;Yunnan Provincial AIDS Research Institute,Kunming 650034,China)

机构地区：[1]云南省疾病预防控制中心,云南昆明650034 [2]云南省艾滋病研究所,云南昆明650034

出　　处：《中国皮肤性病学杂志》2022年第8期943-948,共6页The Chinese Journal of Dermatovenereology

基　　金：国家“十三五”科技重大专项(2018ZX10715006)。

摘　　要：目的了解2010-2020云南省性病门诊男性就诊者HIV、梅毒和HCV的感染状况,为艾滋病防控策略制定提供参考。方法每年1-6月通过连续抽样的方法,对监测当年首次主动进入性病门诊哨点且以性病诊疗为目的男性就诊者进行横断面调查。结果2010-2020年共完成调查61057例,HIV阳性率为0.81%,介于0.56%~1.62%之间,变化趋势差异无统计学意义(χ^(2)_(趋势)=0.737,P=0.391);梅毒阳性率为4.10%,介于3.30%~6.45%之间,呈下降趋势(χ^(2)_(趋势)=13.731,P<0.001);HIV阳性合并梅毒阳性的比例为0.14%,介于0.06%~0.23%之间,呈上升趋势(χ^(2)_(趋势)=7.425,P=0.006);HCV阳性率为0.66%,介于0.37%~1.56%之间,呈下降趋势(χ^(2)_(趋势)=19.90,P<0.001)。最近3个月发生过商业性行为、临时性行为发生者HIV感染率为1.10%和0.93%,发生同性肛交者HIV感染率为10.00%,均呈上升趋势(P<0.05)。结论性病门诊男性就诊者是艾滋病性病防治工作中的重点人群,应该重点关注多性伴、性活跃人群,加强性健康教育和高危行为干预,降低多种性传播疾病合并感染的风险和减少二代传播。Objective To understand the HIV,syphilis and HCV infection status among male patients in STD clinics in Yunnan Province from 2010 to 2020,and to provide references for the development of AIDS prevention and control strategies.Methods A cross-sectional survey of male patients who actively entered the sentinel clinic for STD diagnosis and treatment was carried out,by continuous sampling from January to June each year.Results A total of 61057 cases were investigated.The rate of HIV positive was 0.81%(0.56%-1.62%),and there was no significant difference in the trend(χ2trend=0.737,P=0.391);The rate of syphilis positive was 4.10%(3.30%-6.45%),showing a downward trend(χ^(2)_(trend)=13.731,P<0.001);The rate of combine HIV and syphilis positive was 0.14%(0.06%-0.23%),showing a rising trend(χ2trend=7.425,P=0.006).The rate of HCV positive was 0.66%(0.37%-1.56%),showing a downward trend.The rate of HIV positive among who had taken commercial sexual behavior and temporary sexual behavior in the last three months were 1.10%,0.93%.The rate of HIV positive among who had taken homosexual behavior was 10.00%,all showing a rising trend(P<0.006).Conclusion Male patient in STD clinics is the key group in the prevention and treatment of AIDS and STDs.We should focus on multiple sexual partners and actively sexual behavior person.It is important to strengthen sexual health education and high-risk behavior interventions,reducing the risk of multiple sexually transmitted diseases co-infection and second generation infection.

关 键 词：艾滋病 男性就诊者 性病门诊 梅毒 高危险行为 

分 类 号：R512.91[医药卫生—内科学]