2018-2022年日照市性病门诊男性就诊者艾滋病哨点监测结果分析  

Analysis of human immunodeficiency virus sentinel surveillance among sexually transmitted disease clinics in Rizhao city from 2018 to 2022

作　　者：孟祥萍[1] 郑祺[1] 王琦 李学渊[1] 刘爱玲 MENG Xiangping;ZHEN Qi;WANG Qi;LI Xueyuan;LIU Ailing(Department of AIDS Prevention and Control,Rizhao Center for Disease Control and Prevention,Rizhao 276826,China)

机构地区：[1]日照市疾病预防控制中心艾滋病防制科,山东日照276826

出　　处：《社区医学杂志》2023年第17期871-874,879,共5页Journal Of Community Medicine

摘　　要：目的 分析日照市性病门诊男性就诊者艾滋病病毒(HIV)感染情况及其影响因素,为制定有效预防控制策略提供理论依据。方法 选取2018-2022年在日照市皮肤病防治所性病门诊或在其他科室就诊性病的男性患者为调查对象。对其进行一对一问卷调查,采集静脉血进行HIV、梅毒检测。不同影响因素率的比较采用χ2检验或Fisher确切概率法检验,采用多因素logistic回归模型分析HIV感染的影响因素。结果 2018-2022年日照市性病门诊共监测男性就诊者2 123例,检出HIV阳性22例(1.04%),梅毒阳性190例(8.95%)。年龄主要集中在25~50岁,共1 367例(64.39%)。婚姻状况以已婚和同居为主,共1 441例(67.88%)。单因素分析结果显示,婚姻状况(χ^(2)=5.125,P=0.024)、艾滋病(AIDS)知晓情况(χ^(2)=5.718,P=0.017)、是否发生过男男肛交性行为(P<0.001)、最近1年是否曾确诊过性病(χ^(2)=7.589,P=0.006)、梅毒检测结果(P<0.001)等因素HIV阳性率比较,差异有统计学意义。多因素分析结果显示,有过男男肛交性行为(OR=24.841,95%CI为9.278~66.508,P<0.001)、梅毒检测结果阳性(OR=15.104,95%CI为4.496~50.739,P<0.001)是感染HIV的危险因素。结论 日照市性病门诊男性就诊者HIV感染率呈现逐年增高趋势,男男同性肛交性行为、梅毒检测结果阳性是这类人群的高危因素,需要探索开展有针对性的干预措施。Objective To analyze human immunodeficiency virus(HIV)infection status and influencing factors of male pa-tients in sexually-transmitted disease clinics in Rizhao city,and to provide a scientific basis for formulating effective pre-vention and control measures.Methods Male patients who visited the sexually-transmitted diseases clinic or other de-partments of the Rizhao Skin Disease Prevention and Control Institute from 2018to 2022were selected as the survey sub-jects.A one-on-one questionnaire survey was conducted to collect venous blood for HIV and syphilis detection.The chi square test or Fisher exact probability test was conducted to compare the rates of different influencing factors.Logistic re-gression model was used to analyze the associated factors of HIV.Results From 2018to 2022,a total of 2123male pa-tients in sexually-transmitted diseases clinics were monitored,of whom 22(1.04%)were HIV positive and 190(8.95%)were syphilis positive.1367patients(64.39%)were mainly aged 25-50.The marital status was mainly married and co-habiting(1441cases,67.88%).The results of univariate analysis showed that marital status(χ^(2)=5.125,P=0.024),acquired immune deficiency syndrome(AIDS)awareness(χ^(2)=5.718,P=0.017),anal sex with the same sex(P<0.001),sexually transmitted diseases in the last year(χ^(2)=7.589,P=0.006),syphilis test results(P<0.001)and other factors had statistical significance with positive rate of HIV.The results of multivariate analysis showed that having anal sex with the same sex(OR=24.841,95%CI:9.278-66.508,P<0.001)and being positive for syphilis(OR=15.104,95%CI:4.496-50.739,P<0.001)were the risk factors for AIDS infection.Conclusions The infection rate of AIDS a-mong male patients attending sexually-transmitted disease clinics in Rizhao city is on the rise.Homosexual anal sex and syphilis infection are risk factors for this group,and targeted intervention measures need to be explored.

关 键 词：性病门诊 男性就诊者 艾滋病病毒 梅毒 日照市 

分 类 号：R512.91[医药卫生—内科学]