男性性病患者HIV感染风险意识及相关知识调查

Investigation on awareness and knowledge about HIV risk among male STI clients

目的了解性病门诊男性性病患者艾滋病的感染情况,分析该人群感染艾滋病的风险意识和艾滋病相关知识的掌握情况及其影响因素,为制定防治策略和措施提供参考依据。方法采用横断面研究设计,用统一设计的标准化问卷对云南省某省级医院皮肤性病科就诊的258名男性患者进行调查,并进行相关指标检测。结果男性高危人群人类免疫缺陷病毒(HIV)阳性的检测率为2.0%(2/100)。男性性病患者感染HIV的风险与非固定性伴的情况和艾滋病自愿咨询检测的意愿等因素的联系差异有统计学意义。艾滋病相关的知识总得分>12分(共21分)以上者有169人,比例为65.5%;文化程度、年龄和职业等因素与艾滋病相关的知识得分差异有统计学意义。结论性病门诊男性性病患者艾滋病的感染率较高,不安全性行为比较普遍,自愿咨询检测的比例低,应加强该人群艾滋病预防的教育干预工作。

Objective To provide scientific basis for making controlling measures related to AIDS by analyzing their perceived HIV risks and knowledge,the prevalence and facts for HIV/AIDS among male STI patients who experienced commercial sex behaviors.Methods A total of 258 male STI clients were enrolled in the cross-sectional study.The standard surveillance questionnaire and HIV/STDs-tests were applied to all participants in the clinic of Yunnan province.Results 2%（2/100） particeipants were identified HIV positive.Factors associated with HIV risk were the instance of casual sex partners and the will of voluntary counseling testing（VCT）.The proportion of the HIV/AIDS knowledge score（which was calculated based on answers to 21 questions） more than 12 was 65.5%;Factors associated with the HIV/AIDS knowledge score were education,age and occupation.Conclusion HIV and other STDs are highly prevalent among male STI clients.The HIV/AIDS related high risk behaviors were common,and the proportion of the VCT was low in this group people.HIV/AIDS interventions should therefore be reinforced among the male STI patients,especially the farmer group.