深圳市405例男性高危人群性病患病率及行为危险因素调查

Investigation on STD Prevalence and Behavior Risk Factors of 405 Male Cases with High-risk of STD in Shenzhen City

目的了解性病门诊男性人群性病患病状况和人口学与行为学特征,为制定性病艾滋病干预措施和评估干预效果提供依据。方法收集深圳市性病门诊男性就诊者的静脉血,尿道拭子及调查问卷,进行性病艾滋病的检测,并对调查资料进行统计学分析。结果在450例受调查者中检出梅毒15例,占3.33%;淋病24例,占5.33%;生殖道沙眼衣原体感染43例,占9.56%;单纯疱疹病毒Ⅱ型感染82例,占18.22%;艾滋病HIV阳性2例,占0.44%;合并两种以上感染者20例,占4.45%。患者多以未婚的20-30岁青年、高中（中专）学历者为主,多来自农村。性病门诊男性就诊者对淋病、梅毒、艾滋病有较高的认知率,但对尖锐湿疣、生殖器疱疹、非淋菌性尿道炎及软下疳等认知率较低;大部分了解艾滋病的3条传播途径,但对日常生活不传播艾滋病存在着认识误区;安全套使用率低;接受过艾滋病病毒检测的仅占6.41%。结论针对性病门诊男性就诊者宣传艾滋病性病知识和安全性行为,倡导正确的求医行为,对降低性病艾滋病的流行具有重要意义。

[Objective] To understand the prevalence of sexually transmitted diseases（STD）,demographic and behavioral characteristics of male outpatients,and provide evidence for developing intervention of STD and AIDS and evaluating effect.[Methods]Venous blood,urethral swab and questionnaire of male outpatients in Shenzhen City were collected for STD and AIDS testing.The survey results were analyzed statistically.[Results]Of 450 respondents,15（3.33%） were detected syphilis,24（5.33%） with gonorrhoea,43（9.56%） with chlamydia trachomatis infection,82（18.22%） with herpes simplex virus infection,2（0.44%） with HIV positive,20（4.45%） with combination of 2 or more infections.Most patients were unmarried adolescents aged 20-30 years with education background of high school（technical secondary school）,from rural areas.Male outpatients had higher recognition rate of gonorrhea,syphilis,AIDS,but had lower recognition rate of condyloma,genital herpes,nongonococcal urethritis and chancroid;most of them knew the 3 routes of AIDS transmission,but had misunderstanding of daily spread of AIDS;condom use rate is low;only 6.41% received HIV testing.[Conclusion]The promotion of AIDS knowledge,safe sex and correct health-seeking behavior on male outpatients in STD clinic is of great importance in reducing the prevalence of STD and AIDS.