北京市特殊人群艾滋病梅毒监测结果分析

Surveillance of AIDS and syphilis infection among the high risk population in Beijing

目的:为了解北京市特殊人群的HIV、梅毒感染情况,探索艾滋病综合监测工作机制。方法:对该地区的特殊人群血清进行HIV抗体(ELISA法)初筛,初筛阳性血清送至北京市疾控中心艾滋病确认中心实验室进行确认试验;梅毒螺旋体(ELISA法)检测阳性者用TPPA确认。结果:共采集高危人群血标本1405份,确认HIV抗体阳性81例,阳性率5.77%;确认梅毒螺旋体抗体阳性235例,阳性率16.73%。结论:三组人群中,吸毒人员的抗HIV阳性率高于其他两组人群;男男性接触者的梅毒阳性率高于其他两组人群。此类人员大多有家庭,其双性性行为更具有社会危害性,因此应针对不同情况,进行多种方式的健康教育和行为干涉,有效控制疾病向普通人群蔓延。

Objective：To learn the infection of AIDS among the prostitutes,druggers and men having sex with men in Beijing and explore the comprehensive surveillance mechanism against AIDS.Methods： Collected vein blood of these High Risk Population,detected the HIV antibody and syphilis by Serological ELISA.Positive samples with HIV antibody were sent to Beijing CDC for confirmation;these positive for syphilis were confirmed with TPPA（16.73%）.Results： A total of 1405 samples were collected.81 were positive for HIV,the positive rate was 5.77%.235 were positive for syphilis and the rate was 16.73%.Conclusion： Among these three groups,the drugger′s positive rate for HIV was higher than the rest two;men having sex with men had higher positive rate for syphilis.These men who had sex with men generally had their own family,in fact,they were bisexual.So they were riskier.Health education and behavior intervention should be focused on different factors for every group of the High Risk Population.