武汉市2009～2011年性病门诊男性就诊者艾滋病哨点监测分析

Analysis of HIV/AIDS Sentinel Surveillance of Male Outpatients in STD Clinic in Wuhan from 2009 to 2011

目的了解武汉市性病门诊男性就诊者艾滋病监测情况,动态分析目标人群高危行为发生情况。方法按照国家艾滋病哨点监测方案,选取调查期内所有到门诊就诊的目标人群,进行问卷调查并采集血样进行检测。结果男性就诊者年龄以21～40岁为主,占75.77%。最近3个月与女性性服务人员性行为发生率为27.48%,最近3个月与临时性伴性行为发生率为43.79%,与男性性行为发生率为25.48%,2009～2011年不同年份之间与临时性伴发生性行为、男男性行为发生率差异均具有统计学意义(均P<0.05)。HIV检测发现阳性数逐年增多,共发现13名阳性感染者,其中12名感染者曾与同性发生过肛交性行为。结论对性病门诊就诊者进行HIV检测,能够有效发现潜在感染者。应加大对男男性行为人群行为干预的力度,防止艾滋病在该人群中进一步传播。

Objective To realize the HIV/AIDS surveillance situation of the male outpatients in STD clinic in Wuhan,and dynamically analyze high risk behaviors of the target populations.Methods In accordance with national AIDS sentinel surveillance program,all target groups were selected during the surveying period in the STD clinic and subjected to questionnaires,and blood samples were tested.Results 75.77% of the male outpatients were aged from 21 to 40 years old.27.48% of them had sex with female sex workers.And 43.79% of them had sex with casual partners.The rate of man who had sex with man was 25.48%.The rate of having sex with casual partners and male through three years had statistically significant dereference（all P〈0.05）.The number of HIV-positive cases was increased year by year from the HIV test.In the 13 cases positive for HIV,there were 12 males who had sex with men.Conclusion The HIV test on STD clinic outpatients can effectively detect potential infection.We should increase the intensity of behavioral intervention for man who had sex with man（MSM）to prevent further HIV transmission in this population.