2011年北京市丰台区性病门诊就诊者艾滋病哨点监测分析

Sentinel surveillance of AIDS in sexual transmitted disease clinics inFengtai,Beijing,2011

目的了解北京市丰台区性病门诊就诊者艾滋病性病感染状况,为制定防治对策提供参考依据。方法按照《全国艾滋病哨点监测方案》,对性病门诊就诊者进行问卷调查,并采集静脉血样进行艾滋病病毒(HIV)、梅毒的血清学检测。结果 2011年丰台区共监测性病门诊就诊者1262人,监测对象年龄以20～40岁为主,占73.4%;汉族、在婚及外地户口分别占97.7%、56.0%和51.5%。监测对象HIV抗体和梅毒抗体阳性率分别为1.0%(13/1262)、20.3%(256/1262)。监测对象艾滋病知晓率为90.4%,有46.7%的人与小姐(暗娼)发生过性行为,39.7%的人与临时性伴发生过性行为,0.1%的人注射过毒品,8.3%的人与同性发生过肛交性行为,有19.9%的人曾患过性病。结论性病门诊就诊者艾滋病性病感染率较高,应加强对性病门诊就诊者健康教育和行为干预,有效控制艾滋病经性途径传播。

Objective To understand the infection status of HIV in patients seeking medical treatment in sexual transmitted disease （ STDclinics in Fengtaiand provide scientific evidence for the development of prevention and control measures. Methods According to the national AIDS sentinel surveillance protocol, aquestionnaire survey was performed among the STD clinic patients in Fengtai in 2011, and blood samples were takenfrom them to conduct HIV test and serological test of syphilis. Results Totally 1262 STD clinic patients were surveyed. Among the patients, those aged 20 -40 years accounted for 73.4%, Han people accountedfor 97.7%, those got married accounted for 56.0% and migrant residents accounted for 51.5%. The positive rates of HIV and syphilis were 1.0% and 20.3% respectively. The awareness rate of AIDS related knowledge was 90.4%. Among the subjects surveyed, 46.7% had commercial sex in the past three months, 39.7% had sex behavior with other sexual partners in the past three months, 0.1% were injecting drug users, 8.3% had anal sex with men and 19.9% suffered from STDs. Conclusion The prevalence rates of HIV infection and STDs in STD clinic patients were high in Fengtai. It is necessary to strengthen the health education and behavior intervention among the patients in STD clinics to control the spread of AIDS through sexual contact effectively.