北京市怀柔区225名性病就诊者艾滋病性病感染状况及高危行为分析

Analysis on AIDS/STD infection status and high risk behaviors among 225 clients in STD clinics of Huairou District of Beijing

目的了解性病就诊者对艾滋病知识知晓率现况和艾滋病、性病感染状况及高危行为的影响。方法对2012年1月1日—9月30日到北京市怀柔区3家二甲医院就诊的225名性病就诊者,进行无关联面对面匿名问卷调查、采血,并进行艾滋病和梅毒抗体检测。结果 225人性病就诊者,年龄最小15岁,最大77岁,主要以20～39岁为主,占64.89%;已婚者占73.78%。艾滋病知识知晓率为80.00%。有过高危行为史者占39.11%,最多1人3个月内与3名小姐(暗娼)或临时性伴发生过性行为,6.67%的人曾患过性病,安全套使用率仅为27.27%。调查对象艾滋病和梅毒抗体阳性率分别为0.44%和14.67%。结论怀柔区性病门诊就诊者艾滋病、性病发病率较高,应加强对性病门诊就诊者健康教育和行为干预,提高艾滋病知识知晓率,降低高危行为影响因素,有效控制艾滋病经性途径传播。

[ Objective ] To understand the awareness rate of AIDS knowledge, STD infection status and impact of high risk behaviors among clients in STD clinics. [Methods]225 clients who have visited the STD clinic of 3 Grade B hospitals in Huairou District of Beijing from January 1 to September 30th, 2012 were collected to perform the face-to-face anonymous questionnaire survey, and the blood samples were tested for the AIDS antibody and syphilis antibody. [ Results] The youngest and oldest client was 15 years old and 77 years old respectively, and 64.9% of clients were people aged 20-39 years old. 73.78% were married, and the awareness rate of AIDS knowledge was 80%. 39.11% of clients had the high-risk behaviors, and one people had the sexual relationship with 3 unlicensed prostitutes and temporary partners in the recent 3 months. 6.67% had have STDs, and the condom use rate was only 27.27%. The positive rate of AIDS antibody and syphilis antibody was 0.44% and 14.67% respectively. [ Conclusion] The inci-dence rates of AIDS and STD among clients visiting STD clinics of Huairou District of Beijing are high. It is necessary to strengthen the health education and behavior intervention, improve the awareness rate of AIDS knowledge, and reduce the influencing factors of high-risk behaviors, to effectively control the sexual transmission of AIDS.