泰州市性病门诊男性就诊者艾滋病哨点监测结果分析

Analysis of HIV sentinel surveillance among male attenders of STD clinics in Taizhou City

目的:分析泰州市性病门诊男性就诊者艾滋病相关行为变化,及艾滋病病毒感染流行趋势,为艾滋病综合防治和科学干预提供信息和依据。方法:2010-2011年连续开展性病门诊男性就诊者综合监测,在监测期内以重复横断面调查的方法,对性病门诊男性就诊者人群进行问卷调查并采血。结果:2年间共监测性病门诊男性就诊者836例,检出HIV感染4例,感染率分别为0.7%和0.2%;梅毒感染54例感染率分别为6.1%和6.8%;丙肝感染1例。最近3个月与女性性工作者发生性行为比例分别为69.3%和54.6%,和临时性伴发生性行为比例分别为18.7%和21.9%。24.3%和17.9%的就诊者近一年有性病史,0.5%和0.2%与男性发生过肛交。就诊者艾滋病知晓率分别为70.6%和73.6%。艾滋病干预覆盖率分别为20.0%和18.4%。近1年参加过HIV检测比例分别为7.5%和6.1%。结论:泰州市性病门诊男性就诊者艾滋病流行处于较低水平,需要在进一步扩大干预覆盖面和提高HIV检测率的同时,加强艾滋病和梅毒综合防治工作。

Objective：To monitor the trend of behaviors changes related to HIV/AIDS epidemic and HIV prevalence among male attenders in STD（sexually transmitted diseases） clinics, and to provide information and basis for comprehensive HIV prevention and evaluation of intervention effectiveness. Methods：During the year of 2010 to 2011, a series of crosssectional surveys were conducted, and blood samples were collected to test for HIV, syphilis and Hepatitis C. Results：A total of 836 eligible male attendants completed questionnaires and blooding from 2010 to 2011,and the prevalence of HIV was 0.7% and 0.2%, 6.8% and 6.1% for syphilis, respectively. 69.3% and 54.6% attenders had sex with FSW（female sex workers）. 18.7% and 21.9% had sex with casual sex partners. 24.3% and 17.9% reported having been diagnosed with STDs in last year. 0.5% and 0.2% had anal sex with men in the last 3 months. The awareness rate on HIV/AIDS transmission was 70.6% and 73.6%. 6.1% and 7.5% of the subjects reached HIV testing. 20.0% and 18.4% got intervention services in last year. Conclusion：The HIV prevalence of male attenders of STD clinics was at a low level. It is necessary to take more comprehensive and effective measures to strengthen the prevention of HIV and syphilis, while further expanding the coverage of intervention and improving the proportion of HIV testing.