贵港市791名男性嫖客HIV/梅毒感染及影响因素分析

Analysis of HIV/syphilis infection in 791 sexual clients in Guigang City and its influencing factors

目的了解贵港市男性嫖客HIV/梅毒感染及影响因素,为制定艾滋病防治策略提供科学依据。方法对贵港市2012-2013年哨点监测数据使用SPSS19.0进行调查资料的统计分析。结果共调查791名男性嫖客,平均年龄（43.19±13.21）岁,文化程度以初中为主,占50.70%;已婚占69.03%,本省户口占98.10%,汉族和少数民族各占79.52%和20.48%。791名嫖客艾滋病相关知识知晓率为82.55%,最近1年与固定性伴（配偶或同居者）或商业性伴安全套使用率分别是：未使用占43.66%和12.55%,有时使用占39.54%、49.65%,每次使用占9.72%、31.52%,拒答占7.09%、6.28%;最近1次与固定性伴（配偶或同居者）或商业性伴安全套使用率分别占35.75%、55.80%;与固定性伴（配偶或同居者）或商业性伴未使用安全套原因主要是＂影响快感＂,分别占47.97%和81.76%。调查对象中HIV、梅毒、丙肝阳性率分别是1.01%、6.57%、4.17%,HIV多因素分析仅发现,文化程度是HIV感染的危险因素。结论贵港市男性嫖客人群中,安全套使用率低,传播的风险不容忽视;应加大此类人群的有效的干预服务,同时扩大在暗娼及嫖客人群的HIV早期发现。

Objective To understand the factors of HIV/syphilis infection in sexual worker clients in Guigang City so as to provide scientific basis for prevention and treatment strategies. Methods Data obtained from sentinel surveillance during 2012-2013 were analyzed by SPSS19.0. Results Of 791 clients, their average age was （43.19±13.21） years, most were primary school education, accounting for 50.70%; 69.03% of the patients were married and 98.10% were registered with local provincial household with the Han Nationality （79.52%） and minority ethnic groups （20.48%）. Of 791sexual worker clients, 82.60% were aware of AIDS related knowledge. Condom use status for regular partner （spouse or cohabitant） or commercial sex in recent 1 years were as follows： 43.66% and 12.55% did not use, 39.54% and 49.65% sometimes used, 9.72% and 31.52% used every time, declined to answer accounting for 7.09% and 6.38%. The latest condom use rate with regular partner （spouse or cohabitant） or commercial sex was 35.75% and 55.80%.The mainly cause for refusal condoms usage was ＂lack of pleasure＂, accounting for 47.97% and 81.76%, respectively. HIV, syphilis and hepatitis C positive rates were 1.02%, 6.58% and 4.18%, respectively. HIV multivariate analysis found that lower education was the only risk factors for HIV infection. Conclusion Among sexual worker clients, condom use rate was low, transmission risk cannot be ignored. Effective intervention services for this population be made and early detection of HIV among sexual workers and clients.