2015年广州市STD高危人群性行为特征及艾滋病梅毒感染率的调查结果分析

Investigation and Analysis of Sexual Behavioral Characteristics and HIV/AIDS/Syphilis Infection Rate among STD High-risk Population in Guangzhou,2015

目的：了解广州市高危人群艾滋病及梅毒感染状况，分析相应人群的艾滋病及梅毒流行趋势，为制定艾滋病防治策略和干预措施及效果评价提供依据。方法：2015年5-10月对广州市女性性工作者（FSWs）、男男同性恋者（MSM）和吸毒者（DUS）三类人群进行面对面问卷调查，采集静脉血检测HIV及梅毒抗体。结果：共调查1091人，其中调查FSWs591人、MSM300人、DUS200人，三类高危人群梅毒艾滋病知晓率由高到低依次为DUS（73．5％）、MSM（62．3％）、FSWs（59．4％）。MSM人群的梅毒感染率和HIV感染率均最高，分别是9．3％和2．7％，三类高危人群梅毒感染率和HIV抗体感染率的组间差异均有统计学意义（P值均〈0．05）。结论：广州市高危人群的性病艾滋病疫情严峻，危险因素广泛存在，仍需要加大干预控制力度，严格监测和控制高危人群性病艾滋病发病率，提高性病艾滋病防治工作的效果。

Objective：To understand the high-risk population of HIV/AIDS and syphilis infec- tion status in Guangzhou, corresponding to the crowd of HIV/AIDS and syphilis epidemic trend a- nalysis, and to provide the data for the development of HIV/AIDS prevention and intervention measures and effect evaluation. Methods： From May to October, 2015, in Guangzhou, three groups, female sex workers （FSWs） , men who had sex with men （MSM） and drug users （DUS） were surveyed by face-to-face questionnaire, then venous blood were collected to be used to detect HIV and syphilis antibody. Results： A total of 1 091 persons were investigated, including 591 FSWs, 300 MSM, 200 DUS, the awareness rate of syphilis and HIV/AIDS in three high-risk groups were 73.5% of DUS group, MSM 62.3%, and FSWs 59.4% respectively. The syphilis in- fection and HIV infection rate in MSM group were the highest, respectively were 9. 3% and 2.7%, the difference of syphilis and HIV infection rate were statistically significant among three high risk groups （ P 〈 0. 05 ）. Conclusion： High-risk groups for STD/AIDS epidemic situation is grimly in Guangzhou, the risk factors are widespread, so we should increase intervention efforts, monitor strictly and control STD/AIDS incidence rate, improve STD and AIDS prevention and con- trol work effect.