2013-2015年河北省保定市莲池区性病门诊男性就诊者艾滋病哨点监测结果分析

Analysis of HIV/AIDS sentinel surveillance in STD clinic attendees in Hebei Baoding Lianchi District from 2013 to 2015

目的了解2013-2015年保定市莲池区性病门诊就诊者中男性艾滋病性病感染状况、艾滋病知识知晓率及高危行为状况,为完善人群哨点监测体系和制定综合防治策略提供依据。方法依据《全国艾滋病哨点监测实施方案》对保定市莲池区性病门诊男性就诊者进行监测,对结果进行数据整理和统计分析。结果 2013-2015年共监测性病门诊男性就诊者1 200名,每年400名。以20~29岁年龄组、在婚、汉族和河北省户籍为主;艾滋病知识知晓率为92.58%,2013年最高,2015年最低,3年间知晓率差异有统计学意义(χ~2=80.659,P=0.000);最近3个月与暗娼或临时性伴发生过性行为的分别占11.25%和12.83%,注射过毒品的占0.25%,与同性发生过肛交性行为的占15.83%。最近3个月与暗娼或临时性伴发生过性行为、与同性发生过肛交性行为比例3年间差异有统计学意义(χ~2=43.618,P=0.000;χ~2=22.363,P=0.000和χ~2=14.795,P=0.001);HIV、梅毒和HCV抗体阳性检出率分别为0.5%、10.1%和0.7%。梅毒和HCV抗体阳性检出率3年间差异有统计学意义(χ~2=67.298,P=0.000;χ~2=13.146,P=0.000)。结论 2013-2015年间性病门诊艾滋病知识知晓率和高危行为发生率均有差异,要继续加强性病门诊的监测,加强宣传内容的全面性和形式的多样化,减少艾滋病、性病和丙肝的传播。

Objective To understand the situation of HIV/AIDS infection,AIDS knowledge awareness and high risk behavior among STD outpatients in Lianchi District,2013-2015,so as to provide a basis for the improvement of the sentinel surveillance system and the establishment of comprehensive prevention and control strategies. Methods According to the national AIDS sentinel surveillance protocol,an investigation was conducted among male STD clinic attendants and the results were collated and analyzed statistically. Results 2013-2015,a total of 1200 male patients were visited in STD clinic,with a total of 400 cases per year. Mainly concentrated in the age group of 20 ~ 29 years old,in the marriage,the Han nationality and the province household register group; the awareness rate of AIDS knowledge was 92. 58%,the highest in 2013 and lowest in 2015,and the awareness rate was statistically significant（ χ~2= 80. 659,P = 0. 000）; in the past three months recently,sexual behaviors were associated with sex workers or temporary partners,accounting for 11. 25% and 12. 83%,injection of drugs accounted for 0. 25%,sexual intercourse with homosexual sex accounted for 15. 83%. There was significant difference between the three groups in sex behavior in the last three months,the same was true of sexual intercourse with the temporary partner in the last 3 months and also in the last 3 months of sex（ χ^2= 43. 618,P = 0. 000; χ^2= 22. 363,P = 0. 000; χ^2= 14. 795,P = 0. 001）; the positive rates of HIV,syphilis and HCV were 0. 5%,10. 1% and 0. 7%,respectively. The positive rate of syphilis and HCV antibody was statistically significant in the three year（ χ^2= 67. 298,P = 0. 000; χ^2= 13. 146,P = 0. 000）. Conclusion 2013-2015 year period,the incidence rate of AIDS knowledge and high risk behavior were different in STD clinic. We should continue to strengthen the monitoring of STD clinics,increase the comprehensiveness of the content and the diversification of forms,and reduce the spread of AIDS,venereal disease and hepatitis C.