肛肠门诊男性就诊者艾滋病知信行及HIV/TP感染状况调查

Investigation on KAP of AIDS and HIV/TP infection status among male patients of anorectal disease clinic

目的了解肛肠门诊男性就诊者艾滋病知信行及人类免疫缺陷病毒(human immunodeficiency virus,HIV)、梅毒螺旋体(Treponema pallidum,TP)感染状况,为预防控制提供科学依据。方法使用横断面调查方法对石家庄市某综合医院肛肠门诊男性就诊者进行问卷调查,并采集静脉血液进行血清检查。结果共调查400名肛肠门诊男性就诊者,年龄17~78岁,平均年龄(37.9±9.3)岁,因痔就诊者最多(占51.8%);艾滋病相关知识知晓率为19.0%,不同疾病诊断的调查对象对"艾滋病是一种不可治愈的严重传染病吗"知晓率差异无统计学意义,另7项艾滋病基本知识及答对6个及以上问题的知晓率均不同(P<0.05);0.5%的调查对象承认与小姐(暗娼)发生过性行为,承认最近三个月与临时性伴发生过性行为的占3.0%,0.3%的调查对象与同性发生过肛交性行为。HIV抗体确证实验阳性率为0.5%,梅毒ELISA检测阳性率为3.3%,梅毒TRUST检测阳性率为2.0%。不同疾病诊断的调查对象性行为情况、梅毒ELISA及TRUST检测阳性率无差异,HIV抗体确证实验阳性率差异有统计学意义(P<0.05)。接受过安全套宣传和发放/艾滋病咨询与检测的占25.0%(100/400),接受过同伴教育的占20.5%(82/400)。结论肛肠门诊就诊者HIV、TP感染率较高,艾滋病知识知晓率低,肛肠门诊医务人员应主动对就诊者提供HIV检测咨询,同时开展有效的艾滋病性病宣传干预工作,探索肛肠疾病临床诊疗与高危行为干预相结合的干预模式。

Objective To know the status of knowledge,attitude and practice(KAP)of AIDS,and human immunodeficiency virus(HIV)and Treponema pallidum(TP)infection among male patients of anorectal disease clinic,in order to provide a scientific basis for the development of prevention and control measures.Methods A cross-sectional survey was conducted to investigate the male patients of anorectal disease clinic in a general hospital in Shijiazhuang.And venous blood was collected for serologic examination.Results A total of 400 male patients aging from 17 to 78 were surveyed,with an average age of(37.9±9.3).Most of them suffered from hemorrhoids,with an account of 51.8%.The awareness rate of AIDS-related knowledge among patients was 19.0%.There was no statistically significant difference in the awareness rate of"Is AIDS a serious infectious disease that cannot be cured"among the respondents with different diseases.The awareness rates of other 7 AIDS-related knowledge and answering 6 or more questions correctly were different(P<0.05).0.5%of the respondents admitted to having sex with prostitutes,3.0%admitted to having sex with a temporary partner in the last three months,and 0.3%admitted to having anal sex with people of the same sex.The positive rate of confirmatory test of HIV antibody was 0.5%,and that of ELISA in syphilis detection was 3.3%.The positive rate of TRUST in syphilis detection was 2.0%.There was no difference in the sexual behavior,and the positive rates of ELISA and TRUST in syphilis detection among respondents diagnosed with different diseases,while the positive rate of confirmation test of HIV antibody was statistically significant(P<0.05).25.0%of the respondents had received condom promotion and distribution/AIDS counseling and testing,and 20.5%had received peer education.Conclusion The infection rates of HIV and TP were relatively high among male patients of anorectal disease clinic.The awareness rate of AIDS among them was low.The medical personnel should actively provide HIV testing and consultation for patients.Meanwhile,effective publicity and intervention work should be carried out to explore the combined intervention mode of clinical diagnosis and high-risk behaviors of anorectal disease.