2013-2017年北京市某性病门诊就诊者HIV和性病感染状况

Epidemiological characters and prevalence of HIV and STDs infection among attendants in a STD clinic in Beijing,2013-2017

目的了解2013-2017年北京市某性病门诊就诊者人类免疫缺陷病毒(HIV)及性传播疾病(sexually transmitted diseases,STDs)感染状况与流行特征,为制定防治策略提供参考。方法 2013-2017年每年4-6月,连续对北京市性病门诊就诊者进行问卷调查及HIV/STD筛查,利用SPSS 17. 0软件进行统计分析。结果 2013-2017年,共监测4 001例性病门诊就诊者,检出HIV确证阳性84例,阳性率2.10%(84/4 001);自报近一年被诊断为性病病例1 549例,占38.72%(1 549/4 001)。不同人口学特征性病门诊就诊者HIV感染情况不同,未婚(OR=2.53)、外地(OR=2.32)、男性(OR=18.84)及近半年与临时性伴发生过性关系(OR=5.56)是导致HIV感染的危险因素。2013-2017年,HIV、梅毒阳性率差异均有统计学意义(HIV趋势χ~2=33.39,P=0.00;梅毒趋势χ~2=33.24,P=0.00)。2013-2017年分别有18.60%、16.63%、12.00%、17.50%和23.75%的调查对象在近一年中曾被诊断为性病病例。结论该性病门诊就诊者HIV及梅毒总体感染率达到较高水平,自报近一年被诊断常见性病病例数均略有上升。未婚、外地、男性与临时性伴发生过性关系的HIV阳性率高于其他组性病门诊就诊人群,应在性病门诊加强此类人群的宣传干预。

Objective To understand the infection status and epidemiological characteristics of human immunodeficiency virus(HIV) and sexually transmitted diseases(STDs) among attendants in a STD clinic in Beijing from 2013 to 2017, so as to provide scientific evidence for HIV/STD prevention and control. Methods During 2013-2017,consecutive questionnaire survey and screening of HIV/STD were performed for attendants in a STD clinic from April to June of each year. SPSS 17.0 software was used for statistical analysis. Results A total of 4 001 cases were monitored during 2013-2017, and 84 positive cases were confirmed HIV positive with a positive rate of 2.10 %(84/4 001). A total of 1 549 self-report cases of STDs diagnosed in the previous year cases were found, with a rate of 38.72%(1 549/4 001). Different demographic characteristics of attendants in the STD clinic showed different status of HIV infection. High risk factors of HIV infection were unmarried(OR=2.53), non-residents in Beijing(OR=2.32), male(OR=18.84), and having sex with temporary partners within past half year(OR=5.56). The differences between positive rates of HIV, and of syphilis were statistically significant in 2013-2017(χ~2=33.39, P=0.00 for HIV;χ~2=33.24, P=0.00 for syphilis). For each year, from 2013 to 2017, 18.60 %, 16.63 %, 12.00 %, 17.50 %, and 23.75 % of the respondents had been diagnosed as STDs cases within the previous year. Conclusion The prevalence of HIV and syphilis reached a high level among STD attendants in Beijing. The number of self-report cases of common STDs diagnosed in the previous year increased slightly. HIV positive rate of attendants characterized as unmarried, non-residents in Beijing, male with temporary partners was higher than that in other groups. The publicity and intervention of key population should be strengthened in STD clinics.