钦州市性病门诊男性就诊者艾滋病高危行为影响因素分析

目的：探索性病门诊男性就诊者高危行为的影响因素和干预手段。方法对2010～2012年艾滋病哨点监测期内前来性病门诊就诊的1079名男性性病就诊者进行面对面无关联匿名问卷调查并采血作HIV及梅毒抗体检测。结果1079例患者中，21～40岁年龄者705例，占65．34％；在婚人员775例，占71．83％；达到艾滋病防治知识知晓水平872例，占80．82％；最近3个月与性工作者发生商业性行为者637例，占59．04％；最近3个月与临时性伴发生性行为者128例，占11．86％；HIV抗体检测阳性22例，占2．04％；梅毒抗体阳性102例，占9．45％。结论性乱、婚姻状况及艾滋病防治知识知晓水平均是艾滋病高危行为的重要影响因素，开展性病门诊就诊者艾滋病高危行为干预时，应根据干预对象的年龄、婚姻状况及艾滋病防治知识知晓水平等情况，有针对性实施干预。

Influence Factors for High-Risk Behavior Affecting Male AIDS Attenders Visiting Sexually Transmitted Disease Clinic in Qinzhou City

Objective To explore the influence factors and interventions for high-risk behavior affecting male attenders visiting sexually transmitted disease （ STD） clinic.Methods 1 079 male STD attenders who visited the STD clinic during the AIDS sentinel surveillance period from 2010 to 2012 were included in the study .A face to face , unlinked and anonymous questionnaire survey was conducted , and the attenders′bloods were collected for HIV and syphilis test.Results Of 1 079 cases,there were 705 cases aged 21-40 years old,accounting for 65.34%;And 775 married cases accounted for 71 .83%;872 cases were aware of knowledge about AIDS prevention , accounting for 80.82%;637 cases had commercial sexual behavior with sex workers in recent three months ,accounting for 59.04%;128 cases had sexual behavior with casual sex partners in recent three months , accounting for 11 .86%;22 cases of HIV antibody test positive accounted for 2.04%;102 cases of syphilis antibody positive accounted for 9.45%. Conclusion Sexual promiscuity ,marital status and knowledge about AIDS prevention are important factors for high-risk behavior of AIDS .The corresponding interventions for high-risk behavior affecting AIDS attenders visiting STD clinic should be carried out based on the attenders′age,marital status and their knowledge about AIDS prevention .