新疆性病门诊病人HIV感染情况调查

目的了解和掌握新疆经性途径感染艾滋病病毒(HIV)的现况,为制定预防与控制HIV性传播的对策提供依据。方法对新疆5个城市15个性病门诊就诊者,静脉采血3ml,进行HIV和RPR的检测,并由首诊医生负责完成行为调查表。结果共调查2 499例就诊者,发现HIV抗体阳性28例,感染率为1.12%;RPR阳性145例,阳性率为5.80%。其中男性HIV感染率0.97%,女性HIV感染率1.37%;汉族HIV阳性8例,感染率0.44%;RPR阳性66例,阳性率3.66%;维吾尔族HIV阳性20例,感染率3.49%;RPP阳性79例,阳性率13.79%。在212例梅毒患者中,HIV阳性4例,感染率为1.89%;420例淋病患者中HIV阳性10例,感染率为2.38%。行为学问卷调查发现,100%使用安全套者没有感染HIV,从未使用过安全套的有付钱性行为者HIV感染率最高为2.77%。结论性传播正在逐步成为新疆艾滋病传播的一种不可忽视的途径,有必要通过对高危人群进行血清学和行为学监测,以掌握流行情况,并采取必要的干预措施控制其进一步传播。

Survey of HIV infection among STD outpatients in Xinjiang

Objective To investigate HIV infection via sex in Xinjiang,in order to provide guidance for the formulation of strategy to control and prevent sexual transmission of HIV.Methods Vistiors to 15 STD clinics in 5 cities of Xinjiang were asked to take blood and to be tested for HIV and RPR.At the same time,medical workers carried out the designed investigation.Result A total of 2 499 STD outpatients were investigated,among whom 28 samples were confirmed to be HIV positive and 145 samples were RPR positive;the infection rate was 1.12% and 5.80%,respectively,with male being 0.97% and female being 1.37% in the positive samples.The Han nationality had 8 HIV positive samples,and the Uygur nationality had 20 positive samples,with the positive rate being 0.44% and 3.49%,respectively.The Han nationality had 66 and the uygur had 79 in RPR positive samples,the positive rate being 3.66% and 13.79%,respectively.In 212 cases of syphilis 4 samples were HIV positive,the infection rate being 1.89%;in 420 cases of GU 10 samples were HIV positive,the infection rate being 2.38%.Our behavioral surveys found that those who 100% used condoms in their sex activities were free of HIV infection,while those who never used condoms had a high ratee of infection,up to 2.77%.Conclusion Sex transmission is becoming an important route of spreading HIV infection in Xinjiang,and therefore it is essential to strengthen serological and behavioral surveillance for high risk population and implement effective interventions for them.