浙江省三门县性病门诊男性患者艾滋病病毒感染和知晓率调查

目的了解性病门诊男性患者HIV感染情况以及相关知识知晓率。方法利用浙江省三门县2009-2013年艾滋病哨点监测中性病门诊男性就诊者人群调查和血清学检测数据进行分析,共调查1862人并采集血样1862份。结果性病门诊男性就诊者以在婚为主,占76.05%,年龄集中在20~49岁,占所有调查人数的87.17%;艾滋病知识总知晓率为75.94%,绝大多数就诊者未接受过相关的艾滋病预防服务;最近3个月与暗娼发生性行为的比例为61.38%,最近3个月与临时性伴性行为发生率为36.17%,"最近1年被诊断患性病"的比例为45.98%。2009-2013年不同年份之间与暗娼、临时性伴发生率以及曾患性病率差异均具有统计学意义(P0.001);HIV抗体检测共发现10名阳性感染者,2009-2013年阳性检出率呈逐年升高趋势,趋势检验显示差异有统计学意义(P0.05)。结论浙江省三门县性病门诊男性就诊者HIV抗体检出率呈逐年升高趋势,而该人群艾滋病相关知识知晓率较低,接受相关预防服务的比例偏低,与暗娼和临时性伴发生性行为的比例较高。疾病预防控制部门和医疗机构应相互配合,利用性病门诊在就诊者就医时提供高效的艾滋病预防知识宣传和干预服务。

HIV infection status and awareness of AIDS related knowledge in males visiting sexually transmitted disease clinics in Sanmen county,Zhejiang

Objective To understand the prevalence of HIV infection and high risk factors in males visiting sexually transmitted disease（STD） clinics in Sanmen,Zhejiang province. Methods The analysis was conducted on the data of sentinel surveillance for AIDS in Sanmen from 2009 to 2013 Results In the sentinel surveillance,1862 males visiting STD clinics were surveyed,and blood samples were collected from them. Among these males,76. 05% were married and 87. 17% were aged 20- 49 years. Among the males surveyed,the average awareness rate of AIDS related knowledge was 75. 94% and most of them had received no service for HIV /AIDS prevention. Among the 1862 males,61. 38% had sex with female sex workers（FSW） and 36. 17% had sex with casual sex partners in recent 3 months and45. 98% had STD in the latest year. The annual differences in the proportion of having sex with FSW or casual partners and STD prevalence in these males during this period had statistically significance（P 〈0. 001）. Ten males were detected to be HIV positive（0. 54%）. The HIV infection rate increased with year. Conclusion The HIV infection rate was low but increased with year in males visiting STD clinics in Sanmen. Among this population,the awareness rate of AIDS related knowledge was low,the proportion of those receiving AIDS prevention service was low and the proportion of those having sex with FSW and causal sex partners was high. It is necessary to conduct health education and behavior intervention in STD clinics through the cooperation between disease control sector and clinical medicine sector.