防城港市2010-2013年性病门诊男性就诊者艾滋病哨点监测情况分析

目的了解防城港市性病门诊男性就诊者艾滋病、性病感染状况,为制定防治对策提供科学依据。方法依照《全国艾滋病哨点监测方案》对性病专科门诊男性就诊者进行面对面访谈式问卷调查,调查其艾滋病相关知识及行为情况,同时采血检测其艾滋病、丙肝和梅毒感染情况。结果 2010-2013年共调查性病门诊男性就诊者1 532人,以年龄23-50岁、已婚、广西省、汉族为主,分别占72.78%、75.59%、97.19%、77.94%。艾滋病知识知晓率为75.60%。最近3个月商业性行为发生率为24.54%,各年度差异有统计学意义（χ2=65.988,P=0.000）;最近3个月非婚非商业性行为发生率为25.70%,各年度差异有统计学意义（χ2=25.350,P=0.000）;0.46%的人注射过毒品,0.34%的人发生过男男性行为,21.85%的人曾经被诊断患过性病。共检测出26例HIV,检出率为1.70%;126例梅毒,检出率为8.22%,各年度差异有统计学意义（χ2=9.314,P=0.025）;17例HCV感染者,检出率为1.11%。结论防城港市性病门诊男性就诊者HIV、梅毒检出率较高,应进一步加大艾滋病、性病相关知识的宣传和高危行为的干预力度。

STD clinic male patients AIDS sentinel surveillance situation analysis of Fangchenggang city during 2010-2013

Objective To explore the infection status of HIV, STD among male clinic visitors in STD clinic of Fangchenggang city, to offer scientific basis for making prevention and control policy. Methods In accordance with the National HIV sentinel surveillance program conducted face to face interviews questionnaire survey for sexually transmitted diseases specialist outpatient male visitors, investigate their AIDS - related knowledge and behavior situation, their blood was extracted for the serological detection of HIV, HCV and syphilis. Results A total of 1532 male STD clinic patients were investigated among 2010 -2013, mainly for the age of 23 -50 years old, married, Guangxi province, Han nationality, accounted for 72.78%, 75.59%, 97.19% and 77.94% respectively. Awareness rate of AIDS knowledge was 75.60%. 24. 54% of them have had commercial sex behavior in the last 3 months, the difference was statistically significant for each year （x^2 = 65.988, P = 0. 000） ; 25.70% of them have had sexual behavior with casual partners in last 3 months , the difference was statistically significant for each year （x^2 =25. 350, P =0. 000） ; 0. 46% of them had ever injected drugs, 0. 34% of people had ever occurred in MSM, 21.85% of people who had been diagnosed with sexually trans- mitted diseases. 26 cases were detected out of HIV - infected, the detection rate was 1.70% ; 126 cases were detected out of syphilis - infected, the detection rate of 8.22%, the difference was statistically significant for each year （x^2 = 9.314, P = 0. 025 ） ; 17 cases were detected out of HCV - infected , the detection rate of 1.11%. Conclusions HIV, syphilis detection rate is high in Fangchenggang male STD clinic patients, should further strengthen AIDS, sexually transmitted diseases related knowledge and high -risk behavior intervention efforts.