梧州市632名男性性病就诊者HIV/STD感染调查及高危行为分析

目的了解男性性病就诊者性病、艾滋病感染状况以及高危行为的影响。方法对2009年7月1日-2010年3月30日到男性性病门诊就诊的632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和梅毒抗体的检测、留取中段尿作淋球菌以及沙眼衣原体检测。结果最小年龄为16岁,最大的85岁,年龄大于40岁的（不包括40岁）占31.33%（198/632）。40岁以下（包括40岁）占71.84%（454/632）,38.6%的男性性病就诊者最近3个月与小姐（FSW）发生过性行为,其中最近1次与小姐发生性行为时安全套的使用率为27.27%,26.44%的男性性病就诊者最近3个月与临时性伴发生过性行为,其中最近1次与临时性伴发生性行为时安全套的使用率为23.64%,1.45%的男性性病就诊者曾经与男性发生过性行为。艾滋病感染率为0.79%,40岁以上的占感染者的80%,淋球菌感染率3.15%,沙眼衣原体感染率为5.51%,梅毒感染率为8.92%。结论男性性病就诊者人群已经发现性病、艾滋病感染,应加强对男性性病就诊者人群开展性病艾滋病的宣传教育工作。

Survey on HIV/STD Infection and High Risk Behaviors Among 632 Male STD Out - patients in Wuzhou

Objective To investigate the status of STD and HIV infection in male STD out-patients and the impact of their high risk behaviors. Methods An anonymous questionnaire survey was conducted among 632 male STD patients who visited male STD clinics from July 1,2009 to March 30,2010.Anti-HIV and syphilis antibody in sera of the patients were detected.Neisseria gonorrhoeae and Chlamydia trachomatis from mid-stream specimens of urine were determined. Results Among these patients,the youngest was 16 years old,and the oldest was 85 years old.The patients over 40 years of age(not including 40-year-old) accounted for 31.33%(198/632).The male STD out-patients under 40 years old(including 40-year-old) accounted for 71.84%(454/632).38.6% of the male STD out-patients had had sex behaviors with female sex workers in the past three months,of whom 27.27% had used a condom during the last paid sexual intercourse.26.44% of the male STD out-patients had had sex behaviors with temporary sexual partners in the past three months,of whom 23.64% had used a condom during the last sexual intercourse.1.45% of the male STD out-patients had engaged in same-sex behaviors.Among these male STD out-patients,HIV infection rate was 0.79% and 80% of HIV infectors were older than 40 years old.The infection rates of Neisseria gonorrhoeae,Chlamydia trachomatis,and syphilis were 3.15%,5.51%,and 8.92%,respectively. Conclusions The prevalence of STD and HIV infections is found among the male STD out-patients,so it is necessary to enhance propaganda and education about STD and HIV for them.