天水市性病门诊男性就诊者艾滋病哨点监测分析

目的分析甘肃省天水市性病门诊男性就诊者艾滋病相关知识知晓情况、行为变化及艾滋病病毒感染的流行趋势。方法按照《全国艾滋病哨点监测实施方案》要求,采用连续采样方法选取2012─2016年每年4─6月主动前来国家级哨点性病门诊就诊的15岁及以上男性2 000人。结果 2 000名男性就诊者,年龄集中在25岁～组,平均年龄(34.22±4.08)岁;艾滋病相关知识总体知晓率,2012年为74.25%、2016年87.25%,差异有统计学意义(χ~2=31.75,P<0.05);就诊者中,最近一年与女性发生过商业性行为的比例,2012年为5.00%、2016年8.75%,差异有统计学意义(χ~2=5.59,P<0.05);最近一年诊断过性病的比例,2012年为8.75%、2016年13.25%,差异有统计学意义(χ~2=12.69,P<0.05);检出HIV阳性15例、阳性率0.75%,梅毒阳性62例、阳性率3.10%,HCV阳性57例、阳性率2.85%;梅毒(χ~2=4.40)和HCV(χ~2=10.43)的阳性率差异有统计学意义(均P<0.05)。结论甘肃省天水市性病门诊男性就诊者艾滋病防治知识知晓率逐年提高,梅毒和HCV的阳性率逐年上升,应加强梅毒和HCV的防治力度。

Analysis of AIDS sentinel surveillance of male patients in sexually transmitted disease clinics in Tianshui

Objective To analyze awareness of AIDS-related knowledge, behavioral change and epidemic trend of HIV infection among the male patients in sexually transmitted disease(STD) clinic in Tianshui city of Gansu province. Methods As the requirements of Implementation Plan of National AIDS Sentinel Surveillance, 2 000 male patients over 15 year-old visiting sentinel STD clinics of national level were monitored with consecutive sampling method during April to June each year from 2012 to 2016. Results Totally 2 000 male patients were surveyed from 2012 to 2016, with average age of(34.22±4.08) years. The general awareness rate of AIDS knowledge was 74.25% in 2012 and 87.25% in 2016, with statistical difference(χ~2=31.75, P<0.05). The proportion of commercial sex with female sex workers in the latest year was 5.00% in2012 and 8.75% in 2016 with statistical difference(χ~2=5.59, P<0.05). The proportion of patients diagnosed STDs in the latest year was 8.75% in 2012 and 13.25% in 2016 with statistical difference(χ~2=12.69, P<0.05). There were 15 patients(positive rate 0.75%) with HIV positive, 62 patients(3.10%) with syphilis positive and 57 patients(2.85%) with HCV positive. The differences in positive rate of syphilis(χ~2=4.40) and HCV(χ~2=10.43) were of statistical significance(all P<0.05).Conclusions The awareness rate of AIDS knowledge of the male patients from STD clinic increases in Tianshui city year by year, and the positive rate of syphilis and HCV also increases by years. The strength of prevention and control of syphilis and hepatitis C should be reinforced.