2009-2015年HIV哨点性病门诊男性就诊者监测结果分析

发布时间：2018-07-31 07:56

【摘要】：目的了解云南省某医院性病门诊男性就诊者艾滋病监测情况,分析目标人群艾滋病知识、高危性行为情况、HIV及梅毒感染状况,为艾滋病防治提供依据。方法按照《全国艾滋病哨点监测方案》,对性病门诊就诊者进行问卷调查,同时进行HIV和梅毒检测。结果 2009-2015年共监测性病门诊男性就诊者2 849人,年龄15-81岁,69.67%就诊者年龄20-40岁。就诊者既往性病感染率为84.28%,患一种性病的占性病人数的94.34%,患两种及以上性病者占5.66%。2009-2015年共检测出HIV患者27人,总检出率为0.95%。HIV检出率随时间推移呈上升趋势,27名HIV患者近一年均患有其他一种或两种性病。性病门诊就诊者对艾滋病知识的正确回答率为92.28%,答对6条以上知晓率为90.28%(2 572/2 849)。与临时性伴侣发生性行为的占77.61%。结论需加强性病门诊HIV和性病的动态监测,性病门诊就诊者预防艾滋病知识知晓率较高,但高危性行为率也较高,应探索临床诊疗与行为干预相结合的干预模式,切实促进其行为的改变。
[Abstract]:Objective to investigate the HIV / AIDS surveillance among male outpatients in a hospital in Yunnan Province, and to analyze the AIDS knowledge, high risk sexual behavior and HIV / syphilis infection among the target population in order to provide evidence for the prevention and treatment of AIDS. Methods according to the National AIDS Sentinel Surveillance Program, the STD outpatients were investigated by questionnaire, HIV and syphilis were tested. Results from 2009 to 2015, 2 849 male patients aged 15-81 years and 69.67% aged 20-40 years were enrolled in STD clinic. The previous infection rate of STD was 84.28%, the number of STDs was 94.34%, and two or more kinds of STDs accounted for 5.66.2009-2015. A total of 27 patients with HIV were detected. The total detection rate of 0.95%.HIV showed an increasing trend with the passage of time. 27 patients with HIV had one or two other venereal diseases in the past year. The correct answer rate of AIDS knowledge was 92.28% among STD outpatients and 90.28% (2 572 / 2 849). Sexual intercourse with temporary partners accounted for 77.61%. Conclusion it is necessary to strengthen the dynamic surveillance of HIV and STD in STD outpatient clinic. The knowledge of AIDS prevention among STD outpatients is higher, but the rate of high-risk sexual behavior is also high. The intervention mode of combining clinical diagnosis and treatment with behavioral intervention should be explored. To effectively promote changes in their behaviour.
【作者单位】：昆明医科大学第一附属医院皮肤科;云南省疾病预防控制中心;
【基金】：国家自然科学基金项目(81560325) 云南省卫生和计划生育委员会项目(L-201613) 昆明医科大学项目(CTXD201609) 曾毅院士工作站项目(2014IC027)
【分类号】：R181.8;R512.91

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