青海省性病门诊就诊者艾滋病和梅毒监测结果分析

发布时间：2018-05-11 01:03

本文选题：性病门诊就诊者 + 艾滋病　；参考：《山西医科大学》2012年硕士论文

【摘要】：目的了解青海省性病门诊就诊者的一般特征,包括性别、年龄、职业和婚姻状况,分析艾滋病和梅毒在性病门诊就诊者中的流行趋势和流行特点,为今后我省制定针对该人群的防治措施及开展HIV监测和行为干预工作提供依据。方法由经过统一培训的性病门诊医生收集在2008-2010年间主动到西宁市、海北州、海南州和海西州的13个性病门诊就诊的所有就诊者(无论其是否患有性病)的一般信息,同时,在知情同意的前提下,采集就诊者静脉血进行HIV抗体和梅毒抗体的检测。采用Epi Data3.0数据库,校对无误后采用SPSS13.0软件进行统计分析。本文主要采用描述性研究的方法分析艾滋病和梅毒在性病门诊就诊者中的流行趋势和流行特点。结果 (1)青海省2008-2010年14720例性病门诊就诊者艾滋病和梅毒监测结果显示,性病门诊就诊者的数量呈逐年递增趋势,2009年就诊人数较2008年增长了18.8%,2010年就诊人数较2009年增长了4.11%；处于性活跃期的20-49岁就诊者占所有就诊者的87.15%,已婚者占就诊人数的72.68%,就诊者中以牧民所占比例最大,占26.93%,其次是娱乐餐饮业服务员,占17.35%。娱乐餐饮业服务员就诊者的比例从2008年的10.82%增加到2010年的22.53%。 (2)全省14720例性病门诊就诊者共检出HIV阳性者13例,梅毒阳性753例,阳性检出率分别为0.09%和5.12%,未婚者感染HIV和梅毒的危险性均高于已婚者,个体商人和无业人员HIV病例数占发现病例总数的46%,梅毒各类职业均有发病。13例HIV感染者中,男性8例,女性5例,男女性别比为1.6：1。753例梅毒感染者中,男性287例,女性466例,男女性别比为0.62：1,性病就诊者中发现的梅毒病例女性多于男性(P0.05)。13例HIV感染者均通过性途径感染。 (3)西宁市、海北州、海南州和海西州性病门诊就诊者数量女性多于男性；已婚就诊者所占比例分别为66.01%、85.17%、84.8%、86.12%；20-49岁年龄段的就诊者所占比例分别为87.26%、85.70%、84.88%、91.77%。从职业分布来看,西宁市性病门诊就诊者主要是娱乐餐饮业服务员、工人、无业、个体商人,占所有就诊者的53.69%；海北州以牧民和农民为主,占91.5%；海南州以牧民和娱乐餐饮业服务员为主,占66.48%；海西州以牧民和个体商人为主,占91.86%。 (4)13例HIV阳性病例均由西宁市性病门诊报告,三个藏族自治州性病门诊就诊者中未检HIV阳性病例。梅毒阳性病例数西宁市最多464例,其次是海南州167例、海北州80例、海西州42例。梅毒阳性病例检出率最高的是海南州(13.36%),其次是西宁市(4.30%)、海西州(3.60%)、海北州(3.00%)。西宁市性病门诊就诊者中发现的梅毒阳性病例以个体商人、娱乐餐饮业服务员、无业人员为主,占42.89%,牧民占13.79%；海北州、海南州和海西州以牧民为主,分别占97.5%、60.48%和85.71%。海南州发现的梅毒阳性病例除牧民外,娱乐餐饮业服务员也占较大比重(26.35%)。结论 (1)青海省性病门诊就诊者的数量呈逐年递增趋势,大多数处于性活跃期。 (2)检测性病门诊就诊者是检出HIV及梅毒的途径之一,且未婚者感染HIV和梅毒的危险性均高于已婚者,性病就诊者中发现的梅毒病例女性多于男性。 (3)青海省性病门诊就诊者属于艾滋病和梅毒的低流行人群,经性途径感染已经成为我省艾滋病传播的主要途径。
[Abstract]:Purpose

To understand the general characteristics of STD clinic in Qinghai province , including sex , age , occupation and marital status , analyze the epidemic trend and epidemic characteristics of AIDS and syphilis in the outpatient clinic of STD clinic , and provide the basis for the development of prevention and control measures for the population and HIV monitoring and behavioral intervention in our province in the future .

method

The epidemic trend and epidemic characteristics of AIDS and syphilis in the outpatient clinic of STD clinic were analyzed by means of descriptive research .

Results

( 1 ) The results of AIDS and syphilis monitoring of 14720 STD clinics in Qinghai province from 2008 to 2010 showed that the number of outpatient clinics increased by year by year . In 2009 , the number of outpatient visits increased by 18.8 % compared with 2008 , and the number of visits in 2010 increased by 4.11 % compared with 2009 .
Among those who were aged 20 - 49 , 87.15 % of all patients , 72.68 % of those who had married , accounting for 26.93 % , followed by entertainment food and beverage industry , accounting for 17.35 % . The proportion of attendant in entertainment and beverage industry increased from 10.82 % in 2008 to 22.53 % in 2010 .

( 2 ) There were 13 cases of HIV positive in 14720 STD clinics in the province . There were 753 cases of syphilis . The positive rates of HIV and syphilis were 0.09 % and 5.12 % respectively .

( 3 ) There are more women than men in the number of outpatient clinics in Xining City , HeBei state , Hainan and HaiNan state .
The proportion of married patients was 66.01 % , 85.17 % , 84.8 % and 86.12 % , respectively .
The proportion of patients aged 20 - 49 was 87.26 % , 85.70 % , 84.88 % and 91.77 % , respectively . From the occupational distribution , the outpatient clinic in Xining city was mainly entertainer , worker , unemployed , individual businessman , accounting for 53.69 % of all the patients .
HeBei state is mainly based on rangers and farmers , accounting for 91.5 % ;
Hainan Prefecture , based on rangers and entertainers , accounted for 66.48 % ;
in that state of the present state , there were 91 . 86 % of the shepherd and the individual businessmen .

( 4 ) Of the 13 cases of HIV positive cases , there were no HIV positive cases reported in three Tibetan autonomous counties . There were no HIV positive cases in the three Tibetan autonomous counties . There were 167 cases of syphilis positive cases , 80 cases in Hainan , and 42 cases in Haibei .
Most of the syphilis - positive cases found in Hainan state accounted for 97.5 % , 60.48 % and 85.71 % , respectively .

Conclusion

( 1 ) The number of outpatient visits of STD clinics in Qinghai is increasing year by year , most of which are active .

( 2 ) It is one of the ways to detect HIV and syphilis , and the risk of HIV and syphilis among unmarried persons is higher than that of married people , and there are more women than men in syphilis cases .

( 3 ) The prevalence of AIDS and syphilis among STD clinics in Qinghai province has become the main route of AIDS transmission in our province .

【学位授予单位】：山西医科大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：R759

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