长春市性病门诊男性就诊者艾滋

发布时间：2018-12-16 22:46

【摘要】：背景艾滋病在全球范围内广泛流行,严重威胁人类健康。目前,全球艾滋病疫情基本得到控制。我国艾滋病疫情持续上升,但上升幅度有所减缓,疫情正由高危人群向一般人群扩散。梅毒与艾滋病关系密切,在艾滋病防控工作中要注意加强梅毒疫情的控制。既往有关长春地区性病门诊男性就诊者艾滋病知识、相关行为学因素的系统研究较少。针对长春市性病门诊男性就诊人群进行性病艾滋病流行情况、相关知识、行为进行调查具有重要意义。目的了解长春市性病门诊男性就诊者艾滋病、梅毒感染现状,探讨相关影响因素,为改变性病门诊男性就诊者高危行为,遏止艾滋病、性病疫情提供科学依据。方法采用现况调查方法,于2010年4-6月抽取长春市性病门诊男性就诊者800名进行问卷调查并采集静脉血5-10ml。调查内容包括一般人口学信息、血清学信息、行为学信息、性病感染情况、艾滋病防治有关信息。使用艾滋病哨点监测网络录入数据。采用SPSS13.0对数据进行统计分析,计量资料采用均数、标准差、中位数等指标,计数资料采用率、构成比等指标。采用χ2检验比较分类变量组间分布差异,Logistic回归模型对艾滋病、梅毒感染,艾滋病知识知晓情况、高危行为、性病患病情况、HIV检测的影响因素进行多因素分析。结果 1.本次调查长春市性病门诊男性就诊者平均34.42+10.87岁。婚姻状况以在婚为主,占54.1%。本省户籍占94.0%,汉族就诊者占96.1%。不同来源性病门诊男性就诊者在年龄分布、婚姻状况、户籍所在地以及民族分布等方面的差异均有统计学意义。 2.性病门诊男性就诊者艾滋病知识总体知晓率为91.0%。3种传播途径知晓率达100%,部分就诊男性对艾滋病非传播途径的了解有一定欠缺。 3.性病门诊男性就诊者最近3个月商业性行为及临时性行为发生率分别为344%、36.2%。注射吸毒及同性性行为发生率分别为0.8%、5.2%。独居者高危行为发生率高,最近1年接受过艾滋病同伴教育者高危行为发生率较低。 4.21.8%的性病门诊男性就诊者最近1年曾被诊断患过性病,其中梅毒所占比例最大,独居、同性性行为是既往性病感染的危险因素。性病门诊男性就诊者艾滋病预防干预服务覆盖率为91.3%。5.61.6%的调查对象最近1年进行过HIV抗体检测。来自专科性病门诊、非本地户籍、过去1年被诊断过性病、接受过艾滋病干预的就诊者过去1年进行HIV检测的概率高。 6.性病门诊男性就诊者HIV感染率为0.4%,梅毒感染率为2.1%。年龄20岁的性病门诊男性就诊者感染HIV的可能性高于年龄20岁的就诊者。结论 1.本次调查的800例性病门诊男性就诊者主要集中在性活跃人群,在婚所占比例大,流动人口较少。 2.长春市性病门诊男性就诊者艾滋病知识总体知晓率较高,3种传播途径全部知晓,对非传播途径的了解有一定欠缺。 3.本次调查性病门诊男性就诊者艾滋病、梅毒感染率分别为0.4%和2.1%,整体呈低流行态势,青少年HIV感染率高。 4.本次调查性病门诊男性就诊者高危行为发生率为51.5%,独居者高危行为发生率高,最近1年接受过艾滋病同伴教育者高危行为发生率低；21.8%的调查对象最近1年被诊断过性病,独居、发生同性性行为者既往性病感染率高；61.6%的调查对象最近1年进行过HIV检测,来自专科性病门诊、非本地户籍、过去1年被诊断过性病、接受过艾滋病干预的就诊者过去1年进行HIV检测的概率高。
[Abstract]:Background AIDS is widely spread across the globe and is a serious threat to human health At present, the global AIDS epidemic is basically controlled The epidemic of AIDS in China has continued to rise, but the rate of rising has slowed, and the epidemic is spreading from the high-risk population to the general population. Syphilis is closely related to AIDS. In the work of prevention and control of AIDS, attention should be paid to strengthening the control of the syphilis epidemic situation. Systematic research on the knowledge of AIDS and related behavioral factors of STD clinic in Changchun. The investigation of STD/ AIDS epidemic situation, related knowledge and behavior of STD clinic in Changchun City has been carried out. to make sense The purpose of this study is to understand the status of AIDS and syphilis infection among male patients in the STD clinic in Changchun, and to discuss the related factors. In order to change the high-risk behavior of the male in the STD clinic, to stop the AIDS and sexually transmitted diseases. to mention one's feelings A survey was conducted on 800 cases of STD clinic male in Changchun from April to June, 2010. 5-10ml of venous blood was collected. The contents of the survey included general demographic information, serological information, behavior information, and infection of venereal disease. Information on the prevention and control of HIV/ AIDS. Use of AIDS The data of the network entry shall be monitored by the surveillance network of the disease post. The data shall be analyzed and analyzed by using the SPSS13.0. The data shall be used for counting, standard deviation, median and other indicators and counting materials. The distribution of HIV, syphilis and AIDS, knowledge of AIDS, high-risk behavior, disease of sexually transmitted diseases and HIV testing were analyzed by means of the Logistic regression model. influence A multi-factor analysis of the factors was carried out. The results were as follows: 1. The survey of STD clinic male in Changchun Average 34. 42 + 10. 87 years old. Marriage The state of marriage is mainly engaged in marriage, accounting for 54. 1%. The household registration in this province is 94. The age distribution, the marital status, the location of the household registration and the nationality of the male patients in the STD clinic of different sources were in the age distribution, the marital status, the place of the household registration and the nationality. There was a significant difference in the distribution of HIV/ AIDS. The knowledge of the knowledge of AIDS among the male patients in the STD clinic was 91. 0%. The knowledge of the three kinds of transmission methods was 100%, and some of the male patients were treated with male. A lack of understanding of the non-transmission approach to AIDS. 3. The recent three-month commercial sexual and temporary nature of the STD clinic male The incidence of sexual behavior was 344%, 36. 2%, respectively. The incidence of sexual behavior was 0.8% and 5.2%, respectively. The incidence of high-risk behavior among the AIDS-infected peer educators was low. The coverage of AIDS prevention and intervention in STD clinic was 91.3%. 6% of the respondents were tested for HIV antibodies in the last 1 year. From specialist STD clinics, non-local household registration, sexually transmitted diseases have been diagnosed in the past 1 year, and AIDS has been received The probability of HIV testing in the past 1 year was high in the patients with intervention. The infection rate of HIV was 0.4%, and the infection rate of syphilis was 2.1%. visit The possibility of HIV infection is higher than that of the 20-year-old. The main focus of the patients is the sexual active population, the proportion of the marriage is large, the floating population is less. 2. The general knowledge of the AIDS knowledge of the male in the STD clinic in Changchun 3. The prevalence of AIDS and syphilis among male patients in STD clinic was divided into three groups: the rate was high, the three kinds of transmission methods were all known, and the understanding of the non-transmission route was not enough. The prevalence of HIV infection among the male in the STD clinic was 53.5%, the incidence of high risk behavior of the living alone was high, and the AIDS peer education had been accepted in the last 1 year. The incidence of high-risk behavior is low; 21. 8% of the respondents were diagnosed with sexually transmitted diseases in the last 1 year, and the rate of previous STD infection among those with same-sex sexual behavior was high; 61. 6% of the respondents had HIV testing in the last 1 year, from the clinic of the specialist venereal disease, the non-local household registration and the past 1 year.
【学位授予单位】：吉林大学
【学位级别】：硕士
【学位授予年份】：2011
【分类号】：R759

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