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目的:刚察县属于以藏族为主体的环湖纯牧业地区,经济文化发展相对滞后,了解该地区男性传播疾病(STD)人群中艾滋病、丙肝、梅毒和乙肝感染现状和潜在危险因素,为类似地区开展预防干预服务提供方法和依据。方法:对我县各医疗机构性病门诊本地男就诊人群血清进行艾滋病(HIV)、梅毒(TP)、丙肝(HCV)和乙肝(HBV)检测,并对潜在危险因素进行问卷调查。结果:男性STD人群普遍存在多性伴、性随意、无保护性交等高危性行为。通过采样检测,该人群尚未发现HIV阳性,梅毒现患率为8.71%,丙肝现患率0.65%,乙肝表面抗原阳性率为10.41%。结论:本地男性STD人群中梅毒和乙肝有较高的现患率,其社会学特征和行为学特点导致HIV、TP、HCV和HBV感染风险较高。
Objective: Gangcha County belongs to the pure animal husbandry area around Tibet Lake as the main body, and its economic and cultural development lags behind. To understand the current status and potential risk factors of AIDS, hepatitis C, syphilis and hepatitis B in the population of male-transmitted disease (STD) Similar areas to carry out preventive intervention services to provide methods and basis. Methods: HIV, syphilis (TP), hepatitis C (HCV) and hepatitis B (HBV) were detected in serum of local male patients in STD clinics of all medical institutions in our county. The potential risk factors were investigated by questionnaire. Results: There was a prevalence of multiple sexual partners in STDs in men, such as random sex, unprotected sexual intercourse and other high-risk behaviors. Through sampling and testing, this population has not yet found HIV positive, the prevalence of syphilis was 8.71%, the prevalence of hepatitis C was 0.65%, and the positive rate of HBsAg was 10.41%. CONCLUSIONS: Syphilis and hepatitis B have a high prevalence in local male STD populations, and their sociological and behavioral characteristics lead to a higher risk of HIV, TP, HCV and HBV infection.