论文部分内容阅读
目的了解北京市平谷区2014年各监测哨点性病门诊就诊者性病和艾滋病感染状况,了解就诊者对性传播疾病态度、行为情况,为今后进一步实施有效干预措施提供科学依据。方法在就诊者口头知情同意的情况下,用现场调查和实验室检查相结合的方法对就诊者进行调查,采3~5 ml血样,分离血清进行HIV和梅毒抗体检测。用Epidata软件对2014年所有就诊者资料统一录入,建立数据库,运用SPSS 17.0进行资料统计分析。结果本次共调查性病门诊就诊者325人,男女性别比为1.88∶1;主要集中在21~50岁中青壮年组。8.00%的人最近一年曾确诊过性病。艾滋病相关知识知晓率为82.15%。在212名男性就诊者的调查问卷中,最近半年和最近3个月发生过商业性性行为的分别为154人和124人,分别占男性人群比例的72.64%、58.49%;商业性伴人数范围在1~3人;每次均使用安全套的分别为57.79%和66.94%。HIV感染占调查人群的0.31%;梅毒抗体二次均为阳性者41例,占调查人群的12.62%。不同性别(χ~2=5.726,P=0.017)、不同婚姻状况(χ~2=11.118,P=0.011)、不同文化程度(χ~2=10.389,P=0.034)梅毒抗体现症感染阳性差异有统计学意义。结论 2014年北京市平谷区325名性病门诊就诊者接受教育的途径有限,性保健知识匮乏,健康防范意识比较弱。今后应继续加大安全套的推广使用,倡导健康性行为,加强性病门诊的监测、干预工作,加大健康教育宣传力度,为患者提供良好的预防保健知识。
Objective To understand the status of STDs and HIV infections among STD clinics in all sentinel clinics in Pinggu District of Beijing in 2014 and to understand the attitude and behavior of STDs to sexually transmitted diseases and to provide scientific evidence for further effective interventions in future. Methods In the case of verbal informed consent, on-the-spot investigation and laboratory tests were used to investigate the patients. Blood samples of 3-5 ml were taken and serum was separated for detection of HIV and syphilis antibody. Epidata software was used to input data of all the patients in 2014, establish a database, and use SPSS 17.0 to conduct statistical analysis. Results The total number of STD clinics surveyed 325 people, male to female ratio was 1.88: 1; mainly concentrated in 21 to 50-year-old middle-aged group. 8.00% of people have been diagnosed with STD in recent years. AIDS-related knowledge awareness rate was 82.15%. In the survey of 212 male patients, there were 154 and 124 commercial sexual behaviors in the recent six months and the latest three months, accounting for 72.64% and 58.49% of the male population respectively. The number of commercial partners In 1 to 3 people; each use of condoms were 57.79% and 66.94%. HIV infection accounted for 0.31% of the surveyed population; syphilis antibodies were both positive in 41 cases, accounting for 12.62% of the survey population. There were significant differences in the positive rates of syphilis infection between different genders (χ ~ 2 = 5.726, P = 0.017), different marital status (χ ~ 2 = 11.118, P = 0.011) There is statistical significance. Conclusion In 2014, 325 clinics in STD clinics in Pinggu District of Beijing had limited access to education, lack of knowledge of sexual health and weak awareness of health prevention. In the future, we should continue to increase the promotion and use of condoms, advocate healthy sexual behaviors, strengthen the monitoring and intervention of STD clinics, increase publicity of health education and provide patients with good preventive health knowledge.