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目的监测甘肃省兰州市城关区性病门诊男性就诊者HIV、HCV、梅毒感染现状和艾滋病相关高危行为发生情况,为制定艾滋病防控措施提供科学依据。方法依据国家艾滋病哨点监测方案,对2011─2013年主动前往性病门诊就诊的1 200名男性就诊者进行问卷调查,并采集血样检测HIV、HCV和梅毒。结果 1 200名男性就诊者艾滋病防治知识总知晓率为86.08%,最近三个月与商业性女性性服务人员发生性行为的比例为22.33%,最近三个月与临时性伴发生性行为比例为22.83%,与同性发生过肛交性行为比例为2.75%;检测HIV抗体阳性4例(0.33%),梅毒抗体阳性59例(4.92%),HCV抗体阳性25例(2.08%)。结论性病门诊男性就诊者中,有较普遍的商业性异性性行为和临时性伴性行为,部分既往有性病史,同时发现HIV、HCV和梅毒感染新发病例;今后应加强对性病门诊男性就诊者安全性行为和安全套推广等行为干预,同时提供规范的性病诊疗和咨询检测服务,减少HIV和相关性病的蔓延。
Objective To monitor the prevalence of HIV, HCV, syphilis infection and AIDS-related high-risk behaviors among STD clinics in Chengguan District, Lanzhou City, Gansu Province, and provide a scientific basis for developing AIDS prevention and control measures. Methods According to the national AIDS sentinel surveillance program, 1,200 men who visited STD clinics from 2011 to 2013 were surveyed. Blood samples were collected for HIV, HCV and syphilis testing. Results The total awareness rate of HIV / AIDS prevention and treatment among 1 200 men was 86.08%. The proportion of sexual behaviors among commercial sex workers in the last three months was 22.33%. The proportion of sexual behaviors with temporary sexual partners in the last three months was 22.83%, and homosexuality was 2.75%; HIV antibody positive in 4 cases (0.33%), syphilis antibody positive in 59 cases (4.92%) and HCV antibody positive in 25 cases (2.08%). Conclusions Among the male STD clinic patients, there are more common commercial heterosexual behaviors and temporary sexual partners, some of them have previous history of sexually transmitted diseases and new cases of HIV, HCV and syphilis infection are found. In the future, more attention should be paid to male STD clinics Safety behaviors and promotion of condoms. At the same time, we provide normative STD clinics and counseling and testing services to reduce the spread of HIV and related STDs.