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目的了解上海市浦东新区性病门诊男性就诊者艾滋病相关知识,高危行为以及人类免疫缺陷病毒(HIV)、梅毒和丙型肝炎病毒(HCV)的感染状况,为制定防制措施提供科学依据。方法按照《国家艾滋病哨点监测方案》,对性病门诊男性就诊者进行问卷调查,采集静脉血进行相关血清学检测。结果上海市浦东新区2010—2013年共监测性病门诊男性就诊者3 070人,有40.36%的就诊者在最近3个月内与暗娼发生过性行为,21.90%的就诊者与临时性伴发生过性行为,0.13%注射过毒品,0.62%的就诊者与同性发生过肛交性行为。共发现HIV阳性18例(0.59%),梅毒阳性388例(12.64%),丙型肝炎14例(0.46%)。结论浦东新区性病门诊男性就诊者中商业和临时性行为比较多,HIV感染较高,应加强性病门诊检测以及强化对门诊人群的健康教育和行为干预。
Objective To understand the AIDS-related knowledge, high-risk behaviors and the infection status of HIV, syphilis and hepatitis C virus (HCV) in male patients in STD clinics in Shanghai Pudong New Area and provide a scientific basis for the establishment of prevention and control measures. Methods According to the “National AIDS Sentinel Surveillance Program”, a questionnaire survey was conducted on male patients in STD clinics to collect venous blood for serological tests. Results A total of 3 070 male STD clinic patients were surveyed in Pudong New District of Shanghai from 2010 to 2013. 40.36% of the patients had sexual intercourse with female sex workers in the recent 3 months. 21.90% of the patients and temporary partners had Sexual behavior, 0.13% of injecting drugs, 0.62% of patients having same-sex anus and anal sex. A total of 18 HIV positive cases (0.59%), 388 cases (12.64%) positive for syphilis and 14 cases (0.46%) hepatitis C cases were found. Conclusion Male patients in STD clinic in Pudong New Area have more commercial and temporary behaviors and higher HIV infection. Health education and behavioral intervention should be strengthened in out-patient STD testing and outpatient services.