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目的了解社区组织发现并转介到性传播疾病(STD)医疗机构的男男性行为人群(MSM)的特征,提出健康干预的建议。方法建立社区组织与医疗机构的联系网络,通过日常咨询服务转介疑似STD患者接受检查诊断和治疗。对转介成功并诊断治疗者进行个人信息询问登记和分析。结果156例被转介的STD患者中,98.7%为汉族,武汉当地户籍占87.8%;52.6%年龄为20~30岁之间,68.6%未婚,50.6%独居,75.6%为大本及以上学历;学生、干部职员和商业服务人员分别占20%以上;无收入者占22.5%。诊断为梅毒的占73.7%,艾滋病病毒(HIV)感染占35.9%,尖锐湿疣占16.7%;22.4%为梅毒和HIV混合感染。门诊咨询检测62例,新发现HIV感染者17例;安全套使用率为44.22%。结论应重视对于学生、未婚、独居和高学历群体的健康干预,对商业服务人员的健康教育也需要给予重视,应该加强STD就诊者的HIV推荐检测。同时要加大安全套使用推广力度,提高MSM群体行为的安全性。
Objectives To understand the characteristics of MSM found in community organizations and referrals to STD medical institutions and to recommend health interventions. Methods To establish a network of contact between community organizations and medical institutions, and to refer patients suspected of STD for routine diagnosis and treatment through routine counseling services. Referrals and analysis of referrals for success and diagnosis and treatment of personal information. Results Among the 156 cases of STD patients who were referred, 98.7% were Han nationality, 87.8% were resident in Wuhan; 52.6% were between 20-30 years old, 68.6% were unmarried, 50.6% were living alone, 75.6% ; Students, cadres and commercial service staff accounted for more than 20%; no income accounted for 22.5%. 73.7% were diagnosed with syphilis, 35.9% with HIV, 16.7% with genital warts, and 22.4% with syphilis and HIV. Outpatient counseling and testing of 62 cases, newly found HIV-infected 17 cases; condom use rate was 44.22%. Conclusion The health interventions for students, unmarried people, single people living alone and highly educated people should be emphasized. Health education for commercial service personnel also needs to be emphasized. HIV recommendation testing for STD patients should be strengthened. At the same time, efforts should be made to promote the use of condoms and improve the safety of MSM groups.