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目的分析遵义市性病门诊男性就诊者(STD)艾滋病、梅毒、丙肝感染状况,为进一步做好哨点监测工作提供科学依据。方法按照《全国艾滋病哨点监测实施方案》,调查分析2010-2013年遵义市性病门诊男性就诊者人口学特征、行为特征和艾滋病知识知晓情况。结果调查的1 600人中,确认HIV抗体阳性31例(1.94%),梅毒抗体阳性167例(10.44%),丙肝抗体阳性5例(0.31%),三种性病不同年份检出率差异无统计学意义(P>0.05);艾滋病防治知识知晓率为61.38%,呈逐年升高趋势(P<0.05);干预覆盖率为15.06%,不同年份干预覆盖率差异有统计学意义(P<0.05);STD人群非婚性行为频繁,近3个月与暗娼或临时性伴发生性关系占调查人数的31.62%。结论遵义市STD人群艾滋病防治知识知晓率较低,发生非婚性行为比例高,增加了性病传播的危险;应加强对STD人群的干预工作力度,努力减少性传播疾病在STD人群中的流行。
Objective To analyze the status of AIDS, syphilis and hepatitis C infection in male patients (STD) of STD clinics in Zunyi City, and to provide a scientific basis for further monitoring of sentinel disease. Methods According to the “National Implementation Plan for Sendiction Monitoring of AIDS,” a survey was conducted to analyze demographic characteristics, behavioral characteristics and HIV / AIDS awareness of male attendants in STD clinics in Zunyi during 2010-2013. Results Among the 1,600 people surveyed, 31 (1.94%) were positive for HIV antibody, 167 (10.44%) were positive for syphilis antibody and 5 (0.31%) were positive for hepatitis C antibody. There was no statistical difference in the detection rates of the three sexually transmitted diseases in different years (P <0.05). The awareness rate of AIDS prevention and control was 61.38%, showing an increasing trend year by year (P <0.05). Intervention coverage rate was 15.06%. There was significant difference in intervention coverage between different years (P <0.05) The frequency of non-marital sex in STD population was very high. Sexual relations with female sex workers or temporary partners in the past 3 months accounted for 31.62% of the total number of investigators. Conclusion There is a low awareness rate of HIV / AIDS prevention and treatment among STD population in Zunyi city. The high proportion of non-marital sexual behaviors increases the risk of STD transmission. STD intervention efforts should be strengthened in order to reduce the prevalence of sexually transmitted diseases in STD population.