摘要
目的：了解辽宁省性病门诊男性就诊者艾滋病/性传播疾病的感染状况及艾滋病相关知识、行为变化情况。方法：按照《全国艾滋病哨点监测实施方案》要求,对监测期内首次来哨点门诊诊治性病、年龄在15岁及以上的男性采用连续采样方法进行问卷调查并采集血样进行检测。结果：2012年至2014年每年的实际监测样本量分别为6019人、6022人、6036人;艾滋病知识知晓率分别为83.32%、83.98%、85.93%,呈逐年上升趋势（χ^2趋势=16.96,P〈0.01）;最近3个月与小姐（暗娼）发生过性行为的比例为26.17%、27.83%、22.63%;最近3个月与临时性伴发生性行为的比例为24.52%、27.31%、24.70%;最近1年被诊断为性病的比例为17.30%、22.10%、24.58%;各年HIV阳性率分别为0.53%、0.56%、0.86%,呈逐年上升趋势（χ^2趋势=6.14,P〈0.05）;梅毒阳性率为11.25%、13.32%、14.60%,呈逐年上升趋势（χ^2趋势=30.31,P〈0.01）。结论：性病门诊就诊者存在艾滋病流行的风险,必须加强性病防治,及时有效的开展健康教育与行为干预、积极推广安全套使用是控制艾滋病经性传播的重要措施。
Objectives： To learn the general infection situation of AIDS or sexually transmitted disease（ STD） of male outpatients in sentinel surveillance clinics of Liaoning Province,and HIV knowledge and behavior changes. Methods： According to the National Protocol of AIDS Sentinel Surveillance,male outpatient visitors aged15 and above for the first time during the monitoring period were surveyed with continuous sampling method,and their blood sample was collected. Results： The actual number of annual monitoring samples from 2012 to 2014 was 6,019,6,022 and 6,036. Awareness percentage of AIDS knowledge was 83. 32%,83. 98% and 85. 93%（ χ^2=16. 96,P〈0. 01）. The percentage of having sexual behavior with prostitutes during the past 3 months was26. 17%,27. 83% and 22. 63%. The percentage of having sexual behavior with temporary sexual partner in the past 3 months was 24. 52%,27. 31% and 24. 70%. The ration of those diagnosed with STD in the past year accounted for 17. 30%,22. 10% and 24. 58%. The HIV positive rate was 0. 53%,0. 56%,0. 86%（ χ^2= 6. 14,P〈0. 05） and that of syphilis was 11. 25%,13. 32%,14. 60% respectively in each year（ χ^2= 30. 31,P〈0. 01）.Conclusion： STD clinic outpatients have the risk of spreading AIDS. STD prevention and treatment should be enhanced. Timely and effective health education and behavior intervention and active application of condom are the key measures of controlling AIDS through sexual behavior.
出处
《中国性科学》
2016年第7期62-65,共4页
Chinese Journal of Human Sexuality
关键词
性病门诊男性就诊者
艾滋病
哨点监测
Male sexually transmitted disease（STD） outpatients
AIDS
Sentinel surveillance
