摘要
目的了解2012—2016年上海市长宁区性病门诊就诊者中男性艾滋病/性病感染状况、艾滋病知识知晓率及高危行为状况,为进一步完善该人群艾滋病防控策略提供依据。方法依据《全国艾滋病哨点监测实施方案》,对上海市长宁区性病门诊男性就诊者进行监测,对结果进行分析。结果2012—2016年,共监测性病门诊男性就诊者2020名,每年400名左右。以20~29岁年龄组、在婚和本市户籍者为主。5年平均艾滋病知识知晓率为73.51%,2016年最高,2013年最低;5年间的艾滋病知晓率差异有统计学意义(χ~2=83.79,P<0.01)。最近3个月与暗娼或临时性伴发生过性行为的分别有1240人(61.39%)和616人(30.50%);注射过毒品的有5人(0.25%);与同性发生过肛交性行为的有111人(5.50%);最近1年有性病史的有407人(21.63%)。自2015年起,最近3个月与暗娼发生过性行为的比例较之前有显著提高(χ~2=24.78,P<0.01);自2014年起,最近1年有性病病史的比例较之前也有显著上升(χ~2=32.16,P<0.01);HIV、梅毒和HCV抗体阳性检出率分别为0.99%、5.99%和0.05%。结论2012—2016年间性病门诊艾滋病知识知晓率和高危行为发生率均有差异。要加强艾滋病相关健康教育内容的全面性,加大对性病门诊男性就诊者行为干预,减少艾滋病、性病和丙肝的传播。
Objective To understand the situation of HIV/AIDS infection, awareness of AIDS knowledge, and situation of high risk behavior among male outpatients in STD clinic in Changning District from 2012-2016, so as to provide evidence for further improvement of AIDS prevention and control strategies. Methods According to the National Aids Sentinel Surveillance Implementation, an investigation was conducted among male attendants in STD clinic in Changning District and the results were analyzed statistically. Results From 2012 to 2016, a total of 2020 male outpatients were recruited in this surveillance with around 400 cases per year. The age group of 20-29 years old, married and the domicile of Shanghai were the main. The average rate of awareness of AIDS knowledge in these 5 years was 73.51%, with the highest in 2016 and lowest in 2013; the awareness rate was statistically significant（χ2=83.79, P〈0.01）. There were 1240（61.39%） and 616（30.50%） cases who had sex with sex workers or temporary partners in past three months; 5（0.25%） cases injected drugs; 111（5.50%） cases had anal sex with same sex; 407 cases（21.63%） had STDs history in past one year. Since 2015, the proportion of interviewees who had sex with sex workers in past three months was significant higher than before（χ2=24.78, P〈0.01）; since 2014, the proportion of the interviewees who had STDs history in past one year was significant increased（χ2=32.16, P〈0.01）. The positive rates of HIV, syphilis and HCV were 0.99%, 5.99% and 0.05%, respectively. Conclusion In the period of 2012-2016, the incidence rate of AIDS knowledge and high risk behavior were different. The comprehensiveness of AIDS related health education should be strengthened to improve the behavior interventions among this population and reduce the spread of AIDS, venereal disease and hepatitis C eventually.
作者
尹宁
王震宇
王苇沁
倪莹青
蔡恩茂
Yin Ning;Wang Zhenyu;Wang Weiqin;Ni Yinqing;Cai Enmao(Changning District Center for Disease Control and Prevention,Shanghai,200051,China)
出处
《健康教育与健康促进》
2017年第6期528-530,534,共4页
Health Education and Health Promotion
