摘要
目的分析泰安市泰山区性病门诊男性就诊者艾滋病哨点监测结果。方法选取2021年1月—2023年12月泰山区性病门诊在艾滋病哨点监测期内就诊的年龄≥16岁男性就诊者1200例为对象进行本次研究。根据我国《全国艾滋病哨点监测方案操作手册》,对男性就诊者进行横断面调查,依次进行问卷调查及抽血检验,分析不同年份之间艾滋病知识知晓情况、行为学监测结果、病毒抗体检测结果的差异。结果从各年度研究对象就艾滋病相关知识知晓率分布情况来看,在“是否能从外观上判断一个人罹患艾滋病”“是否能通过蚊虫叮咬造成艾滋病传播”上,回答正确率较低(<80.00%),但各年度差异无统计学意义(P>0.05);在“是否能通过正确使用安全套来降低艾滋病传播”“艾滋病妇女所分娩的小孩是否会罹患艾滋病”“仅与一名同/异性发生性关系是否能降低艾滋病传播”上,各年度回答正确率呈上升趋势,且艾滋病疾病知识知晓率,各年度也呈上升趋势,差异有统计学意义(P<0.05)。从各年度研究对象高危行为发生分布情况来看,各年度之间,除“注射过毒品”外,其它高危行为的差异均有统计学意义(P<0.05),且在各年度中,均以“最近三个月,与临时性伴发生过性行为”所占比例最高。从各年度研究对象病毒抗体检测结果来看,各年度之间,人类免疫缺陷病毒(HIV)抗体阳性率和梅毒抗体阳性率的差异均有统计学意义(P<0.05),且在各年度中,均以“梅毒抗体阳性”所占比例最高。结论随着年份的增加,性病门诊男性就诊者对于艾滋病疾病相关知识知晓情况不断提升,但在某些方面仍较为薄弱,需进行进一步强化教育,且梅毒发生率较高,应加强健康教育,促使此类人群长期保持良好的私生活,从而降低艾滋病传播。
Objective To analyze the AIDS sentinel surveillance results of male patients in STD clinics in Taishan District,Tai'an City.Methods 1200 male patients aged≥16 years who visited the STD clinic in Taishan District during the AIDS sentinel surveillance period from January 2021 to December 2023 were selected for this study.According to the Operation Manual of the National AIDS Sentinel Surveillance Program,a cross-sectional survey was conducted among male patients,followed by a questionnaire survey and blood sampling test,to analyze the differences in AIDS knowledge awareness,behavioral monitoring results,and virus antibody detection results between different years.Results According to the distribution of the awareness rate of AIDS related knowledge among the subjects in each year,the correct rate of the answers to“whether a person can be judged to suffer from AIDS from the appearance”and“whether AIDS can be transmitted through mosquito bites”was low(<80.00%),but there was no statistically significant difference between the years(P>0.05).In“whether the transmission of AIDS can be reduced through the correct use of condoms”On the questions of“whether the child born by a woman with AIDS will suffer from AIDS”and“whether having sex with only one same/opposite sex can reduce the spread of AIDS”,the correct rate of answers in each year showed an upward trend,and the awareness rate of AIDS disease knowledge also showed an upward trend in each year,with a statistically significant difference(P<0.05).From the distribution of high-risk behaviors among the research subjects in each year,except for“injecting drugs”,the differences in other high-risk behaviors were statistically significant(P<0.05),and the proportion of“having sex with temporary sexual partners in the past three months”was the highest in each year.From the results of the study on syphilis antibody testing in each year,there were statistically significant differences(P<0.05)in the HIV antibody positive rate and syphilis antibody positive rate,and the proportion of syphilis antibody positive was the highest in each year.Conclusion With the increase of years,the knowledge about AIDS among male STD outpatients has been improving,but it is still weak in some aspects.Further education is needed,and the incidence of syphilis is high.Health education should be strengthened to promote such people to maintain a good private life for a long time,so as to reduce the spread of AIDS.
作者
李颖颖
Li Yingying(Taishan District Center for Disease Control and Prevention in Tai'an City,Tai'an Shandong 271000,China)
出处
《口岸卫生控制》
2024年第1期40-44,共5页
Port Health Control
关键词
男性
性病门诊
艾滋病
哨点监测
Male
Sexually transmitted disease clinic
AIDS
Sentinel surveillance
