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目的了解云浮市性病门诊男性就诊者艾滋病(AIDS)相关知识、危险行为和AIDS、丙型肝炎(丙肝)、性传播疾病的感染状况,为制定干预策略提供参考依据。方法依照《全国艾滋病哨点监测方案》要求,对云浮市性病门诊男性就诊者进行问卷调查和血清学检测,数据采用SPSS统计软件进行分析。结果 2009—2013年共监测性病门诊男性就诊者2 000例,AIDS知识知晓率介于61.75%~88.50%之间,AIDS知识知晓率在不同年龄组、婚姻状况和是否接受过预防AIDS服务及人类免疫缺陷病毒(HIV)检测之间差异有统计学意义(P<0.05);53.10%监测对象最近3个月有过商业性行为,37.85%最近3个月有过临时性伴性行为;30.75%监测对象最近1年内被诊断患过性病,HIV、丙肝病毒(HCV)、梅毒抗体阳性检出率分别为0.35%、1.00%、3.95%。结论云浮市性病门诊男性就诊者是造成AIDS经性途径传播的重点人群,必须重视和加强性病防治,依托性病门诊开展有效的健康教育与行为干预,才能有效遏制AIDS经性途径传播的蔓延势头。
Objective To understand AIDS related knowledge, risk behaviors and AIDS, Hepatitis C (HCV) infection and sexually transmitted infections in male patients of STD clinics in Yunfu City, so as to provide reference for formulating intervention strategies. Methods According to the “National AIDS Sentinel Surveillance Program”, questionnaires and serological tests were conducted on male patients in STD clinics in Yunfu City. The data were analyzed by SPSS statistical software. Results Between 2009 and 2013, 2 000 male patients were enrolled in the STD clinic. The rate of AIDS knowledge was between 61.75% and 88.50%. The AIDS awareness among different age groups, marital status and whether they had received preventive AIDS treatment and human (P <0.05); 53.10% of the respondents had had commercial behaviors in the recent 3 months, 37.85% had transient sexual partners in the past 3 months; 30.75% The subjects were diagnosed as having sexually transmitted diseases in the past year. The positive rates of HIV, HCV and syphilis were 0.35%, 1.00% and 3.95% respectively. Conclusion Male patients in STD clinics in Yunfu City are the key people causing AIDS transmission through sexual channels. Therefore, we must attach importance to and strengthen the prevention and treatment of STDs. Effective health education and behavioral interventions should be carried out in STD clinics in order to effectively curb the spread of AIDS through sexual transmission.