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目的分析德清县孕产妇和性病门诊男性就诊者两类人群艾滋病哨点监测结果,为艾滋病综合防制提供依据。方法参照《全国艾滋病哨点监测实施方案》,于2014—2016年对孕产妇、性病门诊男性就诊者各1 200人进行艾滋病知识知晓情况和高危行为情况问卷调查,并采集静脉血样检测HIV抗体、梅毒抗体和HCV抗体。结果孕产妇中未检出HIV抗体和HCV抗体阳性者,梅毒抗体阳性率为0.50%;艾滋病知识知晓率为90.00%;0.58%有配偶以外的其他性伴。性病门诊男性就诊者中HIV抗体阳性率为0.67%,梅毒抗体阳性率为8.42%,未发现HCV抗体阳性者;艾滋病知识知晓率为72.67%;12.25%近3个月内与暗娼发生过性行为,15.75%与临时性伴发生过性行为,8.92%最近1年曾被诊断为性病,仅9.08%接受过艾滋病咨询。多因素Logistic回归分析显示,性病门诊男性就诊者梅毒抗体阳性与最近1年曾被诊断为性病存在统计关联(OR=10.091,95%CI:6.312~16.131)。结论性病门诊男性就诊者艾滋病知识知晓率低、高危行为持有率高、接受艾滋病咨询或同伴教育比例低、接受艾滋病检测比例低,存在艾滋病流行的风险;孕产妇中未发现HIV感染者,但文化程度较低人群艾滋病知识知晓率低。
Objective To analyze the result of sentinel surveillance of two groups of male patients in maternity and STD clinics in Deqing County and provide evidence for the comprehensive prevention and control of AIDS. Methods According to the “National Implementation Plan for Sendicional Monitoring of AIDS,” a questionnaire survey was conducted among 1 200 men and women attending maternal and venereal diseases clinics in 2014-2016 to collect information on HIV / AIDS and high-risk behaviors, and to collect venous blood samples to detect HIV antibodies, Syphilis antibody and HCV antibody. Results The positive rate of syphilis antibody was 0.50% in HIV-positive and HIV-positive pregnant women, 90.00% in AIDS-related knowledge and 0.58% in other sexual partners except spouse. The positive rate of HIV antibody in STD clinic was 0.67%, the positive rate of syphilis antibody was 8.42%, and no HCV antibody was found; the awareness rate of AIDS was 72.67%; 12.25% had sex with FSW in the past 3 months , 15.75% had sexual intercourse with adolescent partners, 8.92% had been diagnosed as having sexually transmitted diseases in the recent one year, and only 9.08% had AIDS counseling. Multivariate logistic regression analysis showed that there was a statistical correlation between the positive rate of syphilis antibody in STD clinics and those diagnosed as STDs in the past year (OR = 10.091, 95% CI: 6.312-16.131). Conclusions There is a low AIDS awareness among men who have been admitted to STD clinics, high risk behaviors, low percentage of AIDS counselors or peer educators, low risk of HIV infection, and HIV / AIDS epidemic among pregnant women; People with less education have a lower awareness of HIV / AIDS.