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目的了解宁德市性病门诊就诊者中艾滋病性病流行状况,为开展预防经性传播感染艾滋病的行为干预提供科学依据。方法2000-2006年,在宁德市和所辖的蕉城区、福安市建立性病门诊就诊者监测哨点,收集艾滋病性病感染状况及其相关危险因素资料。结果3164例性病门诊就诊者检出HIV抗体阳性1例;性病检出率为43.1%,性病以梅毒、尖锐湿疣、非淋、生殖器疱疹、淋病为主;其中梅毒检出率较高(2000年为20.3%,2006年为18.2%),生殖器疱疹由2000年0.9%升至2006年16.2%。3164人中有婚外性行为者1755人,占55.5%,每次都使用安全套者仅占15.3%。结论宁德市性病门诊就诊者中艾滋病感染水平较低,但由于性病感染水平较高及安全套使用率低等因素的存在,有可能导致艾滋病在该人群中进一步蔓延扩散。
Objective To understand the prevalence of HIV / AIDS in STD clinics in Ningde and to provide a scientific basis for preventing HIV transmission through sexually transmitted diseases. Methods From 2000 to 2006, the sentinel clinics were established in Ningde City and Jiaocheng District and Fu’an City under the jurisdiction of Ningde City to collect information on STDs and related risk factors. Results A total of 3164 HIV-positive cases were found in 3164 STD clinics. The detection rate of STDs was 43.1%. STDs were mainly syphilis, genital warts, feces, genital herpes and gonorrhea. Among them, the detection rate of syphilis was high (2000 20.3% in 2006 and 18.2% in 2006), genital herpes rose from 0.9% in 2000 to 16.2% in 2006. Among the 3164 people, 1755 have extramarital sex, accounting for 55.5%, with only 15.3% of them using condoms each time. Conclusions HIV / AIDS infection among STD clinic patients in Ningde City is relatively low, but due to the high level of STD infection and the low condom use rate, HIV / AIDS may further spread in this population.