摘要
目的了解郑州市性病门诊男性就诊者艾滋病病毒(HIV)、丙型病毒性肝炎(HCV)、梅毒感染情况,以及艾滋病相关知识知晓情况及其影响因素,为制定针对性防治措施提供依据。方法按照国家艾滋病哨点监测方案,对2017-2019年郑州市性病门诊男性就诊者进行统一问卷调查,并抽取静脉血进行HIV、HCV及梅毒抗体检测,用SPSS 20.0进行统计学分析。结果2017-2019年共监测1200人,抗-HIV和抗-HCV阳性者各1例;2017-2019年梅毒阳性检出率分别为4.25%、0.75%、2.00%(P=0.005);艾滋病知识知晓率分别为54.00%、41.00%、40.00%。单因素分析显示:最近3个月有临时性行为、接受过干预-安全套或艾滋病咨询与检测、接受过同伴教育、梅毒检测结果阳性者艾滋病知识知晓率较高(P<0.05);进一步logistic回归分析结果显示,干预-安全套或艾滋病咨询与检测(OR=1.994)、梅毒结果阳性(OR=3.791)为该人群艾滋病相关知识知晓的促进因素。结论性病门诊男性就诊者梅毒检出率较高,艾滋病防治知识知晓率偏低,应加强有针对性的艾滋病性病宣传教育工作,提高艾滋病防治综合干预服务可及性,提高高危人群艾滋病知识知晓率和降低高危行为,降低艾滋病性传播风险。
Objective To understand the HIV,viral hepatitis C,syphilis infection,AIDS knowledge awareness and influencing factors among male attendees in sexually transmitted disease(STD)clinics of Zhengzhou;and provide scientific evidence for targeted prevention measures.Methods AIDS sentinel surveillance questionnaires and test data were collected from male patients in STD clinics of Zhengzhou during 2017 to 2019,and subjected to statistical analysis by SPSS 20.0.Results A total of 1200 people were monitored during 2017-2019.There was 1 case for each of anti-HIV and HCV positive;the positive rates of syphilis were 4.25%in2017,0.75%in 2018,2.00%in 2019,respectively(P=0.005).On the other hand,AIDS knowledge awareness rate was 54.00%in2017,41.00%in 2018,40.00%in 2019,respectively.Univariate analysis showed a higher awareness of AIDS knowledge among those who had temporary sexual behavior in the last 3 months,had received intervention-condom or HIV counseling and testing,had received peer education,and were syphilis positive(P<0.05).Further logistic regression analysis showed that intervention-condom or AIDS counseling and testing(OR=1.994)and positive syphilis results(OR=3.791)were the contributing factors to the knowledge of AIDS knowledge in this population.Conclusion The detection rate of syphilis among male patients in STD clinics was high,and the rate of AIDS knowledge awareness was low.It is necessary to strengthen the publicity and education of AIDS/STDs,and improve the accessibility of comprehensive intervention services for AIDS prevention and treatment to improve the awareness of AIDS knowledge among high-risk groups,reduce high-risk behaviors,and eventually reduce the risk of sexual transmission of AIDS.
作者
刘征
乔丹
李喜英
仇元营
郭婷
韩涛
LIU Zheng;QIAO Dan;LI Xiying;QIU Yuanying;GUO Ting;HAN Tao(Zhengzhou Center for Disease Control and Prevention,Zhengzhou 450007,China)
出处
《河南预防医学杂志》
2020年第8期585-588,共4页
Henan Journal of Preventive Medicine
关键词
性病门诊
男性就诊者
艾滋病
知晓率
影响因素
Male attendees
Sexually transmitted disease clinics
AIDS
Awareness rate
Influencing factors
