摘要
目的了解2019年驻马店市艾滋病哨点监测男男性行为者(MSM)、性病门诊男性就诊者(STD)、暗娼(FSW)和孕产妇等四类人群人口学特征、行为学特征、艾滋病知识知晓情况和艾滋病病毒(HIV)感染情况,为科学防治艾滋病提供依据。方法按照国家哨点监测实施方案的要求,对四类人群开展匿名问卷调查,并采集血样进行血清学检测。结果近6个月仅有13.38%(19/142)MSM与同性发生肛交时会坚持用安全套;近3个月有62.00%(496/800)STD与暗娼有过性行为;近1个月与客人发生性交易时坚持使用安全套的FSW占58.87%(355/603)。MSM、STD、FSW和孕产妇的艾滋病知识知晓率分别为85.63%(137/160)、95.88%(767/800)、59.87%(361/603)、100.00%(800/800),HIV感染率依次为8.75%(14/160)、0.13%(1/800)、0.00%(0/603)、0.13%(1/800),梅毒感染率依次为4.38%(7/160)、1.13%(9/800)、0.00%(0/603)、0.13%(1/800),HCV感染率依次为3.75%(6/160)、0.25%(2/800)、1.33%(8/603)、0.13%(1/800)。结论MSM的HIV感染风险大,是将来艾滋病防治的重点人群,应增强对各类HIV高危人群特别是MSM的健康教育,推广安全套的使用,控制艾滋病的传播。
Objective To understand the demographic and behavioral characteristics,knowledge of AIDS,and prevalence of HIV infection in the following four groups:men who have sex with men(MSM),male clients in clinics of sexually transmitted disease(MCCSTD),female sex workers(FSW)and pregnant women monitored at the HIV/AIDS sentinel in Zhumadian in 2019,and to provide the evidence for scientific prevention and treatment of AIDS.Methods According to the protocol of national HIV/AIDS sentinel surveillance,anonymous questionnaire survey was carried out for the four groups of people,and blood samples of them were collected for serological testing.Results In the past 6 months,only 13.38%(19/142)MSM insisted on condom use when they had anal sex with the same sex;in the past 3 months,62.00%(496/800)MCCSTD had sex with FSW;in the past 1 month,58.87%(355/603)FSW insisted on condom use when they had sex with customers.In MSM,MCCSTD,FSW and pregnant women,the awareness rates of AIDS knowledge were 85.63%(137/160),95.88%(767/800),59.87%(361/603),100%(800/800).and the rates of HIV infection were 8.75%(14/160),0.13%(1/800),0.00%(0/603),0.13%(1/800),respectively.In the four groups,the infection rates of syphilis were 4.38%(7/160),1.13%(9/800),0.00%(0/603),0.13%(1/800),and the infection rates of HCV were 3.75%(6/160),0.25%(2/800),1.33%(8/603),0.13%(1/800),respectively.Conclusion MSM has a high risk of HIV infection,which will be the focus of AIDS prevention and treatment in the future.We should strengthen health education for all kinds of HIV high-risk groups,especially MSM,and promote the use of condoms in order to control the spread of AIDS.
作者
王倩
WANG Qian(Zhumadian Center for Disease Control and Prevention,Zhumadian,Henan 463000,China)
出处
《河南预防医学杂志》
2021年第3期188-190,193,共4页
Henan Journal of Preventive Medicine
作者简介
通信作者:王倩,主管医师,本科,主要从事艾滋病等性病防治工作,Email:wqian1003@163.com