西安市和咸阳市性病门诊男性就诊者HIV/STD感染及相关行为特征比较

胡婷; 董丽芳; 丁正伟; 贾华; 李翔; 张军胜; 宋运龙; 常文辉

Abstract

胡婷,董丽芳,丁正伟,贾华,李翔,张军胜,宋运龙,常文辉.西安市和咸阳市性病门诊男性就诊者HIV/STD感染及相关行为特征比较[J].Chinese journal of Epidemiology,2017,38(12):1634-1637

西安市和咸阳市性病门诊男性就诊者HIV/STD感染及相关行为特征比较

HIV/STD prevalence and related behaviors among male STD clinic attendees in Xi'an and Xianyang cities, Shaanxi province

Received:May 05, 2017

DOI：10.3760/cma.j.issn.0254-6450.2017.12.010

KeyWord: 性病门诊男性就诊者艾滋病行为

English Key Word: Sexually transmitted disease clinic Male attendees Acquired immunodeficiency syndrome Behavior

FundProject:陕西省疾病预防控制重大课题（2014A5）

Author Name	Affiliation	E-mail
Hu Ting	Section of AIDS Control and Prevention, Shaanxi Provincial Center for Disease Control and Prevention, Xi'an 710054, China
Dong Lifang	Section of AIDS Control and Prevention, Shaanxi Provincial Center for Disease Control and Prevention, Xi'an 710054, China
Ding Zhengwei	National Center for AIDS/STD Control and Prevention, Beijing 102206, China
Jia Hua	Section of AIDS Control and Prevention, Shaanxi Provincial Center for Disease Control and Prevention, Xi'an 710054, China
Li Xiang	Section of AIDS Control and Prevention, Shaanxi Provincial Center for Disease Control and Prevention, Xi'an 710054, China
Zhang Junsheng	Xianyang Center for Disease Control and Prevention, Xianyang 712000, China
Song Yunlong	Shaanxi Provincial Institute for Skin Venereal Disease Control, Xi'an 710053, China
Chang Wenhui	Section of AIDS Control and Prevention, Shaanxi Provincial Center for Disease Control and Prevention, Xi'an 710054, China	changwenhui3@aliyun.com

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Abstract:

目的比较西安市和咸阳市的性病门诊男性就诊者的HIV/STD感染状况、行为特征及相关信息，为有效开展干预提供参考依据。方法根据哨点监测结合横断面调查方法，选择西安市和咸阳市各1个性病门诊作为调查现场，将2016年6-7月首次到性病门诊就诊的年龄≥ 15岁男性就诊者作为调查对象。样本量估算实际约需400人，采集血样检测HIV、HCV和梅毒并收集相关行为信息。采用EpiData 3.1软件和SPSS 21.0软件整理数据和分析相关信息。结果西安市和咸阳市分别调查了206例和221例性病门诊男性就诊者。西安市HIV阳性率为2.4%（5/206），咸阳市为0.9%（2/221），差异无统计学意义；梅毒阳性率分别为4.9%（10/206）和13.6%（30/221），差异有统计学意义（χ²=9.55，P<0.01）；西安市调查对象被诊断为其他性病的比例均高于咸阳市。西安市调查对象最近3个月有异性商业性伴和临时性伴的比例分别为18.0%（37/206）、15.5%（32/206），低于咸阳市的46.6%（103/221）和15.8%（35/221）（χ²=39.70，P<0.01；χ²=0.01，P=0.93）。西安市调查对象最近3个月与暗娼使用安全套、与临时性伴使用安全套的比例分别为37.8%（14/37）、6.3%（2/32），均低于咸阳市的93.1%（95/102）、57.1%（20/35）（χ²=49.06，P<0.01；χ²=19.63，P<0.01）。结论西安市和咸阳市性病门诊男性就诊者在HIV、性病感染、商业性行为及安全套使用情况等方面有不同的特征，但是均存在感染HIV和性病的高危行为。

English Abstract:

Objective To compare the prevalence of HIV/STD and related health care seeking behaviors among male STD clinic attendees between Xi'an and Xianyang cities.Methods During June and July 2016, 206 male STD clinic attendees were studied in Xi'an city, with another 221 male STD clinic attendees in Xianyang city. Cross-sectional questionnaire survey was used to collect attendees'behavioral information. Blood samples were collected via HIV/HCV/Syphilis testing.Results The prevalence rate of HIV infection was 2.4%(5/206) in Xi'an and 0.9% (2/221) in Xianyang, with no statistical significant difference between the two cities. The prevalence rate of syphilis was 4.9% (10/206) in Xi'an, which was significantly lower than 13.6% (30/221) in Xianyang. The proportion of respondents, diagnosed with other sexually transmitted diseases, in Xi'an was higher than that of Xianyang. The proportions of commercial heterosexual sex and sex with temporary sexual partners in the past 3 months were 18.0% (37/206) and 15.5% (32/206) in Xi'an, lower than 46.6% (103/221) and 15.8% (35/221) in Xianyang (χ²=39.70, P<0.01; χ²=0.01, P=0.93). The proportions of condom use with commercial sex workers or temporary sexual partners in the past 3 months among Xi'an were 37.8% (14/37) and 6.3% (2/32), lower than 93.1% (95/102)and 57.1% (20/35) in Xianyang (χ²=49.06,P<0.01; χ²=19.63,P<0.01).Conclusion Differences were noticed between Xi'an and Xianyang city in terms of STD and HIV prevalences, behaviors related to commercial sex and use of condoms among the male STD clinic attendees that calling for targeted actions in control of high risk behavlors in both HIV/AIDS and STDs transmission.

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