目的：分析对2012-2013年大新县性病门诊男性就诊者进行艾滋病哨点监测的数据。方法：根据《国家艾滋病哨点监测方案》，对2012-2013年大新县性病门诊男性就诊者进行问卷调查并采集其静脉血进行相关的血清学检测，了解其对艾滋病知识的知晓度、发生艾滋病高危行为的情况及发生HIV、梅毒和HCV感染的状况。结果：本组被调查者多为20~60岁的性活跃期人员，其婚姻状况多为已婚或同居。在2012年与2013年，大新县性病门诊男性就诊者对艾滋病知识的知晓率分别为94.91%和96.55%，二者相比差异不显著(X2=1.32，P＞0.05)，无统计学意义。这两个年度的被调查者发生艾滋病高危行为的几率相比较，差异不显著(P＞0.05)，无统计学意义。与2013年的被调查者相比，2012年的被调查者进行梅毒检测结果的阳性率较高，差异显著(X2=5.37，p<0.05)，有统计学意义。这两个年度的被调查者进行其余两项检测结果的阳性率相比较，差异不显著(P＞0.05)，无统计学意义。结论：大新县性病门诊的男性就诊者多为性活跃期人员，其年龄跨度比较大，其中部分已婚的就诊者存在婚外性行为。大新县性病门诊的男性就诊者进行HIV抗体检测的阳性率较高。我们应整顿性病的诊疗机构，为艾滋病的高危人群采取人性化的健康教育，并为其提供有效的性病诊疗和生殖健康服务，以提高预防艾滋病的效果。%Objective: to understand the Daxin County male STD clinic attenders awareness of AIDS related knowledge, high risk behaviors and HIV, syphilis and HCV infection status, so as to provide a theoretical basis for the prevention and control measures. Methods: according to the “National AIDS sentinel surveillance program”, conducted a questionnaire survey and blood samples were collected for serological detection of male outpatients. Results: Daxin County in 2012 and 2013 were monitored male outpatients of 805 people, the age span is relatively large, mainly concentrated in the sexually active population; the total AIDS awareness rate were 94.91% and 96.55%, the positive rate of HIV antibody were 2.48% and 2.99%. Conclusion: the positive rate of HIV antibody among male STD in Daxin County is higher, with male STD clinic attenders enhance behavioral intervention and health education, so as to effectively control the spread of AIDS through sexual means.
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