【摘要】 目的了解济南市性病门诊男性就诊者HIV、梅毒感染情况及影响因素,为制定防治策略提供科学依据。方法2011-2015年对济南市某性病门诊男性就诊者进行问卷调查和血清学检测,并对结果进行统计分析。结果1 268例性病门诊男性就诊者,平均年龄(31.77±9.11)岁,艾滋病知识总知晓率为80.5%,HIV抗体阳性率为2.1%,梅毒抗体阳性率为14.7%,性病门诊男性就诊者接受干预服务覆盖率较低。多因素Logistic回归分析结果表明,HIV感染的主要影响因素是婚姻(OR=3.40,95%CI=1.36~8.49)、最近三个月发生过同性肛交性行为(OR=4.20,95%CI=1.30~13.59)及梅毒感染(OR=7.72,95%CI=3.43~17.37);梅毒感染的主要影响因素是年龄(OR=0.56,95%CI=0.39~0.81)、艾滋病知识(OR=0.55,95%CI=0.38~0.79)及HIV感染(OR=7.98,95%CI=3.59~17.72)。结论应进一步加强性病门诊男性就诊者的宣传和干预工作,有效遏制HIV和梅毒的流行和传播。更多还原

【Abstract】 Objective To understand the prevalence of HIV and syphilis and related factors among the male STD clinic attendants in Jinan,and provide scientific basis for prevention and control strategies. Methods Questionnaire survey and venous blood collection for HIV and syphilis antibody detection were performed among male STD attendants from 2011 to 2015 and the results were analyzed. Results A total of 1268 male STD clinic attendants were surveyed,the average age was 31.77 ± 9. 11 years,the awareness rate of AIDS knowledge was 80. 5%,the positive rates of HIV and syphilis antibody were 2.1% and 14. 7%. The coverage of intervention on male STD attendants was low. Multivariate logistic regression analysis indicated that main related factors for HIV infection included marriage( OR = 3. 40,95% CI = 1. 36 ~ 8. 49),having homosexual anal sex behavior in the last three months( OR = 4. 20,95% CI = 1. 30 ~ 13. 59) and syphilis infection( OR = 7. 72,95% CI =3. 43 ~ 17. 37),while the main related factors of syphilis infection were age( OR = 0. 56,95% CI = 0. 39 ~ 0. 81),AIDS knowledge( OR = 0. 55,95% CI = 0. 38 ~ 0. 79) and HIV infection( OR = 7. 98,95% CI = 3. 59 ~ 17. 72). Conclusion Effective health education and intervention on male STD attendants should be strengthened to curb the epidemic and spread of HIV and syphilis.更多还原