广东省珠三角地区促进性病门诊就诊者HIV及梅毒检测干预研究
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摘要
目的探索提高性病门诊就诊者HIV及梅毒检测率的有效做法,为下一步干预提供依据。方法在东莞市及中山市开展研究,通过基线调查、干预及评估总结促进HIV及梅毒检测。结果基线调查HIV、梅毒检测率分别为8.62%(290/3 366),21.98%(740/3 366)。干预期间共纳入1978例性病门诊就诊者。男女之比为1.05∶1(1 014∶964)。就诊者平均年龄为34岁。大多数就诊者为汉族(97.17%),未婚(78.92%)。干预期间分别有1 208例、1 475例就诊者参与HIV及梅毒检测,检测率分别为61.07%(1 208/1 978),74.57%(1 475/1 978);与基线调查相比检测率增高有统计学意义(x~2=1 699.34,P<0.001;x~2=1 419.59,P<0.001)。结论本研究针对影响HIV及梅毒检测的相关环节开展一系列干预措施,有效地提高了性病门诊就诊者的HIV及梅毒检测率,有助于进一步加强HIV及梅毒防控。
Objective To promote HIV and syphilis testing among STD clinic attendees,and to provide evidence for further intervention. Methods The study was conducted in Dongguan and Zhongshan. Baseline investigation,on-site intervention and evaluation were carried out to promote HIV and syphilis testing rate of STD attendees. Results In the baseline,the testing rate of HIV and syphilis were 8. 62%( 290/3 366),21. 98%( 740/3 366),respectively. A total of 1978 STD clinic patients were enrolled. The ratio of male to female was 1. 05 ∶ 1( 1014 ∶ 964). The average age of the patients was 34 years old. Most of the patients were Han ethnic( 97. 17%) and unmarried( 78. 92%). A total of 1208( 61. 07%) and 1475( 74. 57%) attendees participated in HIV and syphilis testing which was statistically significantly higher compared to baseline data( x~2= 1 699. 34,P< 0. 01; x~2= 1 419. 59,P < 0. 01). Conclusion The intervene measures improved the testing rate of HIV and syphilis effectively among STD clinic attendees which will further strengthen the HIV and syphilis prevention and control.
Objective To promote HIV and syphilis testing among STD clinic attendees,and to provide evidence for further intervention. Methods The study was conducted in Dongguan and Zhongshan. Baseline investigation,on-site intervention and evaluation were carried out to promote HIV and syphilis testing rate of STD attendees. Results In the baseline,the testing rate of HIV and syphilis were 8. 62%( 290/3 366),21. 98%( 740/3 366),respectively. A total of 1978 STD clinic patients were enrolled. The ratio of male to female was 1. 05 ∶ 1( 1014 ∶ 964). The average age of the patients was 34 years old. Most of the patients were Han ethnic( 97. 17%) and unmarried( 78. 92%). A total of 1208( 61. 07%) and 1475( 74. 57%) attendees participated in HIV and syphilis testing which was statistically significantly higher compared to baseline data( x~2= 1 699. 34,P< 0. 01; x~2= 1 419. 59,P < 0. 01). Conclusion The intervene measures improved the testing rate of HIV and syphilis effectively among STD clinic attendees which will further strengthen the HIV and syphilis prevention and control.
引文
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[2]沈鸿程,黄澍杰,文美贞,等.广东省江门市性病门诊促进HIV及梅毒检测效果分析[J].中国艾滋病性病,2016,22(1):32-34,41.
[3]Cui Y,Guo W,Li D,et al.Estimating HIV incidence among key affected populations in China from serial cross-sectional surveys in2010-2014[J].Journal of the International AIDS Society,2016,19(1):20609.
[4]Yang L,Chen M,Ma YL,et al.The changing trends of HIV-1prevalence and incidence from sentinel surveillance of five subpopulations in Yunnan,China,2001-2010[J].BMC Public Health,2015,15:10.
[5]刘晓燕,徐金水,徐晓琴,等.江苏省2011年性病门诊男性就诊者梅毒患病率及危险因素分析[J].现代预防医学,2013,40(17):3296-3298,3306.
[6]孙笠翔,周丹,姜凤霞,等.2012-2014年辽宁省艾滋病高危人群哨点监测分析[J].中华疾病控制杂志,2015,19(12):1227-1230.
[7]李凤霞,黄鹏翔,段曦,等.2014年山东省性病门诊男性就诊者艾滋病哨点监测分析[J].预防医学论坛,2014,20(11):822-824.
[8]柏建芸,王欣,郭燕,等.天津市性病门诊艾滋病主动检测咨询结果分析[J].现代预防医学,2012,39(16):4253-4255.
[9]周文生,程玉玲,祖渝,等.在性病专科门诊开展医务人员主动提供HIV咨询检测服务情况分析[J].中国艾滋病性病,2012,18(1):57,60.
[10]王丽,白莉,杨慧卿,等.性病就诊人群的HIV筛查及意义[J].中国皮肤性病学杂志,2010,24(1):50-51.
[11]孟晓军,邹华春,贾天剑,等.男性性病门诊就诊者接受性病艾滋病检测短信提醒服务的意愿及影响因素调查[J].中华流行病学杂志,2015,36(12):1377-1380.
[12]Zou H,Fan S.Characteristics of men who have sex with men who use smartphone geosocial networking applications and implications for HIV interventions:a systematic review and Meta-Analysis[J].Archives of Sexual Behavior,2017,46(4):885-894.
[13]黄飞,林鹏,李艳.艾滋病预防控制工作指南[M].广州:中山大学出版社,2009.
[14]王千秋,刘全忠,徐金华.性传播疾病临床诊疗与防治指南[M].上海:上海科学技术出版社,2014.
[15]张有春,和文臻.艾滋病歧视的根源与反歧视策略研究[J].社会建设,2017,4(3):48-54.
[16]许小妹,秦侠,陈任,等.艾滋病防治服务均等化的内涵及其对策思路[J].中国卫生事业管理,2016(10):789-791.