Hu T, Dong L F, Ding Z W, Jia H, Li X, Zhang J S, Song Y L, Chang W H
Section of AIDS Control and Prevention, Shaanxi Provincial Center for Disease Control and Prevention, Xi'an 710054, China.
National Center for AIDS/STD Control and Prevention, Beijing 102206, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2017 Dec 10;38(12):1634-1637. doi: 10.3760/cma.j.issn.0254-6450.2017.12.010.
To compare the prevalence of HIV/STD and related health care seeking behaviors among male STD clinic attendees between Xi'an and Xianyang cities. 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. 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 ((2)=39.70, <0.01; (2)=0.01, =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 ((2)=49.06, <0.01; (2)=19.63, <0.01) . 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.
比较西安市和咸阳市男性性病门诊就诊者中艾滋病毒/性传播感染及相关医疗寻求行为的流行情况。2016年6月至7月，对西安市206名男性性病门诊就诊者和咸阳市221名男性性病门诊就诊者进行了研究。采用横断面问卷调查收集就诊者的行为信息。采集血样进行艾滋病毒/丙型肝炎病毒/梅毒检测。西安市艾滋病毒感染率为2.4%（5/206），咸阳市为0.9%（2/221），两市之间无统计学显著差异。西安市梅毒感染率为4.9%（10/206），显著低于咸阳市的13.6%（30/221）。西安市被诊断患有其他性传播疾病的受访者比例高于咸阳市。西安市过去3个月商业异性性行为和与临时性伴侣性行为的比例分别为18.0%（37/206）和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）。西安市过去3个月与商业性工作者或临时性伴侣发生性行为时使用避孕套的比例分别为37.8%（14/37）和6.3%（2/32），低于咸阳市的93.1%（95/102）和57.1%（20/35）（χ²=49.06，P<0.01；χ²=19.63，P<0.01）。西安市和咸阳市在男性性病门诊就诊者的性传播感染和艾滋病毒流行率、与商业性行为相关的行为以及避孕套使用方面存在差异，这就需要针对艾滋病毒/艾滋病和性传播感染传播中的高危行为采取有针对性的行动。
