目的 了解肇庆市吸毒人群和性病门诊男性就诊者艾滋病病毒(HIV)、梅毒和丙型肝炎病毒(HCV)的感染情况和高危行为的变化趋势。方法 按照国家哨点监测方案要求, 2016~2018年对吸毒人群和性病门诊男性就诊者开展HIV、梅毒和HCV血清学检测。结果 2016~2018年共监测吸毒者1 201人,监测性病门诊男性就诊者1 202人。吸毒人群HIV、梅毒、HCV阳性检出率分别为0.25%、2.66%和54.87%,性病门诊男性就诊者HIV、梅毒、HCV阳性检出率分别为0.42%、5.57%和0.0%。吸毒人群梅毒抗体和HCV抗体阳性率高于性病门诊男性就诊者,差异有统计学意义(χ²=12.875,P＜0.001;χ²=908.770,P＜0.001)。吸毒人群和性病门诊男性就诊者艾滋病防治相关知识总知晓率分别为91.34%和57.15%,差异有统计学意义(χ²=367.119,P＜0.001)。结论 艾滋病哨点监测吸毒者和性病门诊男性就诊者艾滋病阳性检出率较高,应加强高危人群健康教育,加大高危行为干预力度等措施,有效遏制艾滋病的传播和流行。

Objective To understand infection status of human immunodeficiency virus(HIV), syphilis and hepatitis C virus(HCV) and the trends in high- risk behaviors among drug users and male patients in STD clinic. Methods According to the requirements of the national sentinel surveillance program, HIV, syphilis and HCV serological tests were carried out for drug users and male STD clinic patients from 2016 to 2018. Results From 2016 to 2018, a total of 1201 drug users and 1202 male STD clinic patients were monitored.The positive rates of HIV, syphilis and HCV in drug users were 0.25%, 2.66% and 54.87%, respectively.The positive rates of HIV, syphilis and HCV in male STD clinic patients were 0.42%, 5.57% and 0.0%,respectively.The positive rates of syphilis antibody and HCV antibody in drug users were higher than those in STD clinic men, the difference was statistically significant(χ²=12.875,P＜0.001; χ²=908.770,P＜0.001).The total awareness rate of AIDS related knowledge among drug users and STD clinic men was 91.34% and 57.15%, respectively, with statistical significance(χ²=367.119,P＜0.001). Conclusion In order to effectively control the spread and prevalence of AIDS, we should strengthen the health education of high-risk groups, increase the intervention of high-risk behaviors and other measures.