| ObjectiveTo understand the general characteristics among STD clinic attenders in Qinghai province, including their gender, age, occupation and marital status in order to analyze AIDS and syphilis prevalence and epidemic characteristics, which may provide evidence for discussing control measures and carrying out HIV monitor and behavior intervention in this population in the future.MethodsSTD clinic doctors who were trained unified collected all the patients general information (whether he/she suffer from venereal diseases or not) from13STD clinics during2008-2010in Xining City, Haibei Prefecture, Hainan Prefecture and Haixi Prefecture. In the premise of informed consent, collect their3-5ml vein blood, testing HIV antibodies and syphilis antibody by each district CDC AIDS screening laboratories. After using Epi Data3database and proofread correct, we utilize SPSS13.0software for statistical analysis. This paper mainly uses the descriptive study method for the analysis of trends in prevalence and epidemic characteristics of AIDS and syphilis among STD clinic attenders.Results(1)14720cases of STD clinic attenders of AIDS and syphilis surveillance results2008-2010years in Qinghai province showed that the number of STD clinic attenders is increasing year by year, compared to2008, the number of attenders in2009has increased by18.8%, which is4.11%between2010and2009, sexually active population who are20-49years old accounted for87.15%in all patients, the married accounted for72.68%. Herdsman accounts for the largest proportion, next came entertainment and restaurant waiters, the proportion grows from10.82%to22.53%during2008-2010.(2) There were13cases were detected HIV positive, syphilis positive753cases, positive detection rate of HIV and syphilis were0.09%and5.12%, respectively.The infection risk of HIV and syphilis unmarried was higher than that of the married, the number of HIV cases among individual businessmen and workers accounted for46%of the total detected cases, various types of occupation has the morbidity. In13patients with HIV infection.8males and5females, the sex ratio is1.6:1, the infection rate was no significant difference between male and female. In753patients with syphilis infection,287males and466females, the sex ratio is0.62:1, the female syphilis infection rate was higher than men.13HIV positive were infected through sexual route, which illustrated that the sexual route has become the main route of AIDS transmission in our province. (3) Male to female ratios of STD clinic attenders in Xining city, Haibei Prefecture, Hainan Prefecture and Haixi Prefecture were0.74:1,0.98:1,0.68:1,0.88:1, female is higher than male, the proportion of married patients were66.01%,85.17%,84.8%,86.12%, the proportion of20-49age were87.26%,85.70%,84.88%,91.77%. From the occupation distribution, Xining city STD clinic mainly attenders are entertainment and restaurant attendants, workers, unemployed, individual traders, they accounted for53.69%in all patients, herdsmen and farmers accounted for91.5%in Haibei Prefecture, In Hainan, herders and entertainment catering waiter accounted for66.48%, the herdsmen and the individual merchant gives priority to91.86%in Haixi Prefecture.(4) There was no HIV positive cases in three Tibetan Autonomous Prefecture of STD clinic attenders,13HIV positive cases were reported by the Xining city STD clinic. Syphilis positive cases up to464cases in Xining city, followed by Hainan is167cases,80cases of Haibei Prefecture, Haixi Prefecture is42cases. Syphilis positive case detection rate was highest in Hainan (13.36%), followed by Xining (4.30%), Haixi Prefecture (3.60%), Haibei Prefecture (3%). Xining municipal STD clinic attenders were found in syphilis positive cases with individual business, entertainment and restaurant attendants, unemployed, accounted for42.89%, and herdsmen accounted for13.79%, Haibei Prefecture, Hainan Prefecture and Haixi Prefecture with herdsman, respectively97.5%,60.48%and85.71%. Hainan found that syphilis positive cases among nomads, entertainment and restaurant attendants also accounted for a greater proportion (26.35%).Conclusion(1) There had been a continuous increase in the number of STD clinic attendants in Qinghai province, and most of them were infected during sexually active period.(2) Detection of STD clinic clients of sexually transmitted diseases is one way of the detections of HIV and syphilis, and the unmarried infections of HIV and syphilis risk were higher than those of married persons. STD patients found in syphilis cases more women than men.(3) STD clinic attendants in Qinghai province have a low prevalence of AIDS and syphilis, sexual transmission has become the main route of AIDS in our province. |
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