黄胜萍+王建梅+姚在节+汤益+张传文+吴燕��

【摘要】目的探索以性病诊疗为依托的预防艾滋病行为干预模式。

方法采用追踪研究设计，以广西防城港市防城区皮肤病防治院皮肤性病科门诊为依托，对在该门诊进行性病求诊的患者或有多性伴、不安全性行为及有性伴感染史者，提供6个月临床诊疗服务与临床干预相结合的服务，干预前后进行行为监测问卷调查。

结果干预后，参与者对艾滋病性病知识的知晓率较前显著提高（P<0.01）；性病患者未治愈前与固定性伴经常使用避孕套的比例较前显著提高（P<0.01），与非固定性伴或性工作者经常使用避孕套的比例较前显著提高（P<0.01）。

結论在临床诊疗中推广艾滋病性病干预模式相结合可显著提高艾滋病性病知识的知晓率及安全套的使用率，对预防艾滋病性病有着重要的意义。

【关键词】性病；艾滋病；预防干预；皮肤性病门诊

中图分类号：R512.91文献标识码：ADOI：10.3969/j.issn.10031383.2017.02.014

【Abstract】ObjectiveTo explore the intervention mode of HIV/AIDS prevention based on clinical service of sexually transmitted disease（STD）.

MethodsFollowup study was conducted in this study.Based on Skin Disease Prevention and Treatment Hospital of Fangcheng District in Fangchenggang City，6 months of clinical services and clinical intervention services were provided to patients who sought diagnosis and treatment service in the clinic，or the ones who had multiple sexual partners，unsafe sexual behaviors and their sexual partners had history of STD infection.These questionnaires about behaviors were investigated before and after intervention.

ResultsAfter intervention，the accurate recognition rates for knowledge about HIV/AIDS among these participants significantly increased（P<0.01）.The rate of frequent condom utilization among these people who had sex with fixity sexual partners before curing increased significantly（P<0.01），and the rates of frequent condom utilization among these people who had sex with nonfixity sexual partners and commercial sex workers also increased significantly（P<0.01）.

ConclusionTo popularize combination of AIDS and STD intervention mode in clinical diagnosis and treatment can greatly improve the recognition rate of HIV related knowledge and the rate of condom use，which is significant for HIV/AIDS and STD prevention.

【Key words】STD；HIV/AIDS；preventive intervention；department of dermatology and venerology

艾滋病是一种由人类免疫缺陷病毒（HIV）感染引起的、危害大、病死率高、威胁人类生存的传染性疾病，在我国已经流行了20多年，但迄今为止尚无有效的疫苗和彻底的治疗方法。由于艾滋病夺去的大多是青壮年的生命，最终造成经济收入下降，人口减少，劳动力减少，人口素质下降及预期寿命缩短，残缺的家庭给社会及政府带来负担。如不有效防治任其发展蔓延，不仅会严重危害人民的身心健康和生命财产安全，而且对经济发展、社会稳定和国家安全都将带来不可估量的影响。……