2013-2016年四川省大竹县艾滋病暗娼哨点监测结果分析
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摘要
目的了解大竹县暗娼人群对艾滋病相关知识知晓情况、艾滋病相关行为及艾滋病病毒(HIV)流行趋势情况,为制定合理的干预措施和有效防治策略提供科学依据。方法 2013-2016年,对大竹县暗娼人群开展问卷调查并采集血液进行HIV、梅毒和丙肝抗体检测。并对其艾滋病知晓率情况、相关行为特征及HIV感染情况进行描述性分析。结果2013-2016年共完成监测1 422人,监测对象艾滋病知识知晓率为97. 1%,2013-2016年知晓率差异有统计学意义(χ~2=36. 22,P<0. 01);最近一次发生商业性行为时安全套使用率为98. 7%,近1个月发生商业性行为时安全套坚持使用率为92. 7%;近一年接受了任何一种预防干预服务的比例为94. 6%;暗娼人群HIV阳性检出率为1. 5%,其中高、中和低档次暗娼HIV抗体阳性检出率分别为0%、0. 7%和7. 3%,差异有统计学意义(χ~2=53. 97,P<0. 01)。结论虽然四川省大竹县暗娼人群的艾滋病知晓率较高,接受预防干预服务的比例较高,但是中低档暗娼人群的HIV感染率仍然较高,需进一步加大干预措施针对性和覆盖面,控制艾滋病在大竹县的传播流行。
Objective To investigate the HIV/AIDS-related knowledge awareness,sex behavior and the epidemic trend of HIV among female sex workers( FSWs) in Dazhu County,Sichuan Province,and to provide a scientific basis for formulating reasonable intervention measures and effective prevention and control strategies. Methods Serial questionnaire surveys were conducted annually among FSWs in Dazhu County from 2013 to 2016,and blood samples were collected for detection of HIV,syphilis and HCV antibodies. The awareness rate of HIV/AIDS-related knowledge,the characteristics of HIV/AIDS-related behavior and the status of HIV infection among FSWs were descriptively analyzed. Results A total of 1,422 FSWs were monitored and investigated from 2013 to 2016. The awareness rate of HIV/AIDS-related knowledge in the FSWs was 97.1%,and a statistically significant difference was found in the awareness rate during 2013-2016( χ2= 36.22,P<0.01). The rate of condom use in the last commercial sex was 98.7%,and the rate of constant condom use in commercial sex in recent one month was 92.7%. The proportion of beneficiaries in any kind of correlative prevention and intervention service in recent one year was 94.6%. The HIV-positive detection rate of the FSWs was 1.5%,of which the positive detection rates of HIV antibody in high-,middle-and low-class FSWs were 0%,0.7% and 7. 3% respectively,with statistically significant differences( χ2= 53. 97,P < 0. 01). Conclusions Although the awareness rate of HIV/AIDS-related knowledge and the proportion of receiving prevention and intervention service in the FSWs in Dazhu County,Sichuan Province are high,the HIV-positive rates of middle-and low-class FSWs are still high. Therefore,it is necessary to enhance the targeted intervention measures and enlarge their coverage so as to reduce the spread of HIV/AIDS in Dazhu County.
Objective To investigate the HIV/AIDS-related knowledge awareness,sex behavior and the epidemic trend of HIV among female sex workers( FSWs) in Dazhu County,Sichuan Province,and to provide a scientific basis for formulating reasonable intervention measures and effective prevention and control strategies. Methods Serial questionnaire surveys were conducted annually among FSWs in Dazhu County from 2013 to 2016,and blood samples were collected for detection of HIV,syphilis and HCV antibodies. The awareness rate of HIV/AIDS-related knowledge,the characteristics of HIV/AIDS-related behavior and the status of HIV infection among FSWs were descriptively analyzed. Results A total of 1,422 FSWs were monitored and investigated from 2013 to 2016. The awareness rate of HIV/AIDS-related knowledge in the FSWs was 97.1%,and a statistically significant difference was found in the awareness rate during 2013-2016( χ2= 36.22,P<0.01). The rate of condom use in the last commercial sex was 98.7%,and the rate of constant condom use in commercial sex in recent one month was 92.7%. The proportion of beneficiaries in any kind of correlative prevention and intervention service in recent one year was 94.6%. The HIV-positive detection rate of the FSWs was 1.5%,of which the positive detection rates of HIV antibody in high-,middle-and low-class FSWs were 0%,0.7% and 7. 3% respectively,with statistically significant differences( χ2= 53. 97,P < 0. 01). Conclusions Although the awareness rate of HIV/AIDS-related knowledge and the proportion of receiving prevention and intervention service in the FSWs in Dazhu County,Sichuan Province are high,the HIV-positive rates of middle-and low-class FSWs are still high. Therefore,it is necessary to enhance the targeted intervention measures and enlarge their coverage so as to reduce the spread of HIV/AIDS in Dazhu County.
引文
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[2]史灵梅,肖武.全球艾滋病的流行现状及发展趋势[J].旅行医学科学,2008,14(1):1-4.
[3]赵二江,崔丹,梁淑英,等.艾滋病的流行现状与预防措施[J].现代预防医学,2012,39(7):1597-1599.
[4]王向尚,王安辉,何新生,等.甘肃省武威市2011-2013年暗娼HIV哨点监测分析[J].中华疾病控制杂志,2016,20(12):1257-1260.
[5]姜维华,施雅莹,李志新.成都市暗娼人群艾滋病监测哨点结果分析[J].职业卫生与病伤,2013,28(1):1-4.
[6]王岚,王璐,丁正伟,等.中国1995-2009年艾滋病哨点监测主要人群艾滋病病毒感染流行趋势分析[J].中华流行病学杂志,2011,32(1):20-24.
[7]王岚,丁正伟,丁国伟,等.2004-2008年国家级暗娼综合监测点监测结果分析[J].中华预防医学杂志,2009,43(11):1009-1015.
[8]李东民,袁飞,胡绍源.有吸毒史暗娼的行为和艾滋病毒/性传播疾病感染状况调查[J].疾病监测,2007,22(5):329-331.
[9]朱克京,姚刚,杜曼,等.珠海市2010-2012年暗娼艾滋病哨点监测结果分析[J].实用预防医学,2014,21(7):828-830.