广西边境地区长途卡车司机艾滋病相关高危行为及影响因素分析
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摘要
目的了解广西边境地区长途卡车司机艾滋病相关高危行为及影响因素,为进一步有针对性地在广西边境地区对长途卡车司机开展干预工作提供科学依据。方法按照《国家级HIV综合监测点监测方案》的要求,2013年5-6月在广西浦寨边境贸易城的停车场采用"滚雪球、同伴推动"等方法,对长途卡车司机进行面对面的问卷调查,并采集血样进行HIV、梅毒、HCV抗体检测,分析其中商业性行为者行为特征。结果共调查400名长途卡车司机中,有15.00%(60/400)的调查对象最近1年有过商业性行为,最近1年发生商业性行为时,每次都坚持使用安全套的比例为80.00%(48/60),最近1次商业性行为使用安全套的比例为93.33%(56/60)。调查对象答对6条以上的艾滋病知识知晓率为97.25%(389/400),HIV感染率为0.25%(1/400),梅毒检出率为2.25%(9/400);HCV检出率为0.50%(2/400)。HIV、梅毒和HCV两两间,均未发现双重感染。通过单因素和多因素Logistic回归分析,梅毒感染传播与长途卡车司机的商业性行为有关。结论需要不断采取有针对性的综合干预措施,使其改变高危行为或采取安全性行为,减少经长途卡车司机造成的艾滋病传播与蔓延。
Objective To investigate the HIV / AIDS- related high- risk behavior and influencing factors among long- distance truckers in the border regions of Guangxi so as to provide scientific evidence for further conducting targeted intervention.Methods According to the requirements of Surveillance Scheme for National HIV Comprehensive Monitoring Points,the methods of snowball sampling and peer introduction sampling were used to recruit long- distance truckers from parking lots of Puzhai border trade zones in Guangxi from May to June 2013. Face- to- face questionnaire surveys were conducted; meanwhile,their blood samples were collected to test for HIV,syphilis and HCV antibodies. The behavior characteristics of the truckers involved in commercial sex were analyzed. Results Among the 400 long- distance truckers surveyed,15%( 60 /400) of the respondents had commercial sex behavior in the recent one year,and 80%( 48 /60) of them used condoms each time,and 93. 33%( 56 /60) used condoms in the last commercial sex behavior. 97. 25%( 389 /400) of the respondents correctly answered more than 6 HIV / AIDS- related questions. The HIV infection rate was 0. 25%( 1 /400). The detection rates of syphilis and HCV were 2. 25%( 9 /400)and 0. 50%( 2 /400),respectively. There was no double- infection among HIV,syphilis and HCV. Single- factor and multifactor Logistic regression analyses showed that the infection and spread of syphilis were related to long- distance truckers' commercial sex behavior. Conclusions It is necessary to continuously adopt targeted and comprehensive intervention measures among long- distance truckers to change their high- risk behavior and make them adopt safe sexual behavior so as to reduce the transmission and spread of HIV / AIDS by them.
Objective To investigate the HIV / AIDS- related high- risk behavior and influencing factors among long- distance truckers in the border regions of Guangxi so as to provide scientific evidence for further conducting targeted intervention.Methods According to the requirements of Surveillance Scheme for National HIV Comprehensive Monitoring Points,the methods of snowball sampling and peer introduction sampling were used to recruit long- distance truckers from parking lots of Puzhai border trade zones in Guangxi from May to June 2013. Face- to- face questionnaire surveys were conducted; meanwhile,their blood samples were collected to test for HIV,syphilis and HCV antibodies. The behavior characteristics of the truckers involved in commercial sex were analyzed. Results Among the 400 long- distance truckers surveyed,15%( 60 /400) of the respondents had commercial sex behavior in the recent one year,and 80%( 48 /60) of them used condoms each time,and 93. 33%( 56 /60) used condoms in the last commercial sex behavior. 97. 25%( 389 /400) of the respondents correctly answered more than 6 HIV / AIDS- related questions. The HIV infection rate was 0. 25%( 1 /400). The detection rates of syphilis and HCV were 2. 25%( 9 /400)and 0. 50%( 2 /400),respectively. There was no double- infection among HIV,syphilis and HCV. Single- factor and multifactor Logistic regression analyses showed that the infection and spread of syphilis were related to long- distance truckers' commercial sex behavior. Conclusions It is necessary to continuously adopt targeted and comprehensive intervention measures among long- distance truckers to change their high- risk behavior and make them adopt safe sexual behavior so as to reduce the transmission and spread of HIV / AIDS by them.
引文
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[3]中国疾病预防控制中心性病艾滋病预防控制中心.国家级HIV综合监测点监测方案[Z].2013.
[4]田秀红.上海市长途货运卡车司机艾滋病预防干预研究[D].复旦大学,2009.
[5]薛皓铭,朵林,杨丽华,等.中越边境中国籍长卡司机高危性行为影响因素分析[J].卫生软科学,2013,27(12):781-782,785.
[6]徐永芳,朱建靖,莫秀娟,等.南宁市长卡司机艾滋病知识、态度、行为的调查分析[J].实用预防医学,2007,14(6):1663-1664.
[7]孙国清.郑州市男男性接触人群艾滋病流行趋势及影响因素分析[D].2009.
[8]邓玲,张苗云,王国隆,等.缅甸跨境长途卡车司机高危性行为调查及影响因素分析[J].卫生软科学,2011,25(12):835-837.
[9]Lin CC,Gao X,Chen XS,et al.China’s syphilis epidemic:a systematic review of seroprevalence studies[J].Sex Transm Dis,2006,33(12):726-736.
[10]付丽茹,赵青,罗红兵,等.腾冲县缅甸籍跨境婚姻妇女HIV感染及其影响因素研究[J].中国艾滋病性病,2011,17(3):316-319.
[11]王莉莉,张明亮,蔡路,等.MSM中反串与易装性工作者亚人群艾滋病及相关知识态度调查[J].中国公共卫生管理,2009,25(2):170-171.
[12]李立明.流行病学[M].北京:人民卫生出版社,2004.
[13]文芳,钟斐,程伟彬,等.广州市男男性接触者HIV和现症梅毒感染状况及相关因素分析[J].华南预防医学,2010,36(1):19-23.