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[目的]为了解北京市崇文区艾滋病高危人群HIV梅毒感染情况,艾滋病防控知识的掌握情况和干预效果。[方法]采取专家讲座,互动宣传,调查问卷了解知信行,用EPiIDATA建立数据库进行统计分析。采血用ELISA方法检测梅毒和HIV特异抗体。[结果]203人HIV全部阴性,其中1人梅毒阳性,占被检人数的0.5%;性服务工作者年龄从18～47岁不等,未婚者最多(占64.8%);已婚者次之(占20.6%);离异丧偶者和同居者也占一定比例;以外地人为主(占97.1%);以低文化人群为主(中学以下占91.9%),但大专以上仍有一定比例(8.1%)。本次调查了8个问题,203人中92.3%的人发生性行为时使用了安全套;近1年出现相关症状者138人(占66.0%),其中去综合医院就医者44人(31.9%);自己买药者41人。获得艾滋病相关知识的来源:电视195人次;报刊87人次;书籍68人。[结论]被调查对象HIV梅毒感染情况比较乐观,对艾滋病预控制知识掌握情况较好,采用专家讲座,互动宣传的方法能够赢得被调查者的信任,使问卷调查,行为干预和血清学调查等工作更易于开展,应进一步加大宣传力度,继续加大吸毒卖淫嫖娼打击力度,从源头切断艾滋病的传播途径。
[Objective] To understand the status of HIV syphilis infection, prevention and control of HIV / AIDS in Chongwen District of Beijing and the effect of intervention. [Methods] Taking expert lectures, interactive publicity, questionnaires for knowledgeable firms and EPiIDATA to establish a database for statistical analysis. Blood samples were collected for the detection of syphilis and HIV-specific antibodies by ELISA. [Results] 203 were all HIV negative, of whom 1 was positive for syphilis, accounting for 0.5% of the number of people being seized; the age of sex workers varied from 18 to 47 years old, the highest number of unmarried persons (64.8%); the second was married (Accounting for 20.6%); divorced widowed persons and cohabitants also accounted for a certain proportion; mainly outsiders (97.1%); mainly low-cultural ones (91.9% below middle school), but there was still a certain proportion %). In this survey, 8 questions were surveyed. 92.3% of 203 people used condoms during sexual activity; 138 (66.0%) had symptoms in the past year, 44 of whom (31.9%) went to general hospitals; 41 people buy their own medicine. Access to sources of AIDS-related knowledge: 195 television programs; 87 newspapers; 68 books. [Conclusion] The prevalence of HIV syphilis in the surveyed population is relatively optimistic, and knowledge of AIDS pre-control is better. Using expert lectures and interactive propaganda methods can win the trust of respondents and make questionnaire survey, behavioral intervention and serological investigation. Work easier to carry out, should further increase publicity efforts, continue to increase efforts to crack down on drug abuse prostitution, cut off from the source of AIDS transmission.