2015年晋江市流动人群艾滋病哨点监测结果分析

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目的动态掌握晋江市流动人群艾滋病相关知识知晓率情况及高危行为情况,评估该人群艾滋病病毒(human immunodeficiency virus,HIV)、梅毒和丙型肝炎病毒(hepatitis C virus,HCV)感染状况,从而为制定与完善艾滋病防控策略提供科学依据。方法选取2015年4—6月前来晋江市疾病预防控制中心体检门诊进行职业健康体检的符合哨点监测要求的男性流动人口420名,采集血样开展HIV、梅毒和HCV抗体检测。计数资料比较采用χ2检验,P<0.05为差异有统计学意义。结果共调查了420名流动人员,艾滋病相关知识知晓率为89.05%;不同文化程度人员的知晓率比较,差异有统计学意义(χ2=8.553,P<0.05)。不同行业从业人员知晓率比较,差异无统计学意义(χ2=0.443,P>0.05)。调查对象中承认发生性行为的有203名,性行为发生率为48.33%。202名在婚或同居者中,最近一年与配偶或同居者发生性行为时从未使用安全套的有72人,占35.64%;检出HIV抗体阳性1份,阳性率为0.24%;检出梅毒抗体阳性1份,阳性率为0.24%;未检测到HCV抗体。结论晋江市流动人群艾滋病相关知识知晓率达到《中国遏制与防治艾滋病“十二五”行动计划》目标,但因艾滋病疫情形势较严峻,面临的威胁越来越大,应持续完善该人群艾滋病性病防控策略,努力提高该人群的防艾意识,有效控制疫情由高危人群向一般人群传播和扩散。 Objective To dynamically grasp the awareness of AIDS-related knowledge and high-risk behaviors among floating population in Jinjiang and evaluate the status of human immunodeficiency virus (HIV), syphilis and hepatitis C virus (HCV) And improve AIDS prevention and control strategies to provide a scientific basis. Methods A total of 420 male migrants, who met the requirements of sentinel surveillance, were enrolled in the physical examination of Jinjiang Municipal Center for Disease Control and Prevention from April to June 2015. Blood samples were collected for detection of HIV, syphilis and HCV antibodies. Counting data using χ2 test, P <0.05 for the difference was statistically significant. Results A total of 420 floating population were surveyed. The awareness rate of AIDS-related knowledge was 89.05%. There was significant difference in the awareness rate of people with different educational level (χ2 = 8.553, P <0.05). There was no significant difference in awareness among practitioners in different industries (χ2 = 0.443, P> 0.05). Among the respondents, there were 203 admitted to having sex and the incidence of sexual activity was 48.33%. Of the 202 married or cohabitants, 72 were never used condoms during the recent year, accounting for 35.64% of them were sexually active or spouse or cohabitant. One positive HIV antibody was detected and the positive rate was 0.24% Syphilis antibody positive 1, the positive rate was 0.24%; did not detect HCV antibodies. Conclusion The awareness rate of HIV / AIDS-related knowledge among mobile population in Jinjiang reaches the goal of “China’s 12th Five-year Plan to Prevent and Control AIDS”, but the threat is more and more serious because of the AIDS epidemic situation, and the population should be continuously improved AIDS prevention and control strategies, efforts to raise awareness of AIDS prevention in the population, effectively control the epidemic from the high-risk groups to the general population spread and spread.
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