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目的分析云安县免费婚检者性病感染状况,为倡导免费婚检的开展和制定性病预防控制措施提供科学依据。方法对云安县2008—2009年免费婚检者进行HIV、梅毒、淋菌初筛检测,初筛阳性样本上送上一级确证实验室加以确证,采用描述性流行病学方法分析HIV、梅毒、淋菌感染者的流行病学特征。结果 2 640名(1 320对夫妻)免费婚检对象中检出HIV阳性3例,检出率为0.11%;检出梅毒9例,检出率为0.34%,无检出淋菌感染者。3例HIV感染者均为男性,职业为农民、工人、自由职业,均有不洁性交史。9例梅毒感染者中男性5例,女性4例,职业为农民、工人、个体户、司机、自由职业8,例有不洁性交史。未发现淋菌感染者。结论云安县2008—2009年免费婚检者中发现HIV、梅毒感染者,应采取有效应对措施,防止夫妻间、母婴间传播,今后政府应加大力度推广免费婚检工作。
Objective To analyze the status of STD infection in free marriage in Yun’an County and provide scientific basis for initiating free pre-marital examination and formulating STD prevention and control measures. Methods HIV, syphilis and gonorrhea were collected from 2008-2009 free trial in Yun’an County. The positive samples were collected and sent to a confirmation laboratory for confirmation. The descriptive epidemiology was used to analyze HIV, syphilis and gonococcus infection Epidemiological characteristics of people. Results Among 2 640 (1 320 couples), 3 cases were HIV-positive among the free premarital subjects, the detection rate was 0.11%. Nine cases of syphilis were detected, the detection rate was 0.34%. 3 cases of HIV-infected persons were men, occupation of peasants, workers, freelance, have unclean sex history. Among the 9 cases of syphilis infected, 5 were males and 4 were females. Occupations were peasants, workers, self-employed and drivers, and they were free-lancers. No gonorrhea was found. Conclusion In 2008 and 2009, no case of HIV / syphilis was found among free premarital patients in Yun’an County. Effective countermeasures should be taken to prevent the spread of HIV among pregnant couples and mothers and infants. In the future, the government should step up efforts to promote free premarital work.