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机构地区:[1]南昌大学公共卫生学院,南昌330006 [2]九江市浔阳区疾病预防控制中心,江西九江332000 [3]九江学院医学部社会医学与公共卫生教研室,江西九江332000
出 处:《中国循证医学杂志》2010年第7期817-821,共5页Chinese Journal of Evidence-based Medicine
基 金:全球基金中英艾滋病项目资助(编号:GF/DFID-CHN-XUNYANG-AIDS-14;序列号:CHN-405-G0505-H)
摘 要:目的了解九江市浔阳区艾滋病高危人群的分布、HIV感染情况和主要危险因素,为制定艾滋病防治措施提供依据,探索合适的健康教育和行为干预模式。方法采用方便抽样法抽取暗娼人群360人,采用方便抽样法和滚雪球法抽取吸毒人群360人,通过问卷调查有关行为因素。结果 360名暗娼艾滋病基本知识总体知晓率为75.2%,安全套使用率为67.8%,采集暗娼血样149份,未发现HIV抗体和梅毒抗体阳性。360名吸毒人群的艾滋病基本知识总体知晓率为83.7%,最近一个月66.9%的人注射过毒品,共针率为47.6%。吸毒人群安全套使用率偏低,采集吸毒人员血样198份,发现HIV抗体阳性1份,梅毒抗体阳性5份,HIV和梅毒感染率分别为0.51%和2.53%。结论艾滋病高危人群暗娼、吸毒人群存在感染HIV的诸多危险因素,应做好艾滋病的综合健康教育和行为干预工作,完善高危人群监测体系。Objective To study the distribution of HIV/AIDS high-risk population,HIV infection and the main risk factors for developing HIV/AIDS' controllable measures and exploring appropriate health education and behavior intervention models.Methods A total of 360 commercial sex workers(CSW) joined together through convenience sampling and 360 drug users(DU) joined together through convenience sampling or snow-balling sampling whose relevant behavior factors were investigated by questionnaires.Results e general rate of knowing knowledge about AIDS was 75.2% among 360 CSW,67.8% CSW used condom in commercial sex activities;none of 149 CSW blood samples was detected HIV or syphilis antibody positive.e general rate of knowing knowledge about AIDS was 83.7% among 360 DU who injected drugs last month,the rate of sharing needles was 47.6% and the low rate of condom used;1 HIV antibody and 5 syphilis antibodies positive were found among 198 DU blood samples,so HIV and syphilis infection rate were 0.51% and 2.53%,respectively.Conclusion e rate of HIV infection is a very low level and there are many risk factors among CSW and DU.A good job should be done to integrate AIDS health education with behavioral intervention and the monitoring system for the AIDS/HIV high-risk population should be improved.
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