重庆市九龙坡区2006～2009年流动人口HIV监测结果分析  

Analysis on HIV surveillance of floating population in Jiulongpo district of Chongqing

作　　者：余小凤[1] 何惊春 易辉容 龙前进[1] 李南[1] 姚远[1] 王志勇[1] 

机构地区：[1]重庆市九龙坡区疾病预防控制中心,400039

出　　处：《重庆医学》2011年第9期893-895,共3页Chongqing medicine

摘　　要：目的通过对流动人口连续4年的监测,了解流动人口的HIV感染现状和变化趋势以及评价流动人口艾滋病干预的效果。方法采取单纯随机抽样的方法,每年7～9月份抽取重庆市九龙坡区4个街镇的建筑工人、城市外来务工人员,对目标人群采用统一问卷进行一对一的问卷调查和HIV抗体以及梅毒检测,比较2006～2009年流动人口HIV感染情况、艾滋病知识知晓、高危行为改变等情况。结果 HIV 4年平均感染率为0.17%,梅毒平均感染率为0.13%,处于相对稳定状态。通过4年的干预工作,艾滋病知识知晓率由2006年的37.7%逐年上升至2009年的66.1%,接受过干预的流动人口艾滋病知识知晓率明显高于未接受过干预的流动人口。最近的1次商业性行为安全套使用率有上升的趋势,2009年为最高,达62.5%,自报性病的比例有下降的趋势,2009年为2.0%。结论以宣传教育、外展干预、安全套免费发放、自愿咨询检测等方式为主的流动人口艾滋病防治措施的实施,以增加对艾滋病的认识,从而降低感染HIV的危险,值得进一步推广和应用。Objective To understand the status and the tendency of HIV infection and to evaluate the effectivenes of AIDS intervention in floating population.Methods Simple random sampling method was used in floating population in four streets,including construction workers and migrant workers.Face-to-face questionnaire survey was adopted.To detect HIV antibodies and syphilis antibodies for comparing the infection information of HIV,awareness of AIDS and the change of high-risk behavior between 2006 to 2009.Results The average infection rate of HIV was 0.17% and the average infection rate of syphilis was 0.13% in the four years.It was in a relatively steady state.After the intervention,the rate of the awareness of AIDS was increased significantly from 37.7% in 2006 to 66.1% in 2009.And the rate of the awareness of AIDS in those accepted the intervention were higher than the never accepted.The rate of the use of condoms in the latest commercial sex was higher than before,the highest rate was 62.5% in 2009.The rate of the self-reported sexually transmitted diseases was declined,the lowest was 2.0% in 2009.Conclusion The cognition of AIDS of floating population has been inceresed by prevention measures,such as publicity,outreach interventions,free condoms,voluntary counseling and testing.The measures are worth of further promotion and application.But we also need some targeted interventions,need to further expand the coverage and deepen the interventions.

关 键 词：获得性免疫缺陷综合征 人群监测 早期干预(教育) 

分 类 号：R181.3[医药卫生—流行病学]