湖北武汉中盖艾滋病项目三类高危人群基线调查分析  

Baseline investigation on three kinds of high risk population in Wuhan,China-Bill & Melinda Gates Foundation AIDS program

作　　者：刘聪[1] 许骏[1] 周旺[1] 杨连第 姚中兆[1] 王夏[1] 王红方[1] 刘普林[1] 

机构地区：[1]湖北省武汉市疾病预防控制中心,武汉430015 [2]湖北省预防医学会

出　　处：《公共卫生与预防医学》2011年第2期15-18,共4页Journal of Public Health and Preventive Medicine

基　　金：中盖艾滋病项目(国艾办[2008]6号)

摘　　要：目的了解三类高危人群的基线情况,为制定中盖项目策略和计划提供参考。方法按照UNAIDS/WHO/FHI有关指南的方法,进行三类高危人群的规模估计、艾滋病相关行为学调查、血清学检测、接受性病服务情况等。结果累计报告HIV/AIDS的传播途径构成中,经异性性接触、注射吸毒、同性性接触传播分别占37.69%、27.24%、5.97%;三类人群具有一定的规模,并分散于不同种类的活动场所;现场调查吸毒人群、暗娼人群、男男性行为人群的艾防知识知晓率分别为80.9%、69.7%、90.4%,接受HIV检测比例分别为55.22%、26.62%、28.50%;男男性行为人群的HIV感染率为5.04%,梅毒感染率为21.49%;暗娼人群、男男性行为人群的最近一个月安全套使用比例分别是73.42%、45.45%,吸毒人群最近六个月共用注射针具的比例是66.70%。结论三类高危人群具有一定的人群规模,在HIV/AIDS传播构成中的比例较大,接受艾滋病相关的检测比例较低,高危行为的比例也较严重,尤其是男男性行为人群的HIV感染率较高,艾滋病防控难度较大。需要构建"三位一体"的模式,加强针对高危人群的预防干预和阳性管理,遏制艾滋病的蔓延。Objective To investigate the baseline information of three kinds of high risk population（FSW,DU,MSM）,and provide suggestion to establish strategy for the control program.Methods According to the guideline of UNAIDS/WHO/FHI,three kinds of high risk population were investigated,including： size-estimation of the three kinds of high risk population,AIDS related behavior,serology examination,and service-acceptability etc.Results The cumulative number of HIV/AIDS cases reported of the three kinds was： opposite sex contact（37.69%）,drug-injection（27.24%） and homogeneous sexual transmission（5.97%）.The three kinds of people were of a certain size and spread in different places.The awareness rate of AIDS knowledge of the DU,FSW,MSM was 80.9%,69.7%,90.4%,respectively.The acceptable rate of HIV antibody test was 55.22%,26.62%,28.50%,respectively.The MSM＇s HIV infection rate was 5.04%,syphilis infection rate was 21.49%.The rate of condom use of FSW and MSM in recent month was 73.42%,45.45%,respectively.The rate of needle-sharing of DU in recent six months was 66.70%.Conclusions The three kinds of high risk population had a large size,they had a great proportion in the HIV transmission-constitute as well.However,the acceptable rate of HIV antibody test was rather low.The high-risk behavior proportion was also high,and the MSM＇s HIV infection rate was in particular high.Therefore,there is great difficulty in AIDS control.It is necessary to form a ＂three-in-one＂ pattern,to strengthen the intervention for the high risk population and the management for HIV antibody positive cases,so as to contain the spread of AIDS.

关 键 词：暗娼人群 吸毒人群 男男性行为人群 艾滋病 项目 

分 类 号：R512.91[医药卫生—内科学]