北京市丰台区流动人口HIV、梅毒感染及相关行为特征调查  

Investigation on HIV and syphilis infection and related behavior among floating population in Fengtai District of Beijing City

作　　者：谢彧洋[1] 王欣心[1] 史文雅[1] 刘超[1] 李彦奇[1] 屈佑明[1] 赵建忠[1] 

机构地区：[1]北京市丰台区疾病预防控制中心性病艾滋病防治所,100071

出　　处：《职业与健康》2012年第21期2565-2568,共4页Occupation and Health

摘　　要：目的了解北京市丰台区流动人口人类免疫缺陷病毒(HIV)、梅毒的感染情况、相关行为及其影响因素。方法采取横断面研究设计、分段整群抽样的方法选取4类不同职业类别流动人口,即建筑工人、企业工人、三星级宾馆服务人员及劳务市场寻工人员,共1 625人,进行问卷调查及血清学检测。结果 1 625名流动人口中HIV血清学检测均为阴性;梅毒酶联免疫吸附试验(ELISA)阳性率为0.37%,梅毒快速血浆反应环状卡片试验(RPR)阳性率0.12%;最近1年是否与临时性伴发生性行为及是否发生过同性性行为是感染梅毒的危险因素。72.7%的调查对象仍对HIV感染者或艾滋病患者有歧视态度,文化程度(χ2=13.273,P<0.01)和艾滋病知识知晓情况(OR=0.484,95%CI=0.354～0.663)是影响艾滋病歧视态度的直接因素。32.4%的调查对象在出现生殖系统症状时选择不规范处理措施。结论北京市丰台区流动人口HIV、梅毒感染率较低,但是梅毒、艾滋病传播的危险因素依然存在,仍需要加大综合干预的力度。[Objective] To understand the infection status,related behavior and influencing factors of HIV and syphilis among floating population in Fengtai District of Beijing City.[Methods]The cross-sectional study design and cluster sampling method were adopted for questionnaire survey and serological testing among 1 625 individuals of 4 different occupational groups of floating populations including construction workers,factory workers,three-star hotel service workers and unemployed in labor market.[Results] No one of 1 625 individuals was infected with HIV,the positive rates of syphilis ELISA and syphilis RPR were 0.37% and 0.12%.Having sex with casual partners or not and having homosexual act in recent 1 year were the risk factors to syphilis infection.72.7% of study objects were discriminatory to people with HIV or AIDS patients.Education（χ2=13.273,P0.01）and knowledge about AIDS（OR=0.484,95%CI=0.354-0.663） were the direct factors influencing the AIDS discriminatory attitudes.32.4% of study objects chose nonstandard treatment measures when they had genital symptoms.[Conclusion]The prevalence rates of HIV and syphilis are generally low among the migrants in Fengtai District,but risk factors to syphilis and HIV transmission are still existed.It is necessary to take more comprehensive and effective intervention measures.

关 键 词：流动人口 HIV 梅毒 感染率 行为 

分 类 号：R135[医药卫生—劳动卫生]