2011—2013年长途卡车司机梅毒和人类免疫缺陷病毒感染情况及影响因素分析  

An analysis of infection of syphilis,HIV and affecting factors of long-distance truck drivers from 2011 to 2013

作　　者：何波[1] 农丽萍[1] 阙子文[2] 粟玉芳[3] 张建明 钟海东 李冰 

机构地区：[1]南宁市疾病预防控制中心艾滋病性病防治科 [2]广西医科大学附属肿瘤医院头颈科 [3]广西壮族自治区人民医院感染科 [4]广西壮族自治区凭祥市疾病预防控制中心艾滋病科

出　　处：《山西医药杂志》2014年第16期1886-1889,共4页Shanxi Medical Journal

基　　金：第二轮中央重点建设的全国艾滋病综合防治示范区项目

摘　　要：目的了解广西边境地区长途卡车司机梅毒、人类免疫缺陷病毒（HIV）感染情况及影响因素,为制定预防控制措施提供依据。方法 2011—2013年监测期内,在广西浦寨边境贸易城的停车场采用＂滚雪球、同伴推动＂等方法招募调查对象,进行面对面的问卷调查,并采集静脉血3-5mL进行HIV、梅毒抗体检测,采用非条件Logistic回归分析的方法探讨影响长途卡车司机人群感染梅毒的可能因素。结果 2011、2012、2013年,长途卡车司机HIV抗体阳性率分别为0.25%、0.25%。梅毒感染率分别为1.75%、0.75%、2.25%,通过单因素和多因素Logistic回归分析,梅毒感染传播与长途卡车司机的商业性行为有关。结论广西边境地区长途卡车司机仍存在一定比例的商业性行为,应根据当地情况及该人群特征需要继续开展健康教育和行为干预,促使其改变高危行为或采取安全性行为,提高其安全套的实际使用率。Objective To understand the prevalence of syphilis,HIV among long-distance truck drivers and to analyze related influential factors.We are aiming to provide evidence for targeted and further intervention to long-distance truck drivers in the border regions of Guangxi province.Methods During monitoring period 2011-2013,snowball sampling and peer introduction sampling were used to recruit long-distance truck drivers from parking lots in Puzhai Guangxi Border Trade Zone.Face-to-face questionnaire-based survey was conducted;3~5mL blood sample was collected from every subject to perform the test of antibody detections to HIV,syphilis.Non-conditional logistic regression was used to analyze influencing factors.Results In 2011,2012 and 2013,positive rate of HIV antibodies in long-distance track drivers is 0.25%and 0.25%,respectively.The affection rate of syphilis is 1.75%,0.75%and 2.25%,respectively.Through the single factor and multifactor logistic regression analysis,the affection and spread of syphilis is relevant to long track drivers′commercial sex behavior.Conclusion There are commercial sex behaviors in long-distance drivers of border regions in Guangxi province.It is necessary to develop healthy educations and behavior interventions according to local environment and make them change their high-risk behaviors or make them adopt safe sex.The rate of their practical usage of condoms should be improved.

关 键 词：梅毒 HIV 危险因素 长途卡车司机 

分 类 号：R759.1[医药卫生—皮肤病学与性病学] R512.91[医药卫生—临床医学]