合肥市2010~2013年青年学生艾滋病哨点监测结果分析  

Sentinel surveillance in HIV/AIDS in adolescents in Hefei City from 2010 to 2013

作　　者：孙静[1] 

机构地区：[1]合肥市疾病预防控制中心,合肥市230061

出　　处：《热带病与寄生虫学》2014年第4期204-208,共5页Journal of Tropical Diseases and Parasitology

摘　　要：目的了解合肥市青年学生的艾滋病知识、行为及艾滋病、梅毒、丙肝感染情况,帮助制订艾滋病防治的相关措施。方法 2010~2013年采用分阶段整群抽样,共抽取合肥市青年学生3 244人,经过知情同意后,开展匿名问卷调查并进行HIV、丙型肝炎病毒和梅毒等3项血清学检测。结果 2010~2013年青年学生艾滋病相关知识总知晓率分别为81.8%、86.1%、82.6%和85.7%,在8个相关问题中以＂蚊虫叮咬会传播艾滋病吗＂知晓率最低。全部被调查对象中,过去一年有过性行为的人数占7.84%,四年中＂首次性行为使用安全套比例＂均低于40%,在固定性伴、临时性伴及商业性伴中最近1年＂每次性行为使用安全套比例＂均低于50%。最近1年做过艾滋病检测的比例为2.7%。接受、参与艾滋病宣传服务率和自愿检测HIV抗体比例偏低;四年来青年学生HIV和梅毒抗体检测阳性均为1例（0.03%）,HCV抗体阳性7例,阳性率为0.2%。结论合肥市2010~2013年青年学生艾滋病相关知识知晓情况总体尚好,但有个别知识点知晓率较低,部分学生有不安全的性行为,且对艾滋病自我防护意识薄弱。今后需进一步加强青年学生群体中艾滋病相关防治知识的教育、培训及宣传工作,同时应扩大高危行为干预及艾滋病检测的覆盖面。Objective To investigate the HIV/AIDS-related knowledge,risk behavior and infective status of HIV,hepatitis C virus（HCV）and syphilis among adolescents in Hefei,Anhui Province,China,for effective policies for prevention and control of HIV/AIDS.Methods By using multi-stage cluster sampling method,we conducted a survey on a total of 3244 adolescents living in Hefei area from 2010 to 2013 by self—response to anonymous questionnaire after obtaining the informed consent.Additional serological tests for HIV,HCV and syphilis were performed.Results The correct response to HIV/AIDS- related knowledge was81.8%,86.1%,82.6%and 85.7%in different age group.Awareness on ＂Whether mosquito bite will transmit HIV or not＂ ranked lowest in the 8 related questions.Of the total responders,7.84%had sexual behavior in the past year.No more than 40%had ever used condom in their first sexual intercourse in our surveillance in four years,and lower than 50%insisted on using condoms in the last year in each sexual intercourse with either regular sexual partner,temporary sex partner or commercial sex partner.Only 2.7%had received HIV test in the past year,and generally,much fewer of the adolescents had ever received education on HIV/AIDS— related knowledge or voluntarily participated in spreading of HIV/AIDS- related knowledge.The serological finding revealed one case was positive to syphilis（0.03%） and 7,positive to HCV（0.2%） in the past years.Conclusion Overall,the adolescents in Hefei area have a better knowledge on HIV/AIDS,yet they are poor in some individual awareness,and some of them have risk sexual behaviors and poor awareness on self—protection on HIV infection.More strength shall be laid on education,training and propaganda of this knowledge in this population group besides intervention with the high—risk behavior and wider coverage on HIV tests.

关 键 词：艾滋病 哨点监测 青年学生 

分 类 号：R512.91[医药卫生—内科学]