广西边境地区长途卡车司机艾滋病相关高危行为及影响因素分析  

Analysis of HIV / AIDS-related high-risk behavior and influenc factors among long-distance truckers in the border regions of Guangxi

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

机构地区：[1]广西南宁市疾病预防控制中心,广西南宁530023 [2]广西壮族自治区人民医院 [3]广西医科大学附属肿瘤医院 [4]凭祥市疾病预防控制中心

出　　处：《实用预防医学》2015年第2期137-140,共4页Practical Preventive Medicine

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艾滋病相关高危行为及影响因素,为进一步有针对性地在广西边境地区对长途卡车司机开展干预工作提供科学依据。方法按照《国家级HIV综合监测点监测方案》的要求,2013年5-6月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,对长途卡车司机进行面对面的问卷调查,并采集血样进行HIV、梅毒、HCV抗体检测,分析其中商业性行为者行为特征。结果共调查400名长途卡车司机中,有15.00%(60/400)的调查对象最近1年有过商业性行为,最近1年发生商业性行为时,每次都坚持使用安全套的比例为80.00%(48/60),最近1次商业性行为使用安全套的比例为93.33%(56/60)。调查对象答对6条以上的艾滋病知识知晓率为97.25%(389/400),HIV感染率为0.25%(1/400),梅毒检出率为2.25%(9/400);HCV检出率为0.50%(2/400)。HIV、梅毒和HCV两两间,均未发现双重感染。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。结论需要不断采取有针对性的综合干预措施,使其改变高危行为或采取安全性行为,减少经长途卡车司机造成的艾滋病传播与蔓延。Objective To investigate the HIV / AIDS- related high- risk behavior and influencing factors among long- distance truckers in the border regions of Guangxi so as to provide scientific evidence for further conducting targeted intervention.Methods According to the requirements of Surveillance Scheme for National HIV Comprehensive Monitoring Points,the methods of snowball sampling and peer introduction sampling were used to recruit long- distance truckers from parking lots of Puzhai border trade zones in Guangxi from May to June 2013. Face- to- face questionnaire surveys were conducted; meanwhile,their blood samples were collected to test for HIV,syphilis and HCV antibodies. The behavior characteristics of the truckers involved in commercial sex were analyzed. Results Among the 400 long- distance truckers surveyed,15%（ 60 /400） of the respondents had commercial sex behavior in the recent one year,and 80%（ 48 /60） of them used condoms each time,and 93. 33%（ 56 /60） used condoms in the last commercial sex behavior. 97. 25%（ 389 /400） of the respondents correctly answered more than 6 HIV / AIDS- related questions. The HIV infection rate was 0. 25%（ 1 /400）. The detection rates of syphilis and HCV were 2. 25%（ 9 /400）and 0. 50%（ 2 /400）,respectively. There was no double- infection among HIV,syphilis and HCV. Single- factor and multifactor Logistic regression analyses showed that the infection and spread of syphilis were related to long- distance truckers＇ commercial sex behavior. Conclusions It is necessary to continuously adopt targeted and comprehensive intervention measures among long- distance truckers to change their high- risk behavior and make them adopt safe sexual behavior so as to reduce the transmission and spread of HIV / AIDS by them.

关 键 词：长途卡车司机 艾滋病 高危行为 影响因素 

分 类 号：R512.91[医药卫生—内科学]