黄冈市娱乐场所从业人员HIV感染及认知干预研究  

Serological surveillance of HIV and efficacy of intervention on awareness of prevention and control knowledge among occupational populations in entertainment places in Huanggang City

作　　者：王赤华[1] 曾勇[2] 

机构地区：[1]黄冈市疾病预防控制中心检验科,湖北黄冈438000 [2]黄冈市中医医院,湖北黄冈438000

出　　处：《中国热带医学》2016年第7期658-660,共3页China Tropical Medicine

基　　金：湖北省科学技术厅基金项目(No.EK2014D210006000852)

摘　　要：目的了解黄冈市娱乐场所从业人员HIV、丙肝和梅毒感染现状,探讨娱乐场所人群艾滋病防控行为认知干预效果。方法采用横断面调查方法对被调查对象进行HIV、HCV和梅毒血清学监测,对从业人员进行行为学调查,对培训前后从业人员艾滋病认知率的变化频数进行统计学分析。结果 21家娱乐场所共594名女性从业人员中,梅毒阳性5例,阳性率为0.84%,40名男性从业人员梅毒未能检出;女性HCV抗体阳性3例,阳性率为0.51%,男性HCV抗体阳性1例,阳性率为2.5%;全部被调查者HIV抗体均为阴性。培训干预前从业人员艾滋病认知率为55.04%,培训后其认知率提高至62.05%(P<0.01),其中,"性接触传播"、"经血液传播"和"HIV感染初期无症状,外表看不出"培训后认知率与培训前比较,差异有统计学意义(P<0.01)。结论娱乐场所女性从业人员是梅毒和丙肝感染的高危险人群,对这一场所职业人群开展培训干预可明显提高其对预防艾滋病的认知能力。Objective To investigate the epidemic status of HIV,HCV and syphilis and discuss the effect of theintervention on the awareness of prevention and control knowledge of these infections or disease among the occupationalpopulations in entertainment places in Huanggang City,Hubei Province. Methods The serological surveillance of HIV,HCVand syphilis were carried out with the cross- sectional instigation method,and the training about AIDS,HCV and syphilisprevention and control knowledge was performed among the occupational populations in entertainment places. The awareness ofAIDS,HCV and syphilis prevention and control knowledge was investigated and the results were compared before and after theintervention with the health statistical methods. Results Among 594 female staff in 21 entertainment places（5/594）,thepositive rate of syphilis was 0.84%,higher than that among 40 male staff（0%）; the positive rate of HCV was 0.51%（3/594）,lower than that among male staff（1/40, 2.50%）. The positive rate of HIV was zero among both the female and male staff. Thecognitive rate of AIDS increased from 55.04% before the training to 62.05% after the intervention（P〈0.01）. After the training,the cognitive rate of knowledge of sexual contact spreading AIDS promoted 13.07%,the cognitive rate of knowledge of bloodtransfusion spreading AIDS promoted, and the cognitiverate of knowledge of early symptom of AIDS promoted,（all P〈0.01）.Conclusion The female staff at entertainment places is a high- risk population of HCV infection and syphilis. Theintervention of training to the staff can enhance the level of knowledge of AIDS prevention among the population significantly.

关 键 词：娱乐场所 梅毒 艾滋病 丙型肝炎 认知干预 

分 类 号：R512.91[医药卫生—内科学]