茂名农村地区50岁以上男性人群HIV感染及危险因素分析  

Analysis of HIV infection and risk factors among males aged 50 and over in rural areas of Maoming

作　　者：谢东生[1] 冯演东 陈慧雯[3] 林坤立[1] 关飞[1] 陈彩燕[1] 黄成周[1] 倪玉飘[1] 林燕珠[1] 黎艳光 XIE Dong-sheng;FENG Yan-dong;CHEN Hui-wen;LIN Kun-li;GUAN Fei;CHEN Cai-yan;HUANG Cheng-zhou;NI Yu-piao;LIN Yan-zhu;LI Yan-guang(Maonan District Center for Disease Control and Prevention of Maoming,Maoming,Guangdong 525000,China;Maonan District Public Health Center of Maoming;Center for Disease Control and Prevention of Maoming)

机构地区：[1]茂名市茂南区疾病预防控制中心,广东茂名525000 [2]茂名市茂南区公馆中心卫生院 [3]茂名市疾病预防控制中心

出　　处：《中国公共卫生管理》2019年第6期793-795,共3页Chinese Journal of Public Health Management

基　　金：2017年茂名市第一批(医疗卫生类)科技项目(2017266)

摘　　要：目的对茂名农村地区50岁以上男性人群HIV感染状况及相关危险因素进行调查,为制定防制策略提供科学依据。方法 2017-2018年,对茂名农村地区50岁以上男性人群问卷调查及HIV抗体和梅毒抗体检测,采用问卷EpiData双录入审核,EpiInfo7软件进行统计分析。结果参与问卷调查的有2 237人,血清学检测率45.69%(1 022/2 237);年龄段以50岁以上为主,占68.13%(1 524/2 237);婚姻以在婚为主,占79.75%(1 784/2 237);文化程度以文盲及小学为主,占87.97%(1 968/2 237);职业以务农为主,占43.45%(972/2 237);个人月均收入以2 000元以下为主,占56.64%(1 267/2 237);艾滋病知识知晓率12.47%(279/2 237);初中以上文化程度比文盲及小学者高,差异有统计学意义(χ2=1 389.292,P<0.05);杂工比务农者高,差异有统计学意义(χ2=25.646,P<0.05);个人月均收入2 000元以上者比2 000元以下者高,差异有统计学意义(χ2=138.138,P<0.05)。结论 50岁以上男性人群艾滋病抗体感染率高,艾滋病知识知晓率偏低,是特殊的艾滋病感染高危人群,有必要针对该人群进行精准艾滋病防控宣传。Objective To conduct an in-depth investigation of HIV infection status and related risk factors among male population of aged 50 and over in rural areas to provide the scientific basis for the development of prevention strategies.Methods Questionnaire survey was performed and HIV-antibody and TP-antibody detection were conducted among male population over 50 years old in rural areas.EpiData software was used for double entry audit and Epi Info7 software was used for statistical analysis.Results Two thousand two hundred and thirty-seven people participated in the questionnaire survey,the serological detection rate was 45.69%(1 022/2 237).The majority of these people were over 50 years old,accounting for 68.13%(1 524/2 237).These people were mainly married,accounting for 79.75%(1 784/2 237);illiterate and primary school education were main,accounting for 87.97%(1 968/2 237);farming,accounting for 43.45%(972/2 237);personal monthly income was less than 2 000 yuan,accounting for 56.64%(1 267/2 237);AIDS knowledge awareness rate was 12.47%(279/2 237).The results of univariate analysis showed that the awareness rate of AIDS knowledge in the group of junior middle school and above was higher than that of illiterate and primary schools with statistical difference(χ2=1 389.292,P<0.05);and that among miscellaneous workers were higher than among farmers with statistical difference(χ2= 25.646,P<0.05);the rate in the group with > 2 000 yuan monthly income was higher than that with < 2 000 yuan monthly income with statistical difference(χ2=138.138,P<0.05).Conclusion The HIV infection rate in male population of aged 50 and over is high,and the awareness rate of AIDS knowledge is low and the people belong to a special high-risk group of HIV infection.It is very necessary to carry out accurate AIDS prevention and control publicity for the group.

关 键 词：50岁以上 农村男性人群 艾滋病病毒感染者 艾滋病知识 危险因素 

分 类 号：R512.91[医药卫生—内科学] R181.3[医药卫生—临床医学]