2016—2018年北京市昌平区建筑工地流动人口艾滋病性病监测分析  

Monitoring and analysis of AIDS and STD among floating population at construction site in Changping District of Beijing from 2016-2018

作　　者：李淑波[1] 李芬[1] 王会松[1] 刘红新[1] 郭松洋[1] 侯钊[1] LI Shu-bo;LI Fen;WANG Hui-song;LIU Hong-xin;GUO Song-yang;HOU Zhao(Institute of AIDS and STD,Beijing Changping District Center for Disease Control and Prevention,Beijing,102200,China)

机构地区：[1]北京市昌平区疾病预防控制中心性艾所

出　　处：《职业与健康》2019年第24期3378-3381,共4页Occupation and Health

摘　　要：目的了解北京市昌平区建筑工地流动人口艾滋病的知晓情况、高危行为及艾滋病性病感染情况,为开展流动人口艾滋病防治工作提供依据和建议。方法收集2016-2018年哨点监测的资料,包括监测人群的人口学特征、高危行为特征及血清学监测结果等,对这些资料进行系统的分析。结果2016-2018年北京市昌平区建筑工地流动人口总艾滋病知识知晓率较低,仅86.31%;商业性行为安全套最近1年使用频率从未使用的占7.47%,有时使用占30.33%,每次使用的占62.19%;最近1次安全套使用率为81.07%;调查中有同性肛交性行为的占0.16%,曾经吸毒的占0.16%。3年共检测1870份血样,检测出人类免疫缺陷病毒感染者(HIV)阳性1例(0.05%),梅毒酶联免疫吸附试验(ELISA)阳性26例(1.39%),梅毒非特异性抗体检测(TRUST)阳性12例(0.64%),丙型肝炎病毒阳性8例(0.43%),各年份间梅毒ELISA、梅毒TRUST阳性率差异有统计学意义(P<0.05),HIV、丙型肝炎病毒阳性发病率差异无统计学意义(P>0.05)。结论政府相关部门应加强建筑工地流动人口艾滋病知识的宣传教育工作,提高安全套的使用率,加强阻断艾滋病从高危人群向一般尤其是流动人群的扩散,遏制艾滋病在该人群中的传播扩散。Objective To understand the awareness of AIDS knowledge,high risk behaviors and AIDS and STD infection of floating population in construction site of Changping District in Beijing,provide basis and suggestions for AIDS prevention and treatment of floating population.Methods Data on sentinel monitoring from 2016-2018 were collected,including demographic characteristics,high-risk behaviour characteristics and serological findings of the population,which were systematically analyzed.Results The total awareness rate of AIDS knowledge among floating population in construction site of Changping District in Beijing from 2016-2018 was low,which was only 86.31%.For the condom use frequency of commercial sexual in the last year,never used condom accounted for 7.47%,used condom sometimes accounted for 30.33%,used condom each time accounted for 62.19%.The condom use rate in the latest sexual act was 81.07%.The rate of homosexual anal sex was 0.16%,and the rate of drug use was 0.16%.A total of 1870 blood samples were tested in three years,1(0.05%)case was positive for human immunodeficiency virus(HIV),26(1.39%)cases were positive for syphilis in enzyme linked immunosorbent assay(ELISA),while 12(0.64%)cases were positive for syphilis in toluidine red unhealedserum test(TRUST),and 8(0.43%)cases were positive for Hepatitis C virus.The differences in the positive rates of syphilis in ELISA and TRUST were statistically significant among different years(P<0.05),and there were no statistically significant differences in the positive rates of HIV and Hepatitis C virus(P>0.05).Conclusion The relevant government departments should strengthen the publicity and education of AIDS knowledge of the floating population in the construction site,improve the use rate of condoms,strengthen the prevention of the spread of AIDS from the high-risk population to the general,especially the floating population,and curb the spread of AIDS in the population.

关 键 词：建筑工地流动人口 艾滋病 性病 监测 

分 类 号：R181.8[医药卫生—流行病学]