甘肃省某少数民族自治州性病艾滋病流行病学和行为学调查研究  

Study on Epidemiology and Behavioural Science of STD and AIDS in a Minority Nationality Autonomous Prefecture in Gansu Province

作　　者：余爱玲[1] 王健[1] 张小清[1] 苟伟斌[1] 郁华[1] 石林[1] 王炳涛[1] 汪佐明 张小汉 

机构地区：[1]甘肃省疾病预防控制中心,甘肃兰州730000 [2]甘南藏族自治州疾病预防控制中心

出　　处：《疾病监测》2004年第1期5-8,共4页Disease Surveillance

基　　金：卫生部艾滋病防治补助经费项目 ( 0 1-甘 -Ⅵ -5 )

摘　　要：目的　了解甘肃省少数民族地区性病艾滋病流行现状及该地区人群艾滋病性病基本知识与相关危险行为的特征 ,为开展预防干预和制定防制策略提供科学依据。方法　采取分层整群抽样的方法 ,采用访谈式匿名调查 ,进行艾滋病基本知识、态度及相关行为的问卷调查 ,同时采集 5ml血液进行HIV抗体、梅毒血清学、乙肝表面抗原、丙肝抗体的检测。结果　该地群众性病艾滋病三种传播途径的知晓率为 4 2 4 7% ,80 %的人不愿意与HIV感染者或艾滋病病人握手和共同进餐 ;6 3%的人不愿意帮助和鼓励周围的HIV感染者 ;15岁以前发生首次性行为的比率为 10 71% ,38 12 %的人有过婚外或婚前性行为 ,发生婚外或婚前性行为其中有 2个以上性伴的比率 84 88% ,在进行婚外或婚前性行为时从不使用安全套的比率为 72 2 2 % ,不使用避孕套的主要原因是当时没有和没想到要用。血清学检测未检出HIV抗体阳性者 ,梅毒确认阳性 30例 ,感染率为 3 5 3% ,HBsAg阳性率为 7 0 6 % ,HCV抗体阳性率为 1 4 1% ,与甘肃省病毒性肝炎血清流行病学调查无差异。结论　该地区人群艾滋病认知程度低 ,与艾滋病关系密切的梅毒感染率较高 ,存在艾滋病流行的危险因素。因此 ,应加强该地区少数民族群众的性病艾滋病健康教育 ,积极开展艾滋病性病基本知识、性?Objective To learn the epidemic status of AIDS and the basic knowledge about AIDS among people in minority nationality autonomous prefecture in Gansu province. Methods Using stratified cluster sampling, selecting 850 persons from 4 Counties as study objects; using the method of anonymous investigation to learn the basic knowledge, attitude and the behaviors relating to AIDS; collecting 5 ml blood to detect HIV, syphilis, HBsAg and HCV antibody. Using EPI-info 6.0 statistic software to analyze the data. Results Han learns more knowledge about AIDS and safe sex behaviors than Tibet people. There wasn't HIV antibody positive case and 30 cases of syphilis positive. The infection rate of syphilis was 3.53%, and the infection rate of syphilis among Tibet people was 7.16%, which increased 15.67% comparing with the rate 6.19% in Xiahe county in 1980-1985. The positive rate of HBsAg was 7.06%, and the positive rate of HCV was 1.41%. There was no difference comparing with the serum epidemiology investigation in Gansu Province. Conclusion The Tibet people knew little about AIDS, and their infection rate of syphilis was high. There were risk factors related to AIDS. So we should strengthen the health education about STD and AIDS among minority people in Gansu province.

关 键 词：甘肃 少数民族自治州 性病 艾滋病 流行病学 行为学调查 

分 类 号：R181.3[医药卫生—流行病学]