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目的了解天津市流动人口流动特征以及求医行为,为开展针对性的流动人口性病艾滋病的预防和控制工作提供科学依据。方法对天津市南开区、河北区以及东丽区的四类流动人口进行整群抽样,共抽取4 804名调查对象,收集流动人口流动特征以及求医行为,用SPSS 13.0软件进行分析,率的比较采用χ2检验,P<0.05为差异有统计学意义。结果首次外出打工通过同乡介绍占44.44%(2 135/4 804)。流动人口城市流动率、行业流动率和单位流动率的中位数分别为0.33个/年、0.40个/年和0.50个/年。有过商业性性行为者性病症状发生率(16.77%)远高于未发生过商业性性行为者(4.01%)(χ2=61.618,P<0.001)。最近一年5.06%(74/1 462)的女性调查对象出现过妇科症状,其中40.54%(30/74)的调查对象未作处理。结论流动人口具有较高的流动性,针对流动人口的艾滋病宣教工作较薄弱。出现妇科症状的流动人口中,多数人不能正确寻求治疗,应加强正确求医行为的知识宣传,多渠道提供生殖道感染诊疗服务。
Objective To understand the characteristics of floating population and the medical treatment in Tianjin and to provide a scientific basis for the prevention and control of STD and AIDS in the floating population. Methods Four groups of floating population in Nankai District, Hebei District and Dongli District of Tianjin were enrolled in this study. A total of 4 804 survey subjects were collected to collect the floating population mobility characteristics and medical treatment behaviors. SPSS 13.0 software was used to analyze the rate Compared with χ2 test, P <0.05 for the difference was statistically significant. As a result, 44.44% (2 135/4 804) of first-time migrant workers were reported to work abroad. The median urban mobility, industrial mobility and unit turnover of floating population were 0.33 / year, 0.40 / year and 0.50 / year, respectively. The prevalence of STD symptoms among commercial sex workers (16.77%) was significantly higher than that of non-sex sex workers (4.01%) (χ2 = 61.618, P <0.001). In the most recent year, 5.06% (74/1 462) of women surveyed had gynecological symptoms, of which 40.54% (30/74) did not. Conclusion The floating population is highly mobile, and AIDS education for the floating population is weak. Most of the floating population with gynecological symptoms can not seek proper treatment. Knowledge promotion of correct medical treatment should be strengthened and multi-channel diagnosis and treatment of reproductive tract infections should be provided.