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目的通过对2010-2013年云南省吸毒人群艾滋病哨点监测数据进行分析,了解该人群的知识知晓情况及其影响因素,评价近年来对吸毒人群的干预效果。方法依照全国艾滋病哨点监测实施方案,对云南省2010-2013年吸毒人群实施哨点监测,监测结果统一录入国家哨点监测系统,下载数据后采用SPSS19.0进行统计分析。结果2010-2013年共监测吸毒人群32320人,2010年至2013年各年艾滋病知识知晓率分别为:90.75%、87.75%、91.55%和94.53%。其中,蚊虫会不会传播艾滋病的知晓情况相对较低,昭通市等地区的艾滋病知识知晓率相对较低,一类疫情地区艾滋病知识知晓率低于二类疫情地区(P<0.001);logistic回归分析结果提示影响艾滋病知识知晓率的因素主要有少数民族、缅甸籍、初中以下文化程度、未曾接受安全套宣传和发放/艾滋病咨询与检测和同伴教育等。结论云南省吸毒人群艾滋病知识知晓率总体较高,但对蚊虫是否传播艾滋病的知晓率仍相对较低,昭通地区、少数民族、缅甸籍和低学历的吸毒者艾滋病知识知晓率相对较低,提示对这部分地区和人群的吸毒者应进一步强化落实同伴教育和艾滋病检测咨询等措施,确实提高其艾滋病相关知识知晓率,减少艾滋病相关高危行为的发生。
Objective To analyze the sentinel surveillance of HIV / AIDS among drug users in Yunnan Province from 2010 to 2013, understand the knowledge of the population and its influencing factors, and evaluate the effect of drug abuse intervention in recent years. Methods In accordance with the national implementation plan of sentinel surveillance of AIDS, the sentinel surveillance was conducted in drug users in Yunnan Province during 2010-2013. The surveillance results were uniformly entered into the national sentinel surveillance system. After downloading the data, the data were analyzed by SPSS19.0. Results A total of 32,320 drug addicts were monitored during 2010-2013. The awareness rates of AIDS among years 2010 to 2013 were 90.75%, 87.75%, 91.55% and 94.53% respectively. Among them, mosquitoes will not be aware of the spread of AIDS is relatively low, Zhaotong City and other regions of AIDS awareness is relatively low, a class of epidemic area of AIDS knowledge awareness rate lower than the second class epidemic areas (P <0.001); logistic regression The results of the analysis suggest that there are mainly ethnic minorities, Burmese children, education level of junior high school or below, condom education and condom distribution / HIV counseling and testing and peer education. Conclusions There is a high awareness rate of HIV / AIDS among drug users in Yunnan Province, but there is still a relatively low awareness rate of whether AIDS is transmitted by mosquitoes or not. In Zhaotong region, ethnic minority, Burmese and under- Drug abusers in these areas and groups should further strengthen the implementation of peer education and HIV testing counseling and other measures to really raise awareness of AIDS-related knowledge and reduce the incidence of AIDS-related high-risk behaviors.