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目的了解南昌县暗娼和性病门诊就诊者艾滋病相关的行为学特征和艾滋病防治情况,了解两类人群的HIV、梅毒和丙肝感染现状,为制定艾滋病防治策略提供依据。方法收集2011年4-7月监测期内南昌县暗娼和性病门诊就诊者的监测数据,采用描述性统计方法分析两类哨点人群的人口学特征、行为学特征和艾滋病防治相关指标,计算两类人群的HIV、梅毒和HCV感染率。结果暗娼人群艾滋病知识知晓率为93.50%,干预服务覆盖率为97.30%,艾滋病检测率为60.50%;最近1次性行为使用安全套的占91.00%(364/400),最近1个月性行为时每次都用安全套的占34.50%(138/400);HIV阳性检出率为0,梅毒阳性检出率1.00%,丙肝阳性率为0.25%。性病门诊男性就诊者艾滋病知识知晓率为90.70%;干预服务覆盖率为90.50%,艾滋病检测率为62.80%。最近3个月有17.00%的人与小姐有过性行为,有8.30%的人与临时性伴有过性行为;HIV阳性检出率为0,梅毒阳性检出率1.50%,丙肝阳性率为0.75%。结论两类监测人群的艾滋病知识知晓率均较高,并且均未检测出艾滋病阳性患者,表明该地区艾滋病预防与控制效果较好,但南昌县高危人群存在HIV感染加快的潜在因素,必须加强性病防治,加大力度开展健康教育与行为干预,从而有效控制艾滋病经性传播。
Objective To understand the behavioral characteristics and AIDS prevention and treatment of AIDS among FSWs and STD clinics in Nanchang County and to understand the current status of HIV, syphilis and HCV infection among the two groups in order to provide the basis for the development of AIDS prevention and control strategies. Methods The surveillance data of female sex workers and STD clinics in Nanchang during the monitoring period from April to July of 2011 were collected. Demographic characteristics, behavioral characteristics and AIDS prevention and control indicators of two types of sentinel population were analyzed by descriptive statistics. HIV, syphilis and HCV infection rates in the general population. Results The awareness rate of HIV / AIDS among FSWs was 93.50%. The coverage rate of intervention service was 97.30%, the detection rate of AIDS was 60.50%, the rate of condom using 91.00% (364/400) Condom accounted for 34.50% (138/400) each time. HIV positive rate was 0, syphilis positive rate was 1.00% and positive rate of hepatitis C was 0.25%. The awareness rate of HIV / AIDS among STD clinic patients was 90.70%. The coverage rate of intervention services was 90.50% and the HIV prevalence rate was 62.80%. In the recent 3 months, 17.00% of the people and the ladies had had sexual intercourse, and 8.30% of the people had temporary sexual intercourse; the positive rate of HIV was 0, the positive rate of syphilis was 1.50% and the positive rate of hepatitis C was 0.75%. Conclusions There is a high awareness of HIV / AIDS among the two types of monitoring population, and no AIDS-positive patients are detected, indicating that HIV / AIDS prevention and control in this area is better. However, there is a potential factor for HIV infection in high-risk population in Nanchang County. Prevention and control, increase efforts to carry out health education and behavior intervention, so as to effectively control AIDS through sexual transmission.