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目的了解大连口岸出入境人员的艾滋病病毒感染情况和高危性行为,为有效开展艾滋病监测和防止传播提供科学依据。方法对2010—2013年大连口岸出入境人员的艾滋病监测资料和流行病学调查结果进行分类统计、对比分析。结果 2010—2013年共进行艾滋病监测体检150 232人,检出艾滋病病毒抗体阳性24例,主要是未婚或离异的青壮年男性。其中62.50%的人有婚前性行为;33.33%的人有多个性伙伴;25.00%的人承认有冶游史;12.50%的人是同性传播;8.33%的人采取过安全措施;4.16%的人正在接受正规治疗;95.84%的人为首次检出。不同职业、不同年龄段和不同性别艾滋病检出率有统计学意义(P<0.01或P<0.05)。结论身处异乡的职业性质和高危性行为是出入境人员感染艾滋病的主要原因,应加强对出入境人员的卫生知识宣传和教育,提高其自我防范意识,进而制定相应的干预措施。
Objective To understand the HIV infection and high-risk behaviors of entry and exit personnel in Dalian Port and provide a scientific basis for effective AIDS surveillance and prevention. Methods The AIDS surveillance data and epidemiological survey results of immigrants entering and exiting from 2010 to 2013 in Dalian Port were classified, statistically analyzed and compared. Results A total of 150 232 HIV / AIDS clinics were conducted during 2010-2013. Twenty-four HIV-positive cases were detected, mainly young males who were unmarried or divorced. Among them, 62.50% of them have premarital sex; 33.33% have multiple sexual partners; 25.00% admit that there is a history of travel; 12.50% of people are sexually transmitted; 8.33% of people have taken security measures; 4.16% Received regular treatment; 95.84% of the people were detected for the first time. The detection rate of AIDS among different occupations, different age groups and different genders was statistically significant (P <0.01 or P <0.05). Conclusions The occupational nature and high-risk behaviors in a foreign land are the main reasons for HIV infection among immigrants entering and leaving the country. Publicity and education on health knowledge of entry-exit personnel should be strengthened so as to raise their awareness of self-protection and then formulate corresponding intervention measures.