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目的了解云南省部分艾滋病高发地区其职业是农民的艾滋病病毒感染者/病人的HIV传播模式,探讨主要相关危险因素。方法选择云南省2个艾滋病疫情较为严重的州市然后随机抽取4个县区作为本次研究的调查地点,对该地区2012年检测发现的HIV中职业是农民的艾滋病病毒感染者/病人进行问卷调查。结果共获得问卷204份。该人群男性中65.6%的有商业性行为,每次使用安全套的比例8.5%;20.0%有多性伴,每次安全套使用比例5.6%;固定性伴之间每次安全套使用比例9.5%。女性农民中62.8%通过固定性伴传播,与固定性伴间安全套使用的比例为6.8%;其中,20.0%有多性伴,安全套每次使用比例0.0%;有商业性行为的比例为17.1%,安全套每次使用比例27.3%。结论职业是农民的艾滋病病毒感染者,以异性性接触传播为主。男性主要通过无保护商业性行为和多性伴传播,女性通过家庭内无保护性接触传播。
Objective To understand the mode of HIV transmission among HIV-infected persons / patients whose occupations are peasants in some AIDS-prone areas in Yunnan Province and to explore the main relevant risk factors. Methods Two prefectures and cities in Yunnan Province with severe epidemic of AIDS were selected. Four counties were randomly selected as the survey sites for this study. Questionnaires were collected from HIV / AIDS patients / survey. A total of 204 questionnaires were obtained. 65.6% of men in this population have commercial sex, 8.5% of each use condoms; 20.0% have multiple sexual partners, the proportion of each condom use 5.6%; fixed condom use 9.5% of each condom. Of the female farmers, 62.8% were sexually transmitted through fixed partners, compared with 6.8% for condom use among regular partners; 20.0% had multiple sex partners, 0.0% for condom use, 17.1% for commercial sex, , Condoms each use ratio of 27.3%. Conclusion Occupation is a farmer’s HIV-infected person, with heterosexual transmission of contacts. Men are mainly transmitted through unprotected commercial sex and multiple sexual partners and women are transmitted through unprotected contact within the family.