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目的了解鲤城区娱乐场所服务人群艾滋病知识和相关行为状况,为干预提供依据。方法对鲤城区2012—2014年娱乐场所服务人群进行问卷调查,采血检测艾滋病病毒(HIV)、梅毒和丙肝(HCV)抗体。结果 2012—2014年监测娱乐场所服务人群分别为401人、532人、547人,合计1 480人;逐年艾滋病知识知晓率为62.34%、59.40%、75.50%,差异有统计学意义(χ_趋势~2=15.094,P<0.05);最近一次与客人发生性行为时使用安全套率逐年为53.12%、48.68%、53.57%,差异无统计学意义(χ~2=0.088,P=0.767);最近一个月每次与客人发生性行为都使用安全套率逐年为25.19%、36.47%、21.03%,差异无统计学意义(χ~2=3.738,P=0.053);HIV感染率分别为0.00%、0.00%、0.37%;梅毒感染率分别为1.50%、0.75%、1.65%;HCV感染率分别为0.00%、0.38%、0.73%。结论鲤城区娱乐场所服务人群安全套使用率较低,今后要加大宣传力度和频率,扩大干预覆盖面和检测率,促进行为的改变。
Objective To understand the AIDS knowledge and related behavioral status of service people in entertainment places in Licheng District and provide the basis for the intervention. Methods A questionnaire survey was conducted between 2012 and 2014 in entertainment community in Licheng District to collect blood samples for detecting HIV, syphilis and HCV antibodies. Results From 2012 to 2014, the monitoring service population for entertainment venues was 401, 532 and 547, respectively, a total of 1 480 people. The knowledge of AIDS knowledge was 62.34%, 59.40% and 75.50% respectively year by year. The difference was statistically significant (χ_ trend ~ 2 = 15.094, P <0.05). The most recent condom use rate was 53.12%, 48.68% and 53.57% respectively, with no significant difference (χ ~ 2 = 0.088, P = 0.767) The rate of condom use for each sexual activity every month for one year was 25.19%, 36.47% and 21.03% respectively, with no significant difference (χ ~ 2 = 3.738, P = 0.053); HIV prevalence was 0.00% and 0.00 % And 0.37% respectively. The infection rates of syphilis were 1.50%, 0.75% and 1.65% respectively. The HCV infection rates were 0.00%, 0.38% and 0.73% respectively. Conclusions The utilization rate of condoms in the entertainment places in Licheng District is relatively low. In the future, publicity and frequency should be intensified, the coverage and detection rate of interventions should be expanded, and changes in behavior should be promoted.