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目的了解泰安市农村外来妇女人类免疫缺陷病毒(HIV)感染状况,为制定艾滋病防治策略提供科学依据。方法对迁入泰安市的2 224名原籍为外省(外国)的农村外来妇女进行入户面对面调查,并采集血清进行HIV抗体检测。结果农村外来妇女HIV感染率为0.49%。HIV感染者平均年龄为30.73岁,原籍为云南省的HIV感染者居多,占72.74%;发现的HIV感染者迁入时间最早为1992年,并发现6人已经性接触将HIV传染给配偶和3人经母婴传播将HIV传染给子女。结论泰安市农村外来妇女中存在着一定的HIV感染流行,并造成了HIV的二代传播,应该建立多部门协作的长效机制,从源头对来自艾滋病较高流行省份农村妇女开展HIV综合监测,并对现已发现的HIV感染者做好定期随访、管理和提供必要的医学指导,才能有效预防艾滋病在该市农村地区一般人群的进一步传播。
Objective To understand the status of human immunodeficiency virus (HIV) infection among migrant women in rural Taian and provide a scientific basis for the development of AIDS prevention and control strategies. Methods A total of 2 224 rural migrant women from other provinces (foreign countries) who moved to Tai’an City were interviewed face to face. Serum was collected for HIV antibody testing. Results HIV infection rate among rural foreign women was 0.49%. The average age of HIV-infected persons was 30.73 years old. The majority of HIV-infected persons were from Yunnan Province, accounting for 72.74% of the total. HIV-infected persons were found to have moved into the earliest time in 1992 and 6 were found to have sexually transmitted to their spouses and 3 Transmission of HIV to children by mother-to-child transmission. Conclusion There is a certain epidemic of HIV infection among migrant women in rural areas of Taian City and the second generation of HIV transmission. A long-term mechanism of multi-sectoral collaboration should be set up to comprehensively monitor rural women from rural areas with high HIV prevalence, And regularly follow-up, manage and provide the necessary medical guidance to HIV-infected people who have been found so as to effectively prevent the further spread of AIDS among the general population in rural areas of the city.