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目的了解2009—2015年乌鲁木齐市长途卡车(长卡)司机艾滋病知识、行为特征及人类免疫缺陷病毒(HIV)、梅毒和丙型肝炎(丙肝)感染率的变化趋势,为艾滋病综合防治和科学干预提供信息和依据。方法通过横断面的调查方法,对艾滋病哨点监测的长卡司机进行行为学调查及HIV、梅毒、丙肝病毒的血清学检测。结果 2009—2015年共检出HIV抗体阳性9例,阳性率0.3%,7年间HIV感染率无显著变化(趋势χ~2=30.12,P>0.05);梅毒16例,感染率0.6%,梅毒感染率显著上升(趋势χ~2=14.66,P<0.01);丙肝33例,阳性率1.2%,感染率维持在一个稳定的水平(趋势χ~2=13.01,P>0.05)。长卡司机最近1年商业性行为比例显著下降(χ~2=35.39,P<0.01),最近1年商业性行为每次坚持使用安全套频率无显著变化(χ~2=30.12,P>0.05),最近1次商业性行为安全套使用率年度间无显著变化(χ~2=5.78,P>0.01)。结论乌鲁木齐市长卡司机HIV感染率总体水平较低,但梅毒感染率在逐年上升,对比HIV和梅毒,丙肝的总体感染率较高,今后在开展HIV综合干预时,也应注重梅毒和丙肝相关防治知识的宣传,从而达到控制艾滋病及其他性传播性疾病流行的目的。
Objective To understand the changes of AIDS knowledge, behavioral characteristics and infection rates of HIV, syphilis and hepatitis C (hepatitis C) among drivers in Urumqi long-distance truck (long card) from 2009 to 2015. To provide evidences for comprehensive prevention and control of AIDS and scientific intervention Provide information and basis. Methods A cross-sectional survey method was used to conduct behavioral investigation on the HIV-positive long-card drivers and HIV, syphilis and hepatitis C virus serological tests. Results There were 9 positive cases of HIV antibody between 2009 and 2015, the positive rate was 0.3%. There was no significant change in HIV infection rate in seven years (trend χ ~ 2 = 30.12, P> 0.05). Syphilis was detected in 16 cases with infection rate of 0.6% The infection rate was significantly increased (trend χ ~ 2 = 14.66, P <0.01). In 33 cases of hepatitis C, the positive rate was 1.2%. The infection rate was maintained at a stable level (trend χ ~ 2 = 13.01, P> 0.05). The proportion of commercial drivers who experienced long-term drivers decreased significantly in the last year (χ ~ 2 = 35.39, P <0.01). There was no significant change in the frequency of commercial use of condoms every year (χ ~ 2 = 30.12, P> 0.05) There was no significant change in the annual utilization rate of commercial sex condoms (χ ~ 2 = 5.78, P> 0.01). Conclusion The overall prevalence of HIV infection among mayor drivers in Urumqi is relatively low, but the prevalence of syphilis is increasing year by year. Compared with HIV and syphilis, the overall prevalence of hepatitis C infection is high. In the future, when HIV comprehensive intervention is carried out, syphilis and hepatitis C should be emphasized Prevention and treatment of knowledge of publicity, so as to achieve the purpose of controlling the AIDS and other sexually transmitted diseases.