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目的:摸清邹城市高危人群HIV、梅毒的感染状况,了解艾滋病传播的危险程度,为制定艾滋病的防控措施提供依据。方法:对外省迁入当地的常住农村妇女,对辖区内的羁押和劳教人员,既往有偿供血(浆)史者,娱乐场所中从事商业性性服务的人员,男男同性恋者(MSM)及性病门诊就诊的性病病人进行艾滋病、梅毒抗体检测。结果:共检测7 526份血标本,HIV抗体阳性率为0.27%(20/7 133)。其中外来妇女检出率为0.36%,羁押劳教人员检出率为0.22%,既往有偿供血(浆)史者阳性率0.33%,性服务人员、MSM人群及性病病人未检出HIV抗体。梅毒抗体阳性率1.70%(128/7 526),其中外来妇女、羁押劳教人员、既往有偿供血(浆)史者、娱乐场所从业人员、男男同性恋者及性病病人阳性率分别为1.42%、1.23%、0.33%、6.46%、4.76%、8.22%。结论:邹城市外来妇女、羁押劳教人员、既往有偿供血(浆)史者存在一定的HIV感染。高危人群中均存在梅毒流行,其中性服务人员、MSM人群、性病病人梅毒感染率较高。HIV阳性外来妇女是造成当地人群感染的主要因素,HIV阳性流窜人员是艾滋病经性服务人员向一般人员传播的最危险因素。
Objective: To find out the infection status of HIV and syphilis among high-risk population in Zoucheng city, understand the risk of AIDS transmission, and provide evidence for the development of AIDS prevention and control measures. Methods: The permanent residents of rural areas who moved to other provinces, the area of detention and reeducation through staff, previous history of paid blood (pulp), entertainment venues engaged in commercial sexual services, gay men (MSM) and sexually transmitted diseases Outpatient STD patients for AIDS, syphilis antibody testing. Results: A total of 7 526 blood samples were tested. The positive rate of HIV antibody was 0.27% (20/7 133). Among them, the detection rate of foreign women was 0.36%, the detection rate of detainees was 0.22%, and the positive rate of past history of paid blood (plasma) was 0.33%. No HIV antibody was detected in sexual workers, MSM and STD patients. The positive rate of syphilis antibody was 1.70% (128/7 526). The positive rates of foreign women, reeducation-in-labor, past history of paid blood supply (plasma), entertainment workers, gay men and sexually transmitted diseases were 1.42% and 1.23% respectively %, 0.33%, 6.46%, 4.76%, 8.22%. Conclusion: There are some HIV infections among foreign women in Zoucheng City, detention of reeducation-through-labor workers and past history of paid blood supply (plasma). Syphilis epidemic exists in all high-risk groups, including syphilis infection among sex workers, MSM and STD patients. HIV-positive foreign women are the major contributors to local population infections and HIV-positive migrants are the most at risk of HIV transmission to the general population.