2009-2013年攀枝花市仁和区艾滋病哨点人群HIV、HCV、TP检测分析

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目的了解2009-2013年攀枝花市仁和区艾滋病(AIDS)哨点人群的人类免疫缺陷病毒(HIV)、丙型肝炎病毒(HCV)、梅毒螺旋体(TP)感染状况,为制定相应的疾病干预措施提供科学依据。方法按照《全国艾滋病哨点监测实施方案》要求,对暗娼、吸毒人群采集血样,用酶联免疫吸附试验(ELISA)检测HIV、HCV、TP抗体。结果 2009-2013年攀枝花市仁和区艾滋病(AIDS)哨点人群HIV阳性率分别为6.55%、8.30%、5.88%、5.37%和5.51%;HCV阳性率分别为25.50%、27.08%、29.62%、19.10%和19.35%;TP阳性率分别8.26%、5.53%、5.50%、8.80%和8.04%。暗娼、吸毒人群HIV阳性率分别为1.37%、11.27%;HCV阳性率分别为2.62%、46.23%;TP阳性率分别为6.61%、7.76%。检测阳性人口学特征:HIV、HCV感染者以男性为主分别为84.55%、86.35%,TP感染者以女性为主55.78%;年龄组以20~40岁感染者为主;文化程度以初中及以下为主;婚姻状况HIV、HCV以未婚居多,TP已婚居多;HIV感染者彝族感染者稍多,HCV、TP感染者汉族居多。结论攀枝花市仁和区HIV、HCV感染率最高的人群是吸毒人群,今后在防控中要加大力度对吸毒人群的监管。TP感染率女性较多,应加大卖淫嫖娼的打击力度。同时应针对目标人群文化程度低的青壮年,开展有针对性的宣传教育和行为干预工作。 Objective To understand the status of human immunodeficiency virus (HIV), hepatitis C virus (HCV) and Treponema pallidum (TP) infection in AIDS sentinel populations in Renhe District of Panzhihua City from 2009 to 2013 and to provide corresponding disease intervention measures Scientific basis. Methods According to the requirements of the National AIDS Sentinel Surveillance Program, blood samples were collected from female sex workers and drug addicts, and HIV, HCV and TP antibodies were detected by enzyme linked immunosorbent assay (ELISA). Results The positive rate of HIV was 6.55%, 8.30%, 5.88%, 5.37% and 5.51% respectively in HIV sentinel population in Renhe District of Panzhihua City from 2009 to 2013; the positive rates of HCV were 25.50%, 27.08% and 29.62% 19.10% and 19.35%, respectively. The positive rates of TP were 8.26%, 5.53%, 5.50%, 8.80% and 8.04% respectively. The positive rates of HIV in commercial sex workers and drug addicts were 1.37% and 11.27% respectively; the positive rates of HCV were 2.62% and 46.23% respectively; the positive rates of TP were 6.61% and 7.76% respectively. The positive demographic characteristics of HIV and HCV infection were 84.55% and 86.35% in male patients and 55.78% in female patients with TP infection respectively. The age group was mainly infected with children aged 20-40 years. The following mainly; marital status HIV, HCV mostly unmarried, mostly married TP; HIV infected people slightly more, HCV, TP-infected Han majority. Conclusions The population with the highest HIV and HCV infection rate in Renhe District of Panzhihua City is the drug addicts. In the future, we should increase the supervision of drug addicts in prevention and control. TP infection rate of more women, prostitution should be stepped up efforts to crack down on prostitution. At the same time, we should carry out targeted propaganda, education and behavior intervention aimed at young and middle-aged people with low education levels.
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