论文部分内容阅读
目的对2010—2014年结核病门诊就诊者艾滋病哨点监测结果进行分析,为制定艾滋病/结核病防治政策提供科学依据。方法根据国家艾滋病哨点监测方案,对所有首次到结核门诊就诊的目标人群进行问卷调查并采集血液进行艾滋病病毒(HIV)、梅毒检测以及痰培养、X线检查,定性资料的比较采用χ2检验,而五年间数据的趋势分析应用χ2趋势检验。结果共监测768人,以20~59岁的中青年为主(72.0%)。不同年份之间婚姻状况构成差异有统计学意义(P<0.05),且经卡方趋势检验发现已婚就诊者的比例呈逐年增加趋势(P<0.05)。2010—2014年共检出结核病患者732人(95.3%),本地户籍的就诊者结核检出率高于外省就诊者(P<0.001)。17~49岁组人群对艾滋病知识8个问题的知晓率均高于≥50岁组(P均<0.01)。承认曾经输过血或卖过血浆的比例为0.9%,注射过毒品的比例为0.3%,有过男男同性性行为的比例为0.2%。HIV-抗体阳性检出率为0.1%,梅毒阳性检出率为0.8%。结论应针对中青年人群、已婚结核病人群及其家庭、有过艾滋病危险行为人群开展结核病/艾滋病防治知识健康教育和行为干预工作,减少结核病/艾滋病的感染和传播。
Objective To analyze the sentinel surveillance of AIDS among tuberculosis clinic in 2010-2014 and provide a scientific basis for formulating HIV / AIDS prevention and control policy. Methods According to the National AIDS Sentinel Surveillance Program, all the first target TB clinic patients were surveyed and collected blood for HIV, syphilis detection and sputum culture and X-ray examination. Chi-square test was used to compare the qualitative data, The five-year trend analysis of the data application χ2 trend test. Results A total of 768 people were monitored, mainly middle-aged and young people aged from 20 to 59 (72.0%). There were significant differences in marital status between different years (P <0.05), and the trend of married parties showed a trend of increasing year by year (P <0.05). A total of 732 TB patients (95.3%) were detected in 2010-2014. Tuberculosis outpatients were more likely to be registered (P <0.001). The awareness rates of 8 questions about AIDS knowledge among 17 ~ 49 age group were higher than those of ≥50 age group (all P <0.01). Recognized that 0.9% of those who had had blood or plasma had been transfused, 0.3% had been injected with drugs, and 0.2% had had same-sex behavior. The positive rate of HIV-antibody was 0.1% and the positive rate of syphilis was 0.8%. Conclusion TB / AIDS prevention and control knowledge health education and behavioral interventions should be targeted at young and middle-aged and married TB patients and their families, and HIV / AIDS-infected persons should be trained to reduce TB / HIV infection and transmission.