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目的了解云南省某地矿区嫖客人群性病/艾滋病(STD/AIDS)相关知识、行为及感染状况,分析可能的危险因素。方法采用标准化问卷匿名收集研究对象的人口统计学、STD/AIDS知识、性行为等信息,并对4种STD和艾滋病病毒(HIV)感染状况进行检测。结果该矿区嫖客STD/AIDS知识不足,安全套使用率低,AIDS相关知识全部回答正确率为4.3%。HIV阳性率为1.5%(95%CI:0.2%~2.8%),梅毒阳性率为2.4%(95%CI:0.8%~4.0%),2型单纯疱疹病毒(HSV-2)抗体阳性率为14.9%(95%CI:11.1%~18.7%),淋球菌阳性率2.1%(95%CI:0.6%~3.6%),沙眼衣原体阳性率为6.9%(95%CI:4.2%~9.6%),STD总感染率为23.2%(95%CI:18.7%~27.7%)。STD感染与吸毒(调整OR=6.4,95%CI:1.4~28.8)、镇上居住时间(调整OR=2.7,95%CI:1.5~4.9)及首次性行为年龄(调整OR=2.2,95%CI:1.0~5.0)的联系有统计学意义。结论该矿区嫖客性病艾滋病感染率较高,STD/AIDS知识缺乏,安全套使用率低,自我保护意识差,应作为今后干预的重要目标人群。
Objective To understand STD/AIDS related knowledge, behaviors, and infection status among the local residents in a mining area in Yunnan Province, and to analyze possible risk factors. Methods A standardized questionnaire was used to anonymously collect the demographics, STD/AIDS knowledge, and sexual behaviors of the study subjects, and four kinds of STD and HIV infection status were detected. Results The STD/AIDS knowledge of the miners in the mining area was insufficient, the condom use rate was low, and the correct answer rate of AIDS-related knowledge was 4.3%. The HIV positive rate was 1.5% (95% CI: 0.2% to 2.8%), the positive rate of syphilis was 2.4% (95% CI: 0.8% to 4.0%), and the positive rate of herpes simplex virus type 2 (HSV-2) antibody was 14.9% (95% CI: 11.1% to 18.7%), the positive rate of Neisseria gonorrhoeae was 2.1% (95% CI: 0.6% to 3.6%), and the positive rate of Chlamydia trachomatis was 6.9% (95% CI: 4.2% to 9.6%). The total infection rate of STD was 23.2% (95% CI: 18.7%-27.7%). STD infection and drug use (adjusted OR=6.4, 95% CI: 1.4 to 28.8), living time in town (adjusted OR=2.7, 95% CI: 1.5 to 4.9) and age of first sexual intercourse (adjusted OR=2.2, 95% The association of CI: 1.0~5.0) was statistically significant. [Conclusion] The AIDS infection rate of the migrants is high in this area, the knowledge of STD/AIDS is lacking, the condom use rate is low, and the awareness of self-protection is poor. It should be used as an important target group for future intervention.