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目的了解长途卡车司机梅毒感染状况并分析其影响因素。方法根据《国家级HIV综合监测点监测方案》,在浦寨边境贸易城的停车场采用“滚雪球、同伴推动”等方法,对长途卡车司机进行面对面的问卷调查,并采集血样5 ml进行梅毒检测。结果 2008-2010年,共监测1 200名长途卡车司机,平均年龄为(36.3±8.0)岁,文化程度以初中为主(63.67%),从中检出梅毒阳性21例,感染率为1.75%,梅毒感染率各年差异有统计学意义(χ2=6.11,P=0.047);答对6条以上艾滋病知识知晓率有逐年上升的趋势,各年间差异有统计学意义(χ2=69.22,P<0.001);最近一年与暗娼发生过性行为的比例,差异无统计学意义(χ2=5.07,P=0.079)。结论应采取有针对性的综合干预措施,改变长途卡车司机的高危性行为或采取安全性行为,控制性传播疾病由高危人群向一般人群传播。
Objective To understand the status of syphilis infection among long distance truck drivers and analyze the influencing factors. Methods Based on the “National Monitoring Scheme for HIV Monitoring Sites”, a long-distance truck driver was interviewed by face-to-face questionnaire with “snowballs, companions” and other parking lots in the border trade city of Puzhai. 5ml blood samples were collected Syphilis testing. Results A total of 1 200 long-distance truck drivers were monitored during 2008-2010. The average age was (36.3 ± 8.0) years. The educational level was mainly junior high school (63.67%). 21 positive cases of syphilis were detected and the infection rate was 1.75% There was a significant difference in syphilis infection rates between years (χ2 = 6.11, P = 0.047). There was a trend of increasing awareness rate of more than 6 AIDS patients each year (χ2 = 69.22, P <0.001) There was no significant difference in the proportion of sex workers who had sex with FSW in recent years (χ2 = 5.07, P = 0.079). Conclusions Targeted comprehensive interventions should be taken to change the high-risk behaviors of long-distance truck drivers or to take safer sex to control the spread of sexually transmitted diseases from the high-risk groups to the general population.