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目的了解山东省农村外来妇女艾滋病感染状况及相关知识、行为,为制定该人群艾滋病防治措施提供依据。方法采集2028名农村外来妇女的血液,检测人类免疫缺陷病毒(HIV)抗体、乙肝病毒表面抗原(HBsAg)、丙肝病毒(HCV)抗体、梅毒(TP)抗体,抽取其中部分人进行知识、态度、信念及行为(KABP)问卷调查,并选取当地妇女作为对照组。结果山东省外来妇女HIV感染率为0.59%,并合并乙肝、丙肝、梅毒等相关疾病的感染。外来妇女对HIV经性、血液、母婴途径传播的知晓率为33.52%~44.79%;12.29%有输血、献血史,37.99%有婚前性行为,6.70%有婚外性行为;农村外来妇女艾滋病知晓情况明显低于当地妇女,而艾滋病高危行为的发生高于当地妇女。结论外来妇女中存在HIV、HBV、HCV、梅毒感染者,艾滋病知识知晓率低,对艾滋病普遍存在认识不足。应有针对性地进行宣传教育,以控制艾滋病的进一步传播。
Objective To understand the HIV status and related knowledge and behaviors of migrant women in rural areas of Shandong Province and provide evidence for the development of AIDS prevention and control measures in this population. Methods The blood of 2028 rural women were collected to detect HIV, HBsAg, HCV and TP, and some of them were collected for knowledge, attitude, Faith and Behavior (KABP) questionnaire survey, and selected local women as control group. Results The HIV infection rate among foreign women in Shandong Province was 0.59%. The infection rate of hepatitis C, hepatitis C and syphilis was also increased. The awareness rate of migrant women with sex, blood and mother-to-child transmission of HIV was 33.52% ~ 44.79%; 12.29% had blood transfusion, blood donation history, 37.99% had premarital sex, 6.70% had extramarital sex; The level of awareness is significantly lower than that of local women, while the high-risk behaviors of AIDS occur more frequently than the local women. Conclusions There are HIV, HBV, HCV and syphilis among foreign women. The awareness rate of HIV / AIDS knowledge is low and there is not enough knowledge about AIDS prevalence. Propaganda education should be targeted to control the further spread of AIDS.