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目的通过对2012-2015年广西男性流动人员艾滋病哨点监测结果的分析,了解该群体的行为特征及艾滋病流行趋势,为制定相应干预对策提供重要依据。方法根据《全国艾滋病哨点监测实施方案》要求,对广西男性流动人员进行相关的问卷调查和血清学检测工作。结果 2012-2015年各年纳入监测对象分别为800人、800人、806人、800人,2015年艾滋病知识知晓率为99.0%,2012年为83.9%;各年知晓率的差异有统计学意义(χ2=178.272,P<0.05),且呈上升趋势(χ2=147.159,P<0.05)。最近1年发生商业性行为安全套坚持使用率,以及最近一次发生商业性行为安全套使用率的差异有统计学意义(χ2=14.895,P<0.05;χ2=9.85,P<0.05);最近1年发生临时性行为安全套坚持使用率的差异有统计学意义(χ2=18.746,P<0.05)。各年HIV阳性率分别为0.5%、0、0.5%、0.3%,差异无统计学意义(P>0.05);各年梅毒阳性率分别为1.8%、1.3%、0.2%和1.0%,差异有统计学意义(χ2=8.996,P<0.05)。结论广西男性流动人员的艾滋病相关知识知晓率、不安全性行为中安全套使用率等指标有逐年上升趋势,应继续加强对该人群的艾滋病及梅毒等相关性传播疾病的监测,并针对男性流动人员的特点和其对艾滋病知识不够了解部分进行宣传教育,实施更加切实有效的防治措施。
Objective To analyze the behavioral characteristics and AIDS epidemic trend of male migrants in Guangxi during 2012-2015 and provide important evidence for the corresponding intervention measures. Methods According to the requirements of the National AIDS Sentinel Surveillance Implementation Plan, relevant questionnaires and serological tests were conducted on male migrants in Guangxi. Results There were 800, 800, 806 and 800 HIV-AIDS monitoring subjects in each of the years from 2012 to 2015. The awareness rate of AIDS knowledge was 99.0% in 2015 and 83.9% in 2012, and there was significant difference in the awareness rates among different years (χ2 = 178.272, P <0.05), and showed an upward trend (χ2 = 147.159, P <0.05). The incidence of commercial use of condoms during the last year was significantly different (χ2 = 14.895, P <0.05; χ2 = 9.85, P <0.05). The incidence of condom use in the last commercial occurrence was statistically significant There was significant difference in the rate of use of temporary sexual condoms (χ2 = 18.746, P <0.05). The positive rate of HIV was 0.5%, 0,0.5% and 0.3% in each year respectively, with no significant difference (P> 0.05). The positive rates of syphilis were 1.8%, 1.3%, 0.2% and 1.0% Statistical significance (χ2 = 8.996, P <0.05). Conclusion The awareness rate of AIDS-related knowledge and the rate of condom use in unsafe sex among migrant workers in Guangxi Province have been increasing year by year. HIV / AIDS and syphilis and other related sexually transmitted diseases should be continuously monitored in this population. And its knowledge of AIDS is not enough understanding of part of the publicity and education, the implementation of more effective prevention and control measures.