清远市不同人群艾滋病、梅毒、丙型肝炎、乙型肝炎感染状况调查

Investigation on HIV,Syphilis,Hepatitis C and Hepatitis B Infection among Different Populations in Qingyuan City

目的了解清远市不同人群艾滋病、梅毒、丙型肝炎、乙型肝炎感染状况,为制定艾滋病等传染病预防控制策略提供科学依据。方法2005年1月—2009年5月分别对清远市辖戒毒所吸毒人群、英德监狱服刑人员、清远市区从事商业性活动的性服务工作者及从事餐饮、旅业、桑拿按摩、美容美发行业的从业人员进行问卷调查,同时抽取血标本进行HIV抗体、梅毒抗体、HCV抗体、HBsAg血清学检测。结果调查和检测不同人群共11229人,HIV抗体、梅毒抗体、HCV抗体、HBsAg总体阳性率分别为0.43%、1.59%、8.71%、5.15%;其中吸毒人群1073人,阳性率分别为3.08%、9.97%、45.01%、22.93%;监狱服刑人群4973人,阳性率分别为0.30%、0.62%、9.63%、2.03%;性服务人群551人,阳性率分别为0、3.63%、1.81%、3.81%;从业人群4632人,阳性率分别为0、0.45%、0.13%、4.53%。结论清远市吸毒人群和监狱服刑人群有较高的艾滋病、梅毒、丙型肝炎和乙型肝炎的感染率;性服务人群有较高的梅毒感染率;静脉吸毒者和性乱是艾滋病等传染病感染的主要因素;应加强对吸毒人群、监狱服刑人群、性服务人群的疾病监测、宣传及行为干预,继续加强对从业人员的卫生监督。

[ Objective] To understand the prevalence of HIV, syphilis, hepatitis C and hepatitis B, and provide scientific evidence for developing infectious disease control measures. [ Methods] During January 2005 to May 2009, questionnaire survey were conducted on drug addicts of drug detoxification centers, prisoners of Yingde Prison, sex workers in recreation service, the employees of food and catering industry, hospitality industry and cosmetology industry in Qingyuan City. All the serum samples were tested for HIV antibody, syphilis antibody, Hepatitis C antibody and HBsAg. [ Results ] A total of 11 229 subjects were interviewed, and the positive rate of HIV antibody, syphilis antibody, hepatitis C antibody and HBsAg was 0.43%, 1.59%, 8.71% and 5.15%, respectively. The positive rates of HIV antibody, syphilis antibody, hepatitis C antibody and HBsAg among drug addicts { 1073 people}, prisoners （4973 people）, sex workers （551 people} and employees {4632 people }were 3.08%, 9.97%, 45.01% , 22.93% ; 0.30%, 0.62%, 9.63%, 2.03% ; 0.00%, 3.63%, 1.81% , 3.81% ; 0.00%, 0.45%, O. 13%, 4.53%, respectively. [ Conclusion] The infection rates of HIV, syphilis, hepatitis C and hepatitis B are higher among drug addicts and prisoners, that of syphilis is higher among sex workers. Intravenous drug and sexual promiscuity are the major factors for infectious diseases transmission. Disease surveillance, propaganda and behavioral intervention should be strengthened among drug addicts, prisoners and sex worker, as well as health supervision on employees.