许昌市2005—2008年羁押人员艾滋病监测情况

AIDS Surveillance among People under Custody in Xuchang City during 2005—2008

目的掌握许昌市羁押人员的艾滋病病毒(HIV)感染情况和感染危险因素,为制定对该人群的预防控制措施提供科学依据。方法用统一的调查表对羁押人员进行访谈式调查,采血检测HIV抗体,确认阳性者进行个案流行病学调查。结果19198例羁押人员,共检出确认阳性51例,检出率为0.27%。51例感染者均为男性;感染途径:有性乱史14例,单采血浆史19例,输血史4例,静脉吸毒史8例,原因不明6例;平均年龄为38.3岁。结论该市羁押人群感染率高于一般人群,开展对羁押人员的艾滋病监测是发现HIV感染者的重要途径之一;同时对羁押人员开展广泛持久的艾滋病预防知识宣传教育,提高其自我防护意识,促进其"知—信—行"的改变,从而减少艾滋病的传播。

[Objective]To master the status and risk factors of HIV infection among people under custody in Xuchang City,and provide scientific evidence for developing prevention and control measures for this population.[Methods]Unified questionnaire was used to conduct interview-type survey on people under custody,blood samples were tested for HIV antibody,the confirmed positive ones was investigated epidemiologically.[Results]Of 19 198 people under custody,51 were identified positive,the detection rate was 0.27%.All 51 cases were male;route of infection：14 cases had the history of sexual disorder,19 cases had single-mining history of plasma,4 cases had blood transfusion history,8 cases had intravenous drug use history,6 cases had unknown causes;the average age was 38.3 years.[Conclusion]The infection rate of people under custody is higher than the general population in this city.Carrying out AIDS surveillance on this population is one of the important ways to discover HIV infectors.Simultaneously extensive and long-term health education about AIDS prevention knowledge should be implemented on people under custody to improve their self-protection awareness,to promote their ＂Knowledge,Attitudes and Practice＂ change and reduce the spread of AIDS.