2010年荆州市艾滋病哨点监测结果分析

Analysis on sentinel surveillance of HIV/AIDS in Jingzhou City (2010)

目的了解荆州市四类人群艾滋病知识及相关高危行为,为艾滋病综合防治、制定干预策略提供理论依据。方法根据全国哨点监测统一方案的要求,对四类人群进行问卷调查和血清HIV、梅毒和丙肝抗体检测。结果男男性接触者(MSM)、性病门诊男性就诊者(STD)、吸毒者(DUS)、孕产妇(PRG)4类人群中除孕产妇人群艾滋病知识知晓率相对较低外,其他3类人群相对较高;HIV抗体阳性检出率最高的是MSM人群(2.23%),其次是DUS人群(2.00%);梅毒抗体阳性检出率最高的是STD人群(3.50%),其次是DUS(2.54%)、MSM(1.98%)和PRG(0.49%);丙肝抗体阳性检出率最高的是DUS人群(54.45%),其次是MSM(1.49%)、STD(0.50%)和PRG(0.25%)。男男性接触者最近6个月男性与男性性伴发生肛交时使用安全套频率每次都使用的仅占21.35%。结论应加强对孕产妇人群艾滋病基本知识的宣传,提高该类人群艾滋病防治知识知晓率。各人群高危行为特征存在多样性,应进一步加强健康教育和干预力度,控制艾滋病在荆州市的传播流行。

Objective To understand the related risk behaviors and knowledge of HIV/AIDS,and provide evidence for prevention and control.Methods Based on the sentinel surveillance guideline,four kinds of people were investigated,questionnaire was applied,HIV,syphilis and HCV were tested.Results The pregnant women＇s（PRG） knowledge level about HIV/AIDS was lower as compared with the other three kinds of people.The highest positive rate of HIV was found in the MSM group（2.23%）,DUS group was the second（2.00%）.The highest positive rate of syphylis was found in the STD group（3.50%）,in turn,DUS（2.54%）、MSM（1.98%）and PRG（0.49%）;The highest positive rate of HCV was found in the DUS group（54.45%）,in turn,MSM（1.49%）、STD（0.50%）and PRG（0.25%）.In the MSM group,when having anal sex during the past 6 months,only 21.35% used condom every time.Conclusions Education for pregnant women should be promoted to provide knowledge about HIV/AIDS.There is diversity in the features of high risk behavior in different groups,it is necessary to promote health education and strengthen intervention so as to make HIV/AIDS under control in Jingzhou city.