2009-2011年上海市金山区流动人群艾滋病哨点监测结果分析

AIDS sentinel surveillance in floating population in Jinshan district,Shanghai,2009-2011

目的了解2009-2011年上海市金山区流动人群艾滋病(AIDS)哨点监测相关知识、行为及艾滋病病毒(HIV)、梅毒和丙型病毒性肝炎病毒(HCV)感染情况,为制定艾滋病综合防制策略提供依据。方法依据2009-2011年《全国AIDS哨点监测方案》要求,在金山区开展流动人群问卷调查和血清学检测工作。结果 2009-2011年监测样本量分别为400、405和400份,AIDS相关知识总知晓率随着文化程度的升高而升高,且逐年上升(由2009年的51.75%上升至2011年的74.75%);在不知晓的问题中以"蚊虫叮咬会传播艾滋病吗"知晓率最低;3年监测对象安全套使用率总体均偏低,2010年和2011年与非固定性伴(暗娼或临时性性伴或非商业性男男性伴)每次使用安全套的比例高于固定性伴(配偶或同居者);3年均未发现监测对象有吸毒行为;2009年无阳性样本检出,2010年检出HCV阳性1份,2011年检出HIV、梅毒和HCV的阳性份数分别为1、3和2份。结论 2009-2011年上海市金山区流动人群的AIDS知识知晓率有所增加,但仍有待提高;安全性行为比例不高;HIV、梅毒和HCV阳性检出率有上升趋势。应充分关注该人群的AIDS及梅毒、HCV等相关疾病的综合防制工作,采取更为有效全面的健康促进措施。

Objective To understand the awareness of AIDS related knowledge, prevalence of risk behaviors and infection status of HIV, Treponema pallidum and HCV in floating population in Jinshan, and provide evidence for the comprehensive prevention and control of AIDS. Methods According to the requirement of ＂The National Sentinel Surveillance of AIDS Protocol, 2009-2011 ＂, the questionnaire survey and serological detection were conducted in floating population in Jinshan. Results From 2009 to 2011, respectively, 400, 405 and 400 samples were surveyed. The awareness of AIDS-related knowledge was higher in people with higher education level and increased from 51.75% in 2009 to 74.75% in 2011. The awareness of ＂mosquito can transmit HIV or not＂ was lowest. The overall condom use rate was low during this period. The condom use rate at each sex in people without regular sex partners, including FSWs and MSM, was higher than that in people with regular sex partners in 2010 and 2011. No drug use was found in these people. No positive serum sample was detected in 2009, but 1 HCV positive serum sample was detected in 2010 and 1 HIV positive serum sample, 3 Treponema pallidum positive serum samples and 2 HCV positive serum samples were detected in 2011. Conclusion The awareness of AIDS-related knowledge was improved in floating population in Jinshan during 2009-2011. The ratio of safe-sex was be havior not high. The positive detection rates of HIV, Treponema pallidum and HCV increased. It is necessary to pay close attention to the comprehensive prevention and control of AIDS, syphilis and hepatitis C and take effective health promotion measures in this population