建筑工人艾滋病相关行为及HIV感染状况调查

AIDS-related Behaviors and HIV Infection Status Among Construction Workers

目的了解凭祥市建筑工人艾滋病(AIDS)相关行为与艾滋病病毒(HIV)感染状况,以便采取有针对性的高危行为干预措施。方法于2011-01/03,采用整群抽样方法抽取凭祥市9个建筑工地的405名工人进行调查,分析艾滋病相关知识知晓率、婚内性行为、商业性行为、非婚非商业临时性行为、吸毒行为及HIV、梅毒和丙型肝炎病毒(HCV)实验室检测结果。结果在接受调查的405名建筑工人中,HIV感染率为0.49%,梅毒感染率为3.95%,丙肝感染率为0.99%。调查对象答对6条以上的艾滋病知识知晓率为72.28%,93.24%的在婚调查对象最近1年与固定性伴有性关系,并且与固定性伴发生性关系时坚持每次都使用安全套的比例仅为8.69%;5.68%的调查对象最近1年曾与非婚非商业临时性伴发生性行为,13.39%的男性最近1年曾嫖娼,发生商业性行为时每次都使用安全套的比例为62.22%,0.74%的调查对象有吸毒行为。单因素分析结果显示,男性发生嫖娼行为的比例与受教育程度、艾滋病知识知晓率有关(P<0.05)。结论凭祥市建筑工人存在着多种艾滋病高危行为的协同作用,正在成为艾滋病感染和传播的高危人群和桥梁人群,应采取更有针对性的高危行为干预措施,遏制艾滋病传播扩散。

Objective To explore AIDS-related behaviors and HIV infection status among construction workers in Pingxiang city for effective interventions on high risk behavior.Methods A cluster sampling method was adopted and 405 workers from 9 construction sites in Pingxiang city were selected from January to March 2011.Sexual behaviors including marriage sex,commercial sex and non-marriage/commercial casually sex were analyzed as well as HIV/AIDS related knowledge awareness,drug using and HIV,Syphilis and HCV test results in laboratory.Result A total of 405 construction workers were selected and investigated,with the HIV infection rate of 0.49%,syphilis infection rate of 3.95%,and HCV infection rate of 0.99%.The awareness rate of AIDS-related knowledge（who could answer more than 6 items） was 72.28% among the workers.The percentage of having sex with regular partners within the past year was 93.24%,and the rate of using condom each time was only 8.69%.The rate of having non-marriage/commercial casual sex was 5.68% in the past year.And 13.39% of investiged male construction workers had had commercial sex in the past year with the rate of 62.22% using condom each time.Also the rate was 0.74% of drug using.Single factor analysis shows that the rate of commercial sex behavior is related to both education level and the AIDS-related knowledge awareness among the male construction workers（P0.05）.Conclusion There was synergistic effect of multiple high risks related to HIV among construction workers in Pingxiang.Those construction workers were becoming the high risk and bridge group of AIDS infection and transmission.Effective interventions on high risk behavior should be carried out for HIV/AIDS prevention and control.