2003-2012年珠海市HIV职业暴露者预防性服药的影响因素分析

Analysis of factors affecting medicine prevention in occupational post-exposure to HIV in Zhuhai City in 2003-2012

目的分析珠海市艾滋病病毒(HIV)职业暴露的流行病学特征,寻找影响暴露后预防性服药的因素,防止感染HIV。方法对HIV职业暴露个案进行问卷调查,描述HIV职业暴露的流行病学特征,比较服药组和未服药组的影响因素。结果 2003-2012年珠海市共报告HIV职业暴露79例,其中医务人员暴露占68.4%(54人),警务人员占27.8%(22人),其他占3.8%(3人)。70.9%(56人)的暴露者接受了预防性用药,在性别和暴露源两个因素上,服药组和未服药组差异有统计学意义(P<0.05)。结论 HIV暴露人员服药与自我意识有关,建议加强医务人员和警务人员HIV职业暴露的培训。

Objective To study the epidemiological characteristics of HIV occupational exposure, and find out the factors affecting drug prevention after occupational exposure to HIV in Zhuhai. Method A questionnaire survey was performed on workers experiencing occupational exposure to HIV. Epidemiological characteristics of HIV occupational exposure was described and factors affecting drug prevention were analyzed. Result There were 79 cases of HIV occupational exposure reported in Zhuhai from 2003 to 2012. Among them, healthcare workers accounted for 68.4% （54 cases）, polices accounted for 27.8% （22 cases）, and others accounted for 3.8% （3 cases）. Drug pre vention accounted for 71% （56 cases）. There were obviously differences （P〈0. 05） in gender and exposure source between medicine taking group and no-treatment group. Conclusion People taking medicine in HIV occupational exposure depend on self-awareness. It is suggested to enhance the training of healthy care workers and polices on HIV occupational exposure.