2009—2013年辽宁省外来务工人员艾滋病哨点监测结果分析

Sentinel surveillance for AIDS in migrant workers in Liaoning,2009- 2013

目的通过对辽宁省5年外来务工人员艾滋病哨点监测结果分析,了解辽宁省务工人员艾滋病疫情状况和相关行为特征变化趋势。方法依据2009 2013年《全国艾滋病哨点监测实施方案》要求,对辽宁省沈阳、大连和鞍山市外来务工人员进行问卷调查和血清学检测工作。结果 2009 2013年每年监测样本量为709、1210、1220、1200和1201份;艾滋病知识知晓率分别为73.8%、79.1%、83.7%、78.4%和80.7%;最近1年与小姐(暗娼)发生商业性行为安全套坚持使用率分别为31.4%、48.9%、49.3%、64.1%和78.8%,差异有统计学意义(χ2=31.813,P<0.01),最近一次安全套使用率分别为65.7%、73.3%、73.9%、89.7%和88.8%,差异有统计学意义(χ2=21.477,P<0.01);各年人类免疫缺陷病毒(艾滋病病毒,HIV)阳性率分别0、0、0.1%、0.1%、0.2%,梅毒阳性率分别为0、1.0%、0.6%、1.4%和1.2%,差异有统计学意义(χ2=12.516,P<0.05),丙型肝炎病毒(HCV)阳性率分别为0.3%、1.2%、0.6%、1.1%和0.5%,差异无统计学意义(χ2=7.999,P>0.05)。结论辽宁省外来务工人员艾滋病知识知晓率、安全套使用率等指标有逐年上升趋势,商业性行为发生比例也在提高,应充分关注该人群AIDS及梅毒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 infection status of HIV and related behavioral characteristics among migrant w orkers in Liaoning province. Methods According to the requirement of ＂national HIV sentinel surveillance implementation protocol＂,questionnaire surveys w ere conducted among the migrant w orkers in Shenyang,Dalian and Anshan in Liaoning province from 2009 to 2013; and blood samples w ere collected from them for serological detection.Results During this period,709,1210,1220,1200 and 1201 migrant w orkers w ere surveyed respectively. Among the migrant w orkers surveyed,the aw areness rate of AIDS related know ledge w as 73. 8%,79. 1%,83. 7%,78. 4% and80. 7% respectively,the consistent condom use rate at each commercial sex w as 31. 4%,48. 9%,49. 3%,64. 1% and78. 8% respectively,the differences w ere statistical significant（ χ2= 31. 813,P 〈 0. 01）,How ever,the condom use rate at the latest commercial sex w as 65. 7%,73. 3%,73. 9%,89. 7% and 88. 8% respectively,the differences had statistical significance（ χ2= 21. 477,P 〈 0. 01）; The HIV positive rate w as 0%,0%,0. 1%,0. 1%,0. 2% respectively,the differences had no statistical significance（ P 〉 0. 05） and the prevalence of syphilis w as 0%,1. 0%,0. 6%,1. 4% and1. 2% respectively,the differences had statistical significance（ χ2= 12. 516,P 〈 0. 05）. The positive rate of HCV w as0. 3%,1. 2%,0. 6%,1. 1% and 0. 5% respectively,the differences had no statistical significance（ χ2= 7. 999,P 〉 0. 05）. Conclusion The aw areness of AID related know ledge and condom use practice had been improved in migrant w orkers in Liaoning,but commercial sex is more prevalent among them. Close attention should be paid to the comprehensive prevention of AIDS and syphilis in the migrant w orkers,and more effective and comprehensive health promotion measures should be taken.