青田籍入境华侨人群艾滋病知信行及HIV、梅毒、HCV感染率调查

Investigation on HIV / AIDS related knowledge,attitude,and practice and on the infection rates of HIV,syphilis and HCV among entry population with Qingtian nationality

目的了解青田籍入境华侨人群艾滋病防治的知信行情况及HIV、梅毒、HCV感染率,为进一步对该人群开展健康教育和行为干预提供理论依据。方法 2011年-2013年采用随机抽样的方法对入境人群进行问卷调查和血清学检测。结果 3 432人接受艾滋病知信行调查,知晓率为81.90%,不同文化程度的知晓率差异具有统计学意义(P<0.001)。安全套使用情况:与配偶或同居者最近一次性行为使用安全套的占16.94%;最近一年与暗娼发生性行为,从未使用安全套的占13.16%;与非商业性临时性伴发生性行为,从未使用安全套的占3.92%;3 425人接受血清学检验,HIV抗体、HCV抗体和梅毒抗体阳性率分别为0.06%、0.09%和0.50%。结论青田籍入境华侨人群HIV抗体阳性率高于浙江一般人群水平,导致艾滋病等性传播疾病流行的危险因素仍然存在,在该人群中开展有针对性的宣传教育和行为干预至关重要。

Objective To investigate the infection rates of HIV,Syphilis and HBV,as well as the HIV / AIDS related knowledge,attitude,and practice among entry population with Qingtian nationality,so as to provide theory evidence for further health education and behavior intervention among these people. Methods Through a random sampling method,to carry on a KAP investigation in the entry population with Qingtian nationality during 2011- 2013,and serological detection. Results A total of3 432 entry personals were surveyed,with the awareness rate of 81. 90%,and there was statistical significance on the difference of awareness rates in different cultural degrees（ P 0. 001）. The proportion of condom use with mates or cohabitants in the latest sexual behavior was 16. 94%. Last year,that with female sexual workers without using condom was 13. 16%; that with casual partners and without using condom accounted for 3. 92%. There were 3 425 people who received serological testing,the positive rates of HIV,HCV and syphilis were 0. 06%,0. 09% and 0. 50% respectively. Conclusion The HIV positive rate among Qingtian nationality entry population is higher than that of the general level in Zhejiang,so there are still risks of infection and the spread of AIDS and other sexually transmitted diseases. It is very important to carry out more targeted propaganda education and behavior intervention.