2009—2015年乌鲁木齐市长途卡车司机艾滋病哨点监测结果分析

Analysis on AIDS sentinel surveillance results among long-distance truck drivers in Urumqi from 2009-2015

目的了解2009—2015年乌鲁木齐市长途卡车(长卡)司机艾滋病知识、行为特征及人类免疫缺陷病毒(HIV)、梅毒和丙型肝炎(丙肝)感染率的变化趋势,为艾滋病综合防治和科学干预提供信息和依据。方法通过横断面的调查方法,对艾滋病哨点监测的长卡司机进行行为学调查及HIV、梅毒、丙肝病毒的血清学检测。结果 2009—2015年共检出HIV抗体阳性9例,阳性率0.3%,7年间HIV感染率无显著变化(趋势χ~2=30.12,P>0.05);梅毒16例,感染率0.6%,梅毒感染率显著上升(趋势χ~2=14.66,P<0.01);丙肝33例,阳性率1.2%,感染率维持在一个稳定的水平(趋势χ~2=13.01,P>0.05)。长卡司机最近1年商业性行为比例显著下降(χ~2=35.39,P<0.01),最近1年商业性行为每次坚持使用安全套频率无显著变化(χ~2=30.12,P>0.05),最近1次商业性行为安全套使用率年度间无显著变化(χ~2=5.78,P>0.01)。结论乌鲁木齐市长卡司机HIV感染率总体水平较低,但梅毒感染率在逐年上升,对比HIV和梅毒,丙肝的总体感染率较高,今后在开展HIV综合干预时,也应注重梅毒和丙肝相关防治知识的宣传,从而达到控制艾滋病及其他性传播性疾病流行的目的。

[Objective]To understand the AIDS-related knowledge and behavior characteristics among long-distance truck drivers（DRV）in Urumqi from 2009-2015,analyze the change trend in infection rates of human immunodeficiency virus（HIV）,syphilis and hepatitis C,and provide information and basis for comprehensive prevention and scientific intervention of AIDS.[Methods]Trough a cross-sectional survey,the behavioral survey and serological test on HIV,syphilis and hepatitis C among DRV of sentinel surveillance were performed.[Results]From 2009-2015,totally 9 positive cases of HIV antibody were found with the positive rate of 0.3%,and there was no significant change in infection rate of HIV in 7 years（χ^2（trend）=30.12,P〈0.05）.There were 16 cases of syphilis with the infection rate of 0.6%,and the infection rate increased significantly（χ^2（trend）=30.12,P〈0.01）. There were 33 cases of hepatitis C with the positive rate of 1.2%,and the positive rate was stable（χ^2（trend）=13.01,P〈0.05）. The proportion of DRV had commercial sex behavior in last year significantly decreased（χ^2=35.39,P〈 0.01）. There was no significant difference in using condom at every commercial sex in last year（χ^2=30.12,P〈0.05）.The difference in rate of using condom in the last commercial sex act was not significant among different years（χ^2=5.78,P〈0.01）.[Conclusion]The infection rate of HIV among DRV in Urumqi but the infection rate of syphilis is increasing year by year. Compared with HIV and syphilis,the total infection rate of hepatitis C is high.While carrying out the comprehensive intervention of HIV,it is necessary to pay attention to publicity of knowledge about syphilis and hepatitis C prevention and control,to achieve the goal to control the epidemic situation of AIDS and other sexually transmitted diseases.