深圳市宝安区重点干预人群梅毒知识知晓率的现况调查

Awareness and Knowledge of Syphilis among High-risk Behavior Groups in Bao'an District of Shenzhen City

目的了解深圳市宝安区重点干预人群梅毒防治知识的知晓情况,为建立健全的性传播疾病防治管理网络提供科学依据。方法通过整群随机抽样方法对深圳市宝安区娱乐场所的暗娼、厂区工人和孕妇三类人群分别在培训前后进行梅毒知晓率的匿名问卷调查和血清学检测。结果接受梅毒防治知识培训后总体知晓率为97.87%,明显高于培训前的58.60%(P<0.001),其中孕妇人群知晓率最高(68.67%),外来务工人员最低(50.23%),但经培训后提高到96.22%,培训效果最明显(P<0.001)。培训后各人群每题的正确率都大于90%,都高于培训前(P均<0.05)。血清学检测结果显示:梅毒整体感染率为1.62%,暗娼人群感染率最高2.30%,所有9例都是35岁以下低滴度(<1∶8)的隐性梅毒患者。结论三类人群的梅毒知识知晓率偏低,但是现场健康教育显著提高了人群的知晓率,应加强对重点干预人群、易感人群进行梅毒知识的宣传工作,并积极开展人群梅毒主动检测工作。

Objective To investigate the preventive knowledge coverage and infected rate of syphilis in three high-risk behavior groups locating Bao＇ an district of Shenzhen, so as to explore the key point for intervention and to provide scientific evidence for the establishment of sound STD control and prevention network. Methods An anony.mous questionnaire was conducted by cluster random sampling among three groups including female sex workers（FSWs） , migrant workers and pregnant women from Bao＇ an district of Shenzhen City following by before and after intervention, respectively. Blood specimen from these cases were taken to examine anti- body of syphilis. Results The overall awareness rate of syphilis prevention knowledge was significantly higher in the training group accounting for 97.87% than that in the control group accounting for 58.60% （P 〈 0. 001 ）. Before training, the highest awareness rate of 68.67% was found in pregnant women opposite to 50. 23% for migrant workers, whereas the training effect was obvious accounting for 96.22% （P 〈 0. 001 ）. After training, the correct rates of each item were more than 90% among three groups （ all P 〈 0. 05 ）. According to the detection, the overall syphilis infection rate was 1.62% with the highest rate of 2. 30% for FSWs. The 9 latent syphilis patients were confirmed which were below 35 years old and lower titer of non- treponemal antibodies （ 〈 1 ： 8）. Conclusion Though the awareness rates of syphilis among three groups are relatively low, the situation can be significantly improved followed by the procedure of before-and-after inter- vention. Therefore health education of syphilis should be strengthened in future prevention especially for high-risk groups and susceptible population, and the syphilis screening ought to be covered more participants.