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目的了解福州市高危人群性行为、艾滋病(AIDS)知识知晓与艾滋病病毒(HIV)、梅毒螺旋体、丙肝病毒(HCV)感染状况,为决策部门评估防治工作效果及制定防治策略措施提供科学依据。方法对2012年4~6月福州市监测点暗娼、吸毒者、男男性行为者、性病门诊男性就诊者、孕产妇、流动人群和男性长途运输司乘人员血清学检测和AIDS相关知识知晓情况调查资料进行分析。结果合计检测7类人群2 797人,HIV抗体阳性率为1.57%,梅毒抗体阳性率为3.54%,抗-HCV阳性率为6.33%。其中,暗娼梅毒抗体阳性率、抗-HCV阳性率分别为1.58%、0.23%;吸毒者HIV抗体阳性率、梅毒抗体阳性率、抗-HCV阳性率分别为0.23%、7.22%、38.83%;男男性行为人群HIV抗体阳性率、梅毒抗体阳性率、抗-HCV阳性率分别为12.79%、10.10%、0.67%;性病就诊者HIV抗体阳性率、梅毒抗体阳性率分别为1.25%、6.25%;孕产妇梅毒抗体阳性率、抗-HCV阳性率分别为1.25%、0.25%;男性长途运输司乘人员抗-HCV阳性率为0.25%。AIDS知识知晓率,暗娼为90.32%,男男性行为人群为86.53%,吸毒人群为52.60%,男性性病就诊者为56.75%,孕产妇为61.00%,流动人口为84.39%,男性长途运输司乘人群为61.79%。安全套使用比例,暗娼人群最近1个月发生商业性行为时每次都用的占52.25%;吸毒者最近1年与商业性伴发生性行为时每次都用的为32.88%;男男性行为者最近6个月与同性发生过肛交时每次都用的占45.38%;男性长途汽车司乘人员最近1年与小姐(暗娼)发生过性行为时每次都用的占17.65%。结论福州市对高危人群的艾滋病综合干预工作已经取得效果,对吸毒人群、男性性病就诊者和男性长途运输司乘人员的的艾滋病性病宣传干预措施有待加强。
Objective To understand the sexual behaviors, AIDS knowledge and HIV status of high risk population in Fuzhou, and to provide evidence for decision-making departments to evaluate prevention and control work and to make prevention and control strategies. Methods A survey of serological detection and AIDS-related knowledge among female sex workers, drug addicts, male sex workers, male patients attending STD clinics, pregnant women, migrant workers and male long-distance transporters from April to June 2012 in Fuzhou was conducted. Data analysis. Results A total of 2 797 people were tested in 7 groups. The positive rate of HIV antibody was 1.57%, the positive rate of syphilis antibody was 3.54%, and the positive rate of anti-HCV was 6.33%. Among them, the positive rates of syphilis antibody and anti-HCV in female sex workers were 1.58% and 0.23% respectively; the positive rate of HIV antibody, the positive rate of syphilis antibody and the positive rate of anti-HCV were 0.23%, 7.22% and 38.83% respectively; HIV positive rate, syphilis antibody positive rate and anti-HCV positive rate were 12.79%, 10.10% and 0.67% respectively in male population. The positive rates of HIV antibody and syphilis antibody in STD patients were 1.25% and 6.25% The positive rates of maternal syphilis antibody and anti-HCV were 1.25% and 0.25%, respectively. The male anti-HCV positive rate of male long-distance transport department was 0.25%. 90.32% of the sex workers, 86.53% of the sex workers, 52.60% of the drug users, 56.75% of the male sex workers, 61.00% of the pregnant women, and 84.39% of the floating population 61.79%. Condom use ratio, the occupational sex workers occupy 52.25% of the time when commercial sex act in the last month, and 32.88% each time drug addicts have sex with commercial sex partners in the recent one year. Men who have sex with men In the last 6 months, 45.38% of them used anal intercourse with their homosexuals every time, and 17.65% used the male coaches and passengers in the last 1 year when they had sex with a lady (female sex worker). Conclusions Fuzhou has made a success of HIV / AIDS comprehensive interventions for high-risk groups. HIV / AIDS STD interventions should be strengthened for drug addicts, male STDs and long-distance transport ministries.