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目的 了解甘肃省少数民族地区性病艾滋病流行现状及该地区人群艾滋病性病基本知识与相关危险行为的特征 ,为开展预防干预和制定防制策略提供科学依据。方法 采取分层整群抽样的方法 ,采用访谈式匿名调查 ,进行艾滋病基本知识、态度及相关行为的问卷调查 ,同时采集 5ml血液进行HIV抗体、梅毒血清学、乙肝表面抗原、丙肝抗体的检测。结果 该地群众性病艾滋病三种传播途径的知晓率为 4 2 4 7% ,80 %的人不愿意与HIV感染者或艾滋病病人握手和共同进餐 ;6 3%的人不愿意帮助和鼓励周围的HIV感染者 ;15岁以前发生首次性行为的比率为 10 71% ,38 12 %的人有过婚外或婚前性行为 ,发生婚外或婚前性行为其中有 2个以上性伴的比率 84 88% ,在进行婚外或婚前性行为时从不使用安全套的比率为 72 2 2 % ,不使用避孕套的主要原因是当时没有和没想到要用。血清学检测未检出HIV抗体阳性者 ,梅毒确认阳性 30例 ,感染率为 3 5 3% ,HBsAg阳性率为 7 0 6 % ,HCV抗体阳性率为 1 4 1% ,与甘肃省病毒性肝炎血清流行病学调查无差异。结论 该地区人群艾滋病认知程度低 ,与艾滋病关系密切的梅毒感染率较高 ,存在艾滋病流行的危险因素。因此 ,应加强该地区少数民族群众的性病艾滋病健康教育 ,积极开展艾滋病性病基本知识、性?
Objective To understand the prevalence of STD and AIDS in minority areas of Gansu Province and the basic knowledge of AIDS STDs in the population of the region and the relevant risk behaviors, so as to provide a scientific basis for preventive interventions and prevention and control strategies. Methods A stratified cluster sampling method was used to investigate the basic knowledge, attitudes and related behaviors of HIV using anonymous interview. At the same time, 5 ml blood samples were collected for HIV antibody, syphilis serology, hepatitis B surface antigen and hepatitis C antibody. As a result, the awareness rate of the three routes of transmission of AIDS among STDs in this area was 42.47%, 80% of them were unwilling to shake hands and eat together with HIV-infected persons or AIDS patients; 6.3% were not willing to help and encourage the surrounding HIV infection; first sex before the age of 15 10 71%, 38 12% of people have had extramarital or premarital sex, and extramarital or premarital sex more than two sexual partners 84 88 %. The rate of never using condoms when engaging in extramarital or premarital sex was 72.22%. The main reason for not using condoms was that they were not used or not thought of. Serological tests did not detect HIV antibody positive, syphilis confirmed positive in 30 cases, the infection rate was 35.3%, HBsAg positive rate was 70.6%, HCV antibody positive rate was 141%, and Gansu Province, viral hepatitis Serological epidemiological survey no difference. Conclusion There is a low prevalence of HIV / AIDS and a high prevalence of syphilis among AIDS-related people in this region. There is a risk factor for the AIDS epidemic. Therefore, it is necessary to strengthen STD and AIDS health education among ethnic minority people in this area and actively carry out the basic knowledge of AIDS STDs.