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目的了解黔南布依族苗族自治州性病门诊男性就诊者、暗娼、吸毒人群、孕产妇艾滋病病毒(HIV)、梅毒及丙肝(HCV)的感染情况,为干预策略的制定提供依据。方法 2012年在黔南州性病门诊男性就诊者、暗娼、吸毒人群、孕产妇中进行血清抗HIV、梅毒、抗HCV检测和艾滋病相关知识知晓情况调查。结果合计检测4类人群2 416人,HIV抗体阳性率为0.70%,梅毒抗体阳率为2.32%,抗-HCV阳性率为12.79%。HIV抗体阳性率、梅毒阳性率、抗HCV阳性率,性病门诊男性就诊者的分别为0.25%、2.70%、0.49%;暗娼人群的分别为0.50%、0.62%、0.37%;孕产妇的分别为0.00%、0.25%、0.00%;吸毒人群的分别为1.49%、4.84%、37.72%。艾滋病知识知晓率,性病门诊男性就诊者的为26.80%;暗娼人群的为37.66%;孕产妇的为38.46%;吸毒人群的为38.46%。暗娼人群最近1个月发生商业性行为时每次都用安全套的占52.74%。接受过安全套宣传和发放/艾滋病咨询与检测干预服务的比例,暗娼人群为85.41%,性病门诊男性就诊者为25.55%,吸毒人群为59.93%,吸毒人群最近1个月共用注射器的比例为9.43%。结论黔南州吸毒、暗娼、性病门诊男性就诊者的HIV、梅毒及HCV的感染率较高,且艾滋病知识知晓率较低。
Objective To understand the prevalence of male HIV / AIDS, syphilis and hepatitis C (HCV) among STD clinics, commercial sex workers, drug addicts and pregnant women in Qiannan Buyi and Miao Autonomous Prefecture, and provide basis for the formulation of intervention strategies. Methods In 2012, we investigated the knowledge of serum anti-HIV, syphilis, anti-HCV and AIDS-related knowledge among male patients, sex workers, drug addicts and pregnant women in Qiannan STD clinic. Results Totally 2 416 people in 4 groups were tested, the positive rate of HIV antibody was 0.70%, the positive rate of syphilis antibody was 2.32% and the positive rate of anti-HCV was 12.79%. HIV positive rate, positive rate of syphilis, anti-HCV positive rate, STD clinics were 0.25%, 2.70%, 0.49% respectively; FSW population were 0.50%, 0.62%, 0.37% 0.00%, 0.25%, 0.00%; drug users were 1.49%, 4.84%, 37.72% respectively. AIDS awareness rate, 26.80% of STD clinics; 37.66% of FSWs; 38.46% of pregnant women; and 38.46% of drug users. The total number of FSWs who use condoms in their commercial activities in the recent month is 52.74%. The proportion of female sex workers who received condom promotion and distribution / AIDS counseling and testing intervention services was 85.41%, 25.55% of male STD clinic attendants and 59.93% of drug addicts, and 9.43% of drug users shared syringes in the last month. . Conclusions In Qiannan Prefecture, male, female sex workers and STD clinics have a higher infection rate of HIV, syphilis and HCV among HIV-infected men and women, and AIDS awareness is lower.