论文部分内容阅读
目的了解柳州市嫖客人群艾滋病(AIDS)相关行为与艾滋病病毒(HIV)感染状况。方法 2012年4-7月,对市区部分嫖客进行调查,分析AIDS知识知晓率、性行为、吸毒行为、既往HIV检测情况,以及HIV、梅毒和丙型肝炎病毒(HCV)感染状况。结果调查的400名嫖客中,AIDS知识知晓率为51.00%,最近一年与暗娼发生商业性性行为中坚持使用安全套的比例为45.83%,最近一年与固定性伴发生性行为时每次都使用安全套的比例仅为1.25%,既往接受HIV检测并知道检测结果的比例为4.75%。HIV阳性率为2.25%(9/400),梅毒阳性率为8.00%(32/400),HCV阳性率为8.00%(32/400)。危险因素分析显示,嫖客中HCV的感染与注射吸毒史有关(P=0.000),嫖客中HIV的感染与安全套使用呈负相关(P=0.007)。结论市区嫖客人群AIDS相关危险行为暴露风险较大,亟须进一步探讨社区嫖客流行病学调查和有效行为干预方法。
Objective To understand AIDS related behaviors and HIV status among clients in Liuzhou city. Methods From April to July 2012, some clients in the urban area were surveyed to analyze AIDS awareness, sexual behavior, drug use behavior, previous HIV testing status, and HIV, syphilis and hepatitis C virus (HCV) infection status. Results Among the 400 clients surveyed, the awareness rate of AIDS was 51.00%. In the latest year, 45.83% of them insisted on using condoms in commercial sex with commercial sex workers. In the most recent year, they had sex with fixed partners each time The ratio of condom use was only 1.25%, with previous HIV testing and 4.75% knowledge of the test results. The positive rate of HIV was 2.25% (9/400), the positive rate of syphilis was 8.00% (32/400), and the positive rate of HCV was 8.00% (32/400). Risk factors analysis showed that HCV infection among clients was related to the history of drug abuse (P = 0.000). HIV infection among clients was negatively correlated with condom use (P = 0.007). Conclusions There is a high risk of AIDS-related risk behaviors among the clients in the urban areas. Therefore, it is urgent to further investigate the epidemiological investigation and effective behavioral interventions of the clients in the community.