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目的了解青田籍入境华侨人群艾滋病防治的知信行情况及HIV、梅毒、HCV感染率,为进一步对该人群开展健康教育和行为干预提供理论依据。方法 2011年-2013年采用随机抽样的方法对入境人群进行问卷调查和血清学检测。结果 3 432人接受艾滋病知信行调查,知晓率为81.90%,不同文化程度的知晓率差异具有统计学意义(P<0.001)。安全套使用情况:与配偶或同居者最近一次性行为使用安全套的占16.94%;最近一年与暗娼发生性行为,从未使用安全套的占13.16%;与非商业性临时性伴发生性行为,从未使用安全套的占3.92%;3 425人接受血清学检验,HIV抗体、HCV抗体和梅毒抗体阳性率分别为0.06%、0.09%和0.50%。结论青田籍入境华侨人群HIV抗体阳性率高于浙江一般人群水平,导致艾滋病等性传播疾病流行的危险因素仍然存在,在该人群中开展有针对性的宣传教育和行为干预至关重要。
Objective To understand the status of HIV / AIDS, syphilis and HCV infection in overseas Chinese population of Qingtian nationality and provide a theoretical basis for further health education and behavioral intervention in this population. Methods From 2011 to 2013, questionnaires and serological tests were performed on the immigrants using a random sampling method. Results A total of 3 432 people were interviewed by AIDS-related knowledge-based HIV / AIDS clinics. The awareness rate was 81.90%. There was a statistically significant difference (P <0.001) in awareness of different education levels. Condom use: 16.94% of condoms were used in the last sexual activity with spouse or cohabitee; 13.16% of sex workers had sex with sex workers in recent years; and sexual activity with non-commercial adolescent partners 3.92% did not use condoms; and 3 425 people were serologically tested. The positive rates of HIV antibody, HCV antibody and syphilis antibody were 0.06%, 0.09% and 0.50% respectively. Conclusions The positive rate of HIV antibodies among overseas residents of Qingtian nationality is higher than that of the general population in Zhejiang province. As a result, risk factors such as HIV / AIDS and other sexually transmitted diseases still exist. It is very important to conduct targeted publicity, education and behavior intervention in this population.