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目的了解蒙自市城市男性建筑工人艾滋病知识、行为和感染现状,为制定该人群的艾滋病预防控制策略提供科学依据。方法选取2011年蒙自市示范区项目对400例城市男性建筑工人开展的监测结果进行分析。结果调查对象中最近一年与女性性工作者发生性交易的比例为11.5%,与临时性伴发生性行为的比例为6.3%,与固定性伴、临时性伴、小姐最近一次使用安全套的比例分别为16.9%、44%、67.4%;HIV感染率1%,梅毒阳性率0.25%。结论城市男性建筑工人处在性活跃期,是性传播艾滋病的重点人群,虽然艾滋病知晓率比较高,但存在嫖娼率高、安全套使用率低等高危性行为。应针对该人群的艾滋病知识薄弱环节、存在行为与知识不统一情况进行健康教育,强化推广安全套的使用,减少高危性行为,降低艾滋病的传播与流行。
Objective To understand the AIDS knowledge, behavior and infection status of male construction workers in the city of Mengzi, and to provide a scientific basis for formulating AIDS prevention and control strategies for this population. Methods The project of the demonstration area of Mengzi City in 2011 was selected to analyze the monitoring results of 400 male urban construction workers. Results The proportion of sexual encounters with female sex workers in the survey year was 11.5% and that of temporary sexual partners was 6.3%. The proportion of condom users who had regular sexual partners with regular partners, temporary partners and missters Respectively, 16.9%, 44%, 67.4%; HIV infection rate of 1%, the positive rate of syphilis 0.25%. Conclusions The male urban construction workers are in the active stage of sexual activity, which is the key population of sexually transmitted AIDS. Although AIDS awareness is relatively high, there are high-risk behaviors such as high rates of prostitution and low condom use. Aiming at the weaknesses of HIV / AIDS in this population, there should be health education on the non-uniform behavior and knowledge, the promotion of the use of condoms, the reduction of high-risk sexual behaviors and the reduction of the spread and spread of AIDS.