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目的:了解连云港市外来婚嫁妇女艾滋病毒(HIV)感染状况,为制订艾滋病(AIDS)预防控制政策和措施提供科学依据。方法:对1990年以来迁入连云港市现常住本地的7423名农村妇女进行入户面对面调查,并采集静脉血检测HIV抗体。结果:连云港市农村外来婚嫁妇女主要来自云南、贵州和四川等地,占80.66%,迁入时间主要集中在1996~2005年,占57.59%,现主要居住于连云港市4个县的89个乡镇,HIV感染率为0.13%,感染者中,原籍云南的占80.00%,并发现2例配偶HIV抗体阳性,性传播率为25.00%(2/8),子女中2例HIV抗体阳性(均为<18月婴幼儿)。结论:连云港市农村外来婚嫁妇女中存在着一定的HIV感染流行,并造成配偶和母婴间传播。应加强该类人群的HIV综合监测工作,对已发现的感染者做好定期的随访和管理工作,提供必要的医学指导,以最大限度地控制AIDS在一般人群中进一步蔓延。
Objective: To understand the status of HIV infection among immigrant women in Lianyungang and to provide a scientific basis for formulating AIDS prevention and control policies and measures. Methods: 7423 rural women who moved to the present residence in Lianyungang since 1990 were interviewed face to face and venous blood samples were collected to detect HIV antibody. Results: The migrant women in rural areas in Lianyungang came mainly from Yunnan, Guizhou and Sichuan, accounting for 80.66% of the total. The immigrants mainly concentrated in the period from 1996 to 2005, accounting for 57.59% of the total. They now mainly live in 89 townships in 4 counties of Lianyungang , HIV infection rate was 0.13%. Among the infected persons, 80.00% were from Yunnan originating from Yunnan province. Two HIV-positive couples were found to have HIV antibody positive rate, the rate of sexual transmission was 25.00% (2/8), and 2 HIV antibody positive children <18 months infants and young children). Conclusion: There is a certain prevalence of HIV infection among foreign married women in the rural areas of Lianyungang City and the spouse and mother to child transmission. The HIV comprehensive surveillance of these people should be strengthened, regular follow-up and management of those who have been infected should be provided, and the necessary medical guidance should be provided so as to control the spread of AIDS to the general population to the maximum extent.