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目的了解中越边境地区-宁明县静脉吸毒、暗娼、孕(产)妇三类人群艾滋病知识水平、相关行为特征及艾滋病病毒感染情况,为今后艾滋病防治工作提供科学依据。方法根据全国哨点监测实施方案的要求,对三类人群进行问卷调查和血清艾滋病病毒、梅毒、丙型肝炎病毒检测。结果 2011-2013年共监测静脉吸毒者944人,艾滋病病毒阳性率10.49%,梅毒阳性率17.27%,丙型肝炎病毒阳性率71.4%,艾滋病知晓率88.03%,47.67%曾共用注射器吸毒,42.58%最近1次商业性行为不使用安全套。共监测暗娼1 202人,艾滋病病毒阳性率1.58%,梅毒阳性率9.48%,丙型肝炎病毒阳性率2.7%,87.02%最近一次与固定性伴性行为不使用安全套,最近一次商业性行为使用安全套率中国籍95.49%高于越南籍78.26%,差异有统计学意义,艾滋病知晓率中国籍98.56%高于越南籍86.57%,差异有统计学意义。共监测孕(产)妇1 200人,艾滋病病毒阳性率0.5%,梅毒阳性率0.83%,HCV丙型肝炎病毒阳性率0.25%,艾滋病知识知晓率75.83%。结论宁明县静脉吸毒和暗娼人群艾滋病性病感染率高,高危行为普遍,应加强对其行为干预,特别是注重越南籍暗娼干预,同时应开展阻断母婴传播,控制艾滋病的流行蔓延。
Objective To understand the level of HIV / AIDS, related behavioral characteristics and HIV infection among three groups of drug addicts, female sex workers, pregnant women and pregnant women in Ningming County, China border region, and provide a scientific basis for future AIDS prevention and control. Methods According to the requirements of the national sentinel surveillance program, three groups of people were surveyed and tested for serum HIV, syphilis and hepatitis C virus. Results A total of 944 intravenous drug users were monitored during 2011-2013. The positive rate of HIV was 10.49%, the positive rate of syphilis was 17.27%, the positive rate of hepatitis C was 71.4%, the rate of AIDS was 88.03% and 47.67% The last commercial sex does not use condoms. A total of 1,220 female sex workers were monitored, HIV positive rate was 1.58%, syphilis positive rate was 9.48%, hepatitis C virus positive rate was 2.7%, 87.02%. The most recent condom use was not associated with fixed sexual partners. The most recent condom use was commercial sex The rate of 95.49% Chinese was higher than that of Vietnam 78.26%. The difference was statistically significant. The awareness rate of HIV / AIDS among Chinese was 98.56% higher than that of Vietnam 86.57%, the difference was statistically significant. A total of 1 200 pregnant and lactating women were monitored. The positive rate of HIV was 0.5%, the positive rate of syphilis was 0.83%, the positive rate of HCV and hepatitis C was 0.25% and that of AIDS was 75.83%. Conclusions In Ningming County, the rate of HIV / AIDS infection and high risk behaviors among intravenous drug users and FSWs are generally high. Intervention should be strengthened especially with the intervention of female sex workers in Vietnam. At the same time, HIV / AIDS should be stopped and the spread of HIV / AIDS controlled.