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目的探索适合新疆特点的艾滋病单阳配偶干预方式,减少家庭内经性途径的感染风险。方法选择依从性较好的艾滋病病毒(HIV)感染者阴性配偶开展为期1年的综合干预,分别在基线与终期进行问卷调查,同时每季度1次进行采血检测。结果新疆单阳配偶HIV年阳转率为2.17%(8/368),每季度阳转人数有逐步下降趋势;艾滋病知晓率由干预前的87.9%(471/536)上升为91.0%(405/445);最近1年安全套每次使用率由干预前的65.5%(311/475)上升为81.8%(324/396);最近1次安全套使用率由干预前的80.6%(382/474)上升为90.7%(359/396);最近1年未发生醉酒后性行为比例由干预前的18.8%(89/474)下降为12.4%(49/396);最近1年吸毒后性行为比例由干预前的11.4%(54/475)下降为7.1%(28/396);最近1年接受卫生工作者宣传教育、定期从卫生工作者处获取安全套以及接受艾滋病检测的比例均有明显上升。结论在新疆针对单阳配偶进行综合干预效果明显。
Objective To explore the intervention mode of HIV positive single spouse that is suitable for Xinjiang and to reduce the infection risk of sexual route in the family. Methods A one-year comprehensive intervention was conducted among the negative spouses of HIV-infected persons with good compliance. The questionnaires were conducted at the baseline and the end of the study. Blood samples were collected on a quarterly basis. Results The positive rate of HIV positive in single positive males in Xinjiang was 2.17% (8/368), and the number of positive males in each quarter decreased gradually. The awareness of HIV / AIDS increased from 87.9% (471/536) before intervention to 91.0% (405 / 445). The average condom use rate increased from 65.5% (311/475) before intervention to 81.8% (324/396) during the recent one year. The rate of condom use in the last condom increased from 80.6% (382/474) before intervention Was 90.7% (359/396). The proportion of non-drunk sexual behaviors in the recent one year decreased from 18.8% (89/474) before intervention to 12.4% (49/396) The former 11.4% (54/475) dropped to 7.1% (28/396). In the recent one year, there was a marked increase in the number of public health education workers receiving condoms and receiving HIV tests on a regular basis from health workers. Conclusion The comprehensive intervention for single male spouse in Xinjiang is obvious.