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目的:了解武义县农村外来婚嫁女人群特征及HIV感染状况,探讨农村艾滋病控制措施。方法:调查1996年以来由外省籍迁入武义并与当地农村居民结婚的妇女,并采集静脉血样进行HIV抗体检测。结果:共调查HIV抗体检测外来婚嫁女1507人,年龄以21~30岁为主、占总调查人数的84.07%;小学以下文化程度的占76.24%;原户籍来自贵州、云南等艾滋病流行重点省份的占76.78%;在1 507人外来婚嫁女中,检出H IV抗体阳性5人,感染率0.33%。5例HIV抗体阳性的配偶中,检出2例HIV抗体阳性、感染率为40.00%。外来婚嫁女及配偶艾滋病报告发病数,已占武义县艾滋病累计报告发病数本地户籍中的24.14%。结论:外来婚嫁女是武义县农村地区艾滋病流行的重要危险因素,是艾滋病从高流行地区向低流行地区传播的桥梁人群之一,需加大监测力度,建立常规的农村外来婚嫁女健康教育与干预机制。
Objective: To understand the characteristics of migrant women in rural areas of Wuyi County and the status of HIV infection, and to explore the control measures of AIDS in rural areas. Methods: The women who moved into Wuyi from other provinces and marry local rural residents since 1996 were investigated and venous blood samples were collected for HIV antibody testing. Results: A total of 1507 migrant women were tested for HIV antibody, aged 21-30 years old, accounting for 84.07% of the total number of people surveyed; 76.24% of them were educated below primary school; the original household registration was from major AIDS epidemic provinces such as Guizhou and Yunnan Accounting for 76.78%. Among 1 507 foreign marriages, 5 were positive for H IV antibody and the infection rate was 0.33%. Of the 5 HIV-positive spouses, 2 were HIV-positive, with a prevalence of 40.00%. The number of HIV / AIDS cases reported by migrant women and spouses has accounted for 24.14% of the total number of reported cases of HIV / AIDS in Wuyi County. Conclusion: Migrant women are one of the most important risk factors for HIV / AIDS in rural areas of Wuyi County. It is one of the bridge populations of HIV / AIDS spreading from high endemic areas to low endemic areas. It is necessary to increase monitoring and establish routine rural female marriage health education and Intervention mechanism.