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目的了解龙岩市流动人群AIDS防治知识知晓情况及AIDS疫情现状,为制定防治策略提供依据。方法采用整群抽样法对在部分厂矿企业就职的非龙岩户籍务工人员进行问卷调查并采血检测HIV、HCV和梅毒抗体。结果共调查1 628人,采集血样1 626份。调查对象已婚或同居占85.2%,20~45岁占82.4%,初中文化占67.9%。2010—2013年AIDS防治知识知晓率逐年上升,但总知晓率不高(75.5%);无论与固定还是临时性伴发生性行为时安全套的使用率均不高;血清未检出HIV抗体阳性,检出梅毒阳性13例(0.8%),HCV抗体阳性8例(0.5%)。结论建议在流动人群流出和流入地共同开展健康教育,实施有效的干预措施,减少AIDS在流动人群中的流行和蔓延。
Objective To understand the status of AIDS prevention and treatment in mobile population in Longyan City and the status quo of AIDS epidemic in order to provide basis for prevention and treatment strategies. Methods A cluster sampling method was used to survey non-Longyan migrant workers who were employed in some factories and mines and to collect blood for detecting HIV, HCV and syphilis antibody. A total of 1 628 people were investigated, and 1 626 blood samples were collected. The surveyed subjects were 85.2% married or living together, 82.4% aged 20-45, and 67.9% junior high school. The awareness rate of AIDS prevention and control among 2010-2013 increased year by year, but the total awareness rate was low (75.5%). The rate of condom use was not high in both sexes with or without sexual intercourse. HIV was not detected in serum, Thirteen cases (0.8%) were positive for syphilis, and eight were positive for HCV (0.5%). Conclusions It is suggested that health education be carried out jointly with outflow and inflow of floating population and effective intervention should be implemented to reduce the prevalence and spread of AIDS among floating population.