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目的了解黄冈市娱乐场所从业人员HIV、丙肝和梅毒感染现状,探讨娱乐场所人群艾滋病防控行为认知干预效果。方法采用横断面调查方法对被调查对象进行HIV、HCV和梅毒血清学监测,对从业人员进行行为学调查,对培训前后从业人员艾滋病认知率的变化频数进行统计学分析。结果 21家娱乐场所共594名女性从业人员中,梅毒阳性5例,阳性率为0.84%,40名男性从业人员梅毒未能检出;女性HCV抗体阳性3例,阳性率为0.51%,男性HCV抗体阳性1例,阳性率为2.5%;全部被调查者HIV抗体均为阴性。培训干预前从业人员艾滋病认知率为55.04%,培训后其认知率提高至62.05%(P<0.01),其中,“性接触传播”、“经血液传播”和“HIV感染初期无症状,外表看不出”培训后认知率与培训前比较,差异有统计学意义(P<0.01)。结论娱乐场所女性从业人员是梅毒和丙肝感染的高危险人群,对这一场所职业人群开展培训干预可明显提高其对预防艾滋病的认知能力。
Objective To understand the prevalence of HIV, hepatitis C and syphilis infection among entertainment workers in entertainment venues in Huanggang City, and to explore the effect of cognitive intervention on HIV / AIDS prevention and control behaviors in entertainment venues. Methods The cross-sectional survey method was used to monitor the serological status of HIV, HCV and syphilis in the investigated subjects. The behavioral investigation was conducted on the practitioners, and the frequency of changes of AIDS awareness among employees before and after training was statistically analyzed. Results Among 594 female employees in 21 entertainment venues, 5 were positive for syphilis, the positive rate was 0.84%. The syphilis was not detected in 40 male employees. The positive rate of HCV antibody in 3 women was 0.51% 1 antibody positive, the positive rate was 2.5%; all respondents were negative for HIV antibodies. The awareness rate of HIV / AIDS among trainees before training was 55.04%, and after training, the awareness rate of AIDS was 62.05% (P <0.01), among which “sexual contact transmission”, “blood transfusion” and “HIV” Asymptomatic early infection, the appearance can not see "after training, the cognitive rate compared with before training, the difference was statistically significant (P <0.01). Conclusion Female employees in entertainment venues are at high risk of syphilis and hepatitis C infection. Training and intervention in occupational groups in this place can obviously improve their cognitive abilities to prevent AIDS.