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江苏省2006年-2008年艾滋病高危人群哨点监测报告 预览 被引量:43

HIV sentinel surveillance for high risk population from 2006 to 2008 in Jiangsu province
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摘要 目的:监测江苏省艾滋病病毒(HIV)感染流行趋势,为制定艾滋病防治规划和开展有效干预提供科学依据。方法:采用连续抽样调查的方法对性病门诊就诊者(STD)、暗娼(FSW)、吸毒者(DUS)及男男性接触者(MSM)等高危人群进行监测。结果:6044例DUS中有1524例共用注射器吸毒,共针率为25.22%。高危人群安全套使用率为28.00%。其中较高的为FSW人群,每次使用率为86.56%;最低的为STD人群,每次使用率为7.56%。每次使用率在不同高危人群间存在着非常显著的差异(χ2=11522.06,P〈0.01)。HIV抗体阳性率0.34%;其中最高的为MSM人群,最低的为FSW人群,各高危人群间存在着非常显著差异(χ2=687.27,P〈0.01);梅毒抗体阳性率5.73%,其中最高的为MSM人群,最低的为FSW人群,各高危人群间亦存在着非常显著差异(χ2=177.74,P〈0.01)。DUS和MSM人群做了丙肝抗体检测,MSM中未检出,而DUS者中阳性率高达41.78%,非常显著地高于MSM人群(χ2=172.73,P〈0.01)。结论:江苏省MSM人群HIV感染率最高,且该人群无保护肛交行为十分普遍,提示该人群艾滋病防控工作应是重点。本省对FSW人群进行了长期、有效的行为干预,使该人群HIV抗体阳性率目前仍处于较低水平。全省艾滋病的流行呈平缓上升趋势,但诸多传播因素仍然存在,必须进行有效的行为干预。 Objective: To monitor the epidemic trend of HIV infection in Jiangsu province and provide accurate information for AIDS prevention and control. Methods: Cross-sectional sentinel surveys have been conducted repeatedly in STD climc attendees, remale sex workers (FSW) ,drug users(DUS) and men who have sex with men (MSM). Results: among the 6044 drug users, needle sharing was reported among 1524(25. 22%) drug users, condom use was reported among 28% of high risk population, with the highest for female sex workers(86.56 %), the lowest for STD clinic attendees(7.56 %). Statistically significant differences with respect to condom were observed among different high risk populations(χ2= 11 522. 06, P〈0. 01). HIV and syphilis antibody positive rate were 0. 34% and 5.73% respectively, with the highest for the MSM population, the lowest for the FSWs, statistically significant differences with respect to HIV and syphilis infection were both observed among different high risk populations (HIV: 22 = 687. 27,P〈0. 01;syphilis: 22= 177.74,P%0. 01). A greater percentage of DUS (41.78%) than MSM (0%) had HCV infection (22 = 172. 73, P〈0.01). Conclusion: the highest HIV infection rate was observed among MSM population in Jiangsu Province, and unprotected anal intercourse is widespread, it suggest that the MSM should be the focus of AIDS prevention and control work. HW antibody positive rate among FSW populations is still at a lower level with long-term and effective behavior intervention. The AIDS epidemic was increasing gently, with many risk factors involved in high risk population, more comprehensive measures are urgently needed to prevent and control HIV further transmission in Jiangsu province.
作者 李雷 还锡萍 徐金水 徐晓琴 羊海涛 LI Lei,HUAN Xi ping,XU Jin shui,XU Xiao-qin,YANG Hai tao (Jiangsu Province Center for Disease Prevention and Control, Nanjing 210009, China)
出处 《江苏预防医学》 CAS 2010年第2期 1-3,共3页 Jiangsu Journal of Preventive Medicine
基金 江苏省科技厅基金资助(BS2006078)
关键词 艾滋病 高危人群 哨点监测 HIV阳性率 AIDS high risk group sentinel surveillance HIV positive rate
作者简介 李雷(1975-),男,江苏南京人,主管医师。
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