中华预防医学杂志
中華預防醫學雜誌
중화예방의학잡지
CHINESE JOURNAL OF
2008年
12期
862-865
,共4页
郭浩岩%段松%庞琳%项丽芬%叶润华%杨跃诚%陆继云%罗巍%曹卫华%邢彦%卢小鹏%孙江平
郭浩巖%段鬆%龐琳%項麗芬%葉潤華%楊躍誠%陸繼雲%囉巍%曹衛華%邢彥%盧小鵬%孫江平
곽호암%단송%방림%항려분%협윤화%양약성%륙계운%라외%조위화%형언%로소붕%손강평
获得性免疫缺陷综合征%性传播疾病%疾病暴发流行%危险因素
穫得性免疫缺陷綜閤徵%性傳播疾病%疾病暴髮流行%危險因素
획득성면역결함종합정%성전파질병%질병폭발류행%위험인소
Acquired immunodeficiency syndrome%Sexually transmitted diseases%Disease outbreaks%Risk factors
目的 了解云南省德宏州艾滋病经性途径传播现况,并分析其影响因素.方法 分析云南省德宏州2005-2007年艾滋病病例报告数据、2003-2007年吸毒和暗娼人群监测数据等资料,并于2007年10月26日-11月7日开展专项调查,对暗娼、嫖客、感染者及其配偶、关键知情人等共计685人进行定性访谈,了解艾滋病经性途径传播的影响因素.结果 2007年1月1日-9月20日报告的1636例艾滋病病毒(HIV)感染者(患者)中,经性传播的比例占52%.586例经性传播感染的人群中,40.6%有商业性性行为,28.6%有婚外非商业性性行为,安全套使用率均低于30%.2003-2007年暗娼哨点监测结果显示,娱乐场所暗娼HIV阳性检出率为3.3%～5.5%,最近1个月与客人的安全套使用率为29.4%～84.4%,但与固定性伴的安全套使用率仅为9.5%～34.8%.暗娼艾滋病相关知识知晓率为95.0%,但在部分预防知识上仍存在误区.结论 目前性传播已成为德宏州艾滋病传播的重要传播途径之一,卖淫、嫖娼、姘居、多性伴、随意性行为等现象普遍存在以及安全套使用率低等是导致德宏州艾滋病经性途经传播的重要原因.
目的 瞭解雲南省德宏州艾滋病經性途徑傳播現況,併分析其影響因素.方法 分析雲南省德宏州2005-2007年艾滋病病例報告數據、2003-2007年吸毒和暗娼人群鑑測數據等資料,併于2007年10月26日-11月7日開展專項調查,對暗娼、嫖客、感染者及其配偶、關鍵知情人等共計685人進行定性訪談,瞭解艾滋病經性途徑傳播的影響因素.結果 2007年1月1日-9月20日報告的1636例艾滋病病毒(HIV)感染者(患者)中,經性傳播的比例佔52%.586例經性傳播感染的人群中,40.6%有商業性性行為,28.6%有婚外非商業性性行為,安全套使用率均低于30%.2003-2007年暗娼哨點鑑測結果顯示,娛樂場所暗娼HIV暘性檢齣率為3.3%～5.5%,最近1箇月與客人的安全套使用率為29.4%～84.4%,但與固定性伴的安全套使用率僅為9.5%～34.8%.暗娼艾滋病相關知識知曉率為95.0%,但在部分預防知識上仍存在誤區.結論 目前性傳播已成為德宏州艾滋病傳播的重要傳播途徑之一,賣淫、嫖娼、姘居、多性伴、隨意性行為等現象普遍存在以及安全套使用率低等是導緻德宏州艾滋病經性途經傳播的重要原因.
목적 료해운남성덕굉주애자병경성도경전파현황,병분석기영향인소.방법 분석운남성덕굉주2005-2007년애자병병례보고수거、2003-2007년흡독화암창인군감측수거등자료,병우2007년10월26일-11월7일개전전항조사,대암창、표객、감염자급기배우、관건지정인등공계685인진행정성방담,료해애자병경성도경전파적영향인소.결과 2007년1월1일-9월20일보고적1636례애자병병독(HIV)감염자(환자)중,경성전파적비례점52%.586례경성전파감염적인군중,40.6%유상업성성행위,28.6%유혼외비상업성성행위,안전투사용솔균저우30%.2003-2007년암창초점감측결과현시,오악장소암창HIV양성검출솔위3.3%～5.5%,최근1개월여객인적안전투사용솔위29.4%～84.4%,단여고정성반적안전투사용솔부위9.5%～34.8%.암창애자병상관지식지효솔위95.0%,단재부분예방지식상잉존재오구.결론 목전성전파이성위덕굉주애자병전파적중요전파도경지일,매음、표창、평거、다성반、수의성행위등현상보편존재이급안전투사용솔저등시도치덕굉주애자병경성도경전파적중요원인.
Objective To investigate the current situation of the sexual transmission of HIV in Dehong prefecture,analyze the influential factors,and provide support for drafting pertinent preventive interventions in the future.Methods We had analyzed the data of case report from 2005 to 2007,and the prostitutes surveillance data from 2003 to 2007.A special survey was conducted from October 26 to November 7,2007.Totally 685 people including prostitutes,the clients of prostitutes,people who were HIV positive and their partners,key insiders were interviewed in order to better understand the influential factors related to sexual transmission of HIV.Results Among 1636 cases reported from January 1 to September 20,2007,52%were infected through sexual transmission.Among 586 cases infected throush sexual transmission,40.6%had commercial sexual behavior and 28.6%had unmarried sexual behavior.And the average rate of condom use wag below 30%.The prostitutes' surveillance data from 2003 to 2007 showed that the HIV positive rate in prostitutes was 3.3%-5.5%.The rate of condom use in the last month was 29.4%-84.4%during commercial sexual activity,but it was 9.5%-34.8%with fixed sexual partners.Although the rate of HIV and AIDS-related knowledge among prostitutes was 95.0%,there were still many misunderstanding regarding certain aspects of HIV and AIDS awareness.Conclusion Sexual transmission has become one of the main transmission mutes of HIV in Dehong prefecture.The main factors involved in the sexual transmission of HIV in Dehong prefecture might include the widespreading of sexual services,cohabitation among unmarried couples,having multiple partners,casual sexual behavior,and the low rate of condom use.
