CAJ | 학술논문

目的：探讨我市艾滋病的流行趋势和流行因素，为制定艾滋病的防治策略和干预措施提供科学依据。方法：按照全国高危人群哨点监测统一方案的要求，我市在辖区内针对吸毒者(DUS)、男男性行为者（MSM）、暗娼（FSW）者开展哨点监测工作。监测工作由经过统一培训的调查员使用标准化调查问卷对调查对象进行询问，并为其采集静脉血进行血清抗HIV、抗HCV及梅毒检测。结果：近1年，我市有商业性行为并坚持使用安全套的人数占17.7%，有89.1%的人群在近1年内接受过安全套的宣传与发放/艾滋病咨询检测。结论：男男性行为者的HIV抗体阳性检出率最高，其次是吸毒者。目前，商业性行为和注射毒品仍是我市HIV传播的主要途径，工作人员要对该类人群继续加大艾滋病的监测力度、健康教育及干预强度。
목적：탐토아시애자병적류행추세화류행인소，위제정애자병적방치책략화간예조시제공과학의거。방법：안조전국고위인군초점감측통일방안적요구，아시재할구내침대흡독자(DUS)、남남성행위자（MSM）、암창（FSW）자개전초점감측공작。감측공작유경과통일배훈적조사원사용표준화조사문권대조사대상진행순문，병위기채집정맥혈진행혈청항HIV、항HCV급매독검측。결과：근1년，아시유상업성행위병견지사용안전투적인수점17.7%，유89.1%적인군재근1년내접수과안전투적선전여발방/애자병자순검측。결론：남남성행위자적HIV항체양성검출솔최고，기차시흡독자。목전，상업성행위화주사독품잉시아시HIV전파적주요도경，공작인원요대해류인군계속가대애자병적감측력도、건강교육급간예강도。
Objective Providing scientific basis by recognizing the awareness of the HIV/AIDS related knowledge and behaviors as well as the prevalence of HIV/syphilis/HCV among DUS, MSM and FSW and analyzing the HIV/AIDS epidemic trend and popular factors in a group of specialty sources, to make strategies of controlling, preventing and intervening AIDS. Methods In Dazhou city, by the request the Standard Guidelines for Sentinel Surveillance of China, sentinel surveillance works have been carried out targeted to DUS, MSM and FSW. Result last year, 17.7% of whom have sustained on use condoms while having commercial-oriented sex and 89.1% have accepted condom education/AIDS counseling and testing. Conclusion In conclusion, the HIV positive rate of MSM is the highest, followed by DUS. Sex contact and drug injection are still the major resources in Dazhou city. AIDS surveillance should be intensified and health education as well as intervention should be further strengthened for the above three types of people.