摘要
目的了解2008-2011年凭祥市长途卡车司机艾滋病知识、行为特征及其人类免疫缺陷病毒(HIV)、梅毒的感染率变化趋势,为艾滋病综合防治和科学干预提供信息和依据。方法根据《国家级HIV综合监测点监测方案》,2008—2011年每年4～5月在凭祥市浦寨边境贸易城的停车场采用"滚雪球、同伴推动"等方法,对长途卡车司机进行面对面的问卷调查,并采集血样5mL进行HIV、梅毒抗体检测。结果 2008—2011年,连续4年共调查1 600名长途卡车司机。检出HIV抗体阳性2例,阳性率为0.13%。梅毒阳性28例,感染率为1.75%,梅毒感染率各年差异无统计学意义(χ2=6.11,P=0.109);其答对6条以上艾滋病知识知晓率有逐年上升的趋势,差异有统计学意义(P<0.01);最近1年发生商业性行为的比例,差异有统计学意义(P<0.01);最近1年商业性行为每次坚持使用安全套的比例,差异无统计学意义(P>0.05)。结论 HIV感染率总体水平低,但高危行为状况不容乐观,需要不断开展综合干预,降低无保护商业性行为的发生,从而达到控制艾滋病流行的目。
Objective To understand the awareness of HIV, related behavior and infection rates of HIV and syphilis among long-distance truck drivers in Pingxiang during 2008 to 2011. Methods According to Comprehensive National HIV Surveillance Program, snowball sampling and peer introduction sampling were used to recruit long-distance truck drivers from parking lots in Puzhai Border Trade Zone during April to May every year. Faceto-face questionnaire-based survey was conducted; 5 mL blood sample from every subject were used to test the HIV and syphilis. Results One thousand and six hurndred long-distance truck drivers were surveyed from 2008 to 2011. Two of them were HIV-positive （HIV infection rate was 0.13% ）, and 28 of them were syphilis-positive （syphilis infection rate was 1.75 %）. There no significant difference among the prevalence of syphilis in different year（x^2 = 6.11 ,P=0. 109）. The rates of answered correctly more than 5 items increased year by year （P〈0.01）, but the proportions of insist using condom in commercial sex last year were not different significantly （P〉0.05）. Conclusion HIV prevalence was low, but the rate of high risk sex behavior was high. The comprehensive intervention should been conducted for reducing the unprotected sex in control and prevention of HIV/AIDS.
基金
第二轮中央重点建设的全国艾滋病综合防治示范区项目
关键词
HIV
危险行为
长途卡车司机
HIV
Dangerous behavior
Long-distance truck drivers
