摘要
目的了解江油市2007-2010年实施以社区为基础的艾滋病综合干预、治疗、关怀项目,评估控制艾滋病项目实施效果。方法通过访谈、观察、调查问卷等定性资料,评估项目对政策的影响;通过对目标人群中行为和生物学监测等定量资料,了解项目实施后有关人群艾滋防治知识的变化及行为改变等。结果艾滋病项目实施后注射吸毒人群HIV流行率从20.01%下降到1.85%,共用注射器的比例由2007年67.71%下降到2010年9.49%;暗娼人群对艾滋病预防知识知晓率由63.9%上升到96.04%,暗娼人群最近1年接受过HIV检测比例为80.12%,最近1次使用安全套的比例由87.80%上升到91.50%,最近1月使用安全套的比例由37.3%上升到62.01%;接受规范性病艾滋病(STI)服务性病正确诊断与有效治疗指标由58.90%上升到82.05%,预防性服务指标由46%上升到95.5%,综合的性病病例管理30.87%上升到82.05%;全市建立检测咨询点2个、咨询点17个,22个医疗机构中已将术前、产前等HIV检测做为常规检测项目;接受抗病毒治疗12个月后仍存活的艾滋病患者比例达91%。结论江油市实施艾滋病项目后,静脉注射吸毒、暗娼等高危人群的行为发生了改变,降低了艾滋病病毒感染的危险性;扩大了HIV检测咨询的范围和深度,艾滋病得到了遏制。
Objective To assess the community-based comprehensive-measure AIDS projects in Jiangyou city.Methods By methods of interviews,observations and questionnaires,the impact of projects on policy,changes of awareness on HIV/AIDS and related behavior were appraised.Results After the implementation of AIDS project among injection drug users,the HIV infection rate dropped from 20.1%to 1.85%;needle sharing rate dropped from 67.71%to 9.49%.Awareness rate of AIDS prevention among illicit female sex workers（IFSW）increased from 63.9%to 96.04%;rate of IFSWs underwent HIV testing was 80.12%;condom using rate rose from 87.80% up to 91.50%in the last sex trade and 1 month condom use rate ascended from 37.3% to 62.01%;acceptance rates of the standard STI services,STD diagnosis and effective treatment rose from 58.90% up to 82.05%;preventive service indicators rose from 46% to 95.5%;integrated case management rate of STDs rose from 30.87%to 82.05%.Two counseling and testing sites,17counseling sites were established in the period;totally 22medical institutions established antenatal HIV testing as a routine.The proportion of HIV survivors treated with 12month of antiviral therapy was 91%.Conclusion The implementation of HIV/AIDS projects in Jiangyou city is effective from 2007to 2010.
出处
《预防医学情报杂志》
CAS
2014年第3期223-227,共5页
Journal of Preventive Medicine Information
关键词
艾滋病
目标人群
评估
HIV/AIDS
target population
assessment
