兰州市2010年-2012年青年学生艾滋病哨点监测分析

目的：了解近年来兰州市青年学生艾滋病流行状况和相关危险因素,分析青年学生艾滋病流行趋势,为制定干预措施提供依据.方法：2010-2012年,按照国家监测方案要求,对兰州市某高校大学生进行问卷调查,并采集静脉血进行HIV、梅毒、HCV抗体检测.结果：2010-2012年,每年监测800名、共计2400名青年学生,其中有性行为111人,占4.6％,首次性行为安全套的使用率为25.1％,艾滋病知识的知晓率为87.6％.检测HIV抗体、梅毒抗体均为阴性,检出HCV抗体阳性者4例,阳性率0.17％.结论：大学生对艾滋病认知尚可,但存在危险性行为,应加强大学生艾滋病健康教育宣传,培养正确的性观念和健康的生活方式,提高对青年学生的免费HIV咨询检测和干预服务覆盖面.

Analysis of AIDS Sentinel Surveillance Among Young Students in Lanzhou, 2010-2012

Objective： The objective of this paper was to investigate the AIDS epidemics and risk factoros among the young students in Lanzhou and the analysis of AIDS prevalence used to provide the evidence for establishment of intervention measures. Methods：During 2010-2012, in the accordance with the requirement of national intervention scheme, the students fi＇om one of the universities in Lanzhou were stratified random sampling. A questionnaire survey was carried out in this catchment population for HIV/ AIDS surveillance. The methodology, in addition, allows collection of venous blood for serum-based HIV testing, syphilis testing and HCV antibody testing. Results：800 young students were examined evely year between 2010 and 2012. Among 2400 students in total, 111 students had sex, counting for 4.6% of the total participants and those who used condom during the first sex took 25.1% of the 2400 students. The knowledge rate of HIV/AIDS was approximately 87.6%（2102 of 2400）. Besides, only 4 participants （0.17%）were detected HCV antibody positive and both HIV antibody and syphilis antibody were negative among the whole populace. Conclusion：The undergraduates have a good understanding of HIV/AIDS to some extent, but they noticeably have risky sexual behaviors. Therefore, AIDS related heahh education should be strengthened to develop the right sex values and health behaviors, and improve the free HIV counseling and testing especially for young students and intervention service coverage.