2010年陕西省高危人群艾滋病哨点监测分析

目的了解陕西省各类高危人群中艾滋病病毒(HIV)感染流行趋势和相关行为变化信息,为艾滋病综合防治和干预提供依据。方法按照国家监测方案要求,对吸毒者、男男性行为者、暗娼和性病门诊男性就诊者等高危人群进行问卷调查和HIV抗体检测。结果 2010年陕西省4类高危人群共监测10 305例,检出HIV抗体阳性63例。1/3的吸毒哨点检出HIV抗体阳性,HIV抗体阳性率为0.3%;男男性行为者哨点HIV抗体阳性率为8.8%;暗娼和性病门诊男性就诊者人群哨点HIV抗体阳性率均为0.0%。吸毒人群和暗娼每次性行为都使用安全套的比例分别为8.2%和59.4%,男男性行为者肛交时每次都用安全套的比例为45.5%。结论多种HIV传播的危险因素并存,陕西省HIV感染仍呈蔓延扩散之势,应进一步加大健康教育和有效干预措施的力度及覆盖面。

Analysis of HIV/AIDS sentinel surveillance among high risk population in Shanxi in 2010

Objective]To understand the HIV/AIDS related epidemic situation and behaviors characteristics among high-risk population in Shaanxi Province,and provide evidence for comprehensive HIV prevention responses and evaluation of intervention.Methods]According to the national HIV/AIDS Sentinel Surveillance Project,4 groups of high-risk population,including drug users(DUS),men who have sex with men(MSM),female sex workers(FSW),men of STD clinic attendees,were interviewed with questionnaire and were screened for HIV antibody.Results]Among 10305 subjects surveyed in 2010 of 4 high-risk populations,63 cases were HIV antibody positive.HIV antibody positive were found in 1/3 sentinel sites of drug users,the positive rate of the group was 0.3%.The positive rate of MSM was 8.8%.The positive rate of FSW was 0.0%.The positive rate of men of STD was 0.0%.The proportions of consistently using condom in DUS and FSW were 8.2% and 59.4%.The proportion of consistently using condom during anal sex among MSM was 45.5%.Conclusion]There are many risk factors involved in the spread of HIV,HIV infection is spreading among high-risk populations in Shaanxi Province.It is necessary to reinforce health education and behavioral intervention among high-risk population.