2009-2013年辽宁省外来务工人员艾滋病哨点监测结果分析

目的 通过对辽宁省5年外来务工人员艾滋病哨点监测结果分析,了解辽宁省务工人员艾滋病疫情状况和相关行为特征变化趋势。方法 依据2009-2013年《全国艾滋病哨点监测实施方案》要求,对辽宁省沈阳、大连和鞍山市外来务工人员进行问卷调查和血清学检测工作。结果 2009-2013年每年监测样本量为709、1210、1220、1200和1201份;艾滋病知识知晓率分别为73.8%、79.1%、83.7%、78.4%和80.7%;最近1年与小姐(暗娼)发生商业性行为安全套坚持使用率分别为31.4%、48.9%、49.3%、64.1%和78.8%,差异有统计学意义(2=31.813,P0.01),最近一次安全套使用率分别为65.7%、73.3%、73.9%、89.7%和88.8%,差异有统计学意义(2=21.477,P0.01);各年人类免疫缺陷病毒(艾滋病病毒,HIV)阳性率分别0、0、0.1%、0.1%、0.2%,梅毒阳性率分别为0、1.0%、0.6%、1.4%和1.2%,差异有统计学意义(2=12.516,P0.05),丙型肝炎病毒(HCV)阳性率分别为0.3%、1.2%、0.6%、1.1%和0.5%,差异无统计学意义(2=7.999,P0.05)。结论 辽宁省外来务工人员艾滋病知识知晓率、安全套使用率等指标有逐年上升趋势,商业性行为发生比例也在提高,应充分关注该人群AIDS及梅毒等相关疾病的综合防制工作,采取更为有效全面的健康促进措施。

Sentinel surveillance for AIDS in migrant workers in Liaoning, 2009-2013

Objective To understand the infection status of HIV and related behavioral characteristics among migrant workers in Liaoning province. Methods According to the requirement of national HIV sentinel surveillance implementation protocol, questionnaire surveys were conducted among the migrant workers in Shenyang, Dalian and Anshan in Liaoning province from 2009 to 2013; and blood samples were collected from them for serological detection. Results During this period, 709, 1210, 1220, 1200 and 1201 migrant workers were surveyed respectively. Among the migrant workers surveyed, the awareness rate of AIDS related knowledge was 73.8%,79.1%, 83.7%, 78.4% and 80.7% respectively, the consistent condom use rate at each commercial sex was 31.4%,48.9%,49.3%, 64.1% and 78.8% respectively, the differences were statistical significant (2=31.813,P0.01), However, the condom use rate at the latest commercial sex was 65.7%,73.3%,73.9%,89.7% and 88.8% respectively, the differences had statistical significance (2=21.477,P0.01);The HIV positive rate was 0%, 0%, 0.1%, 0.1%, 0.2% respectively, the differences had no statistical significance (P0.05) and the prevalence of syphilis was 0%,1.0%,0.6%,1.4% and 1.2% respectively, the differences had statistical significance (2=12.516,P0.05). The positive rate of HCV was 0.3%, 1.2%, 0.6%, 1.1% and 0.5% respectively, the differences had no statistical significance (2=7.999,P0.05). Conclusion The awareness of AID related knowledge and condom use practice had been improved in migrant workers in Liaoning, but commercial sex is more prevalent among them. Close attention should be paid to the comprehensive prevention of AIDS and syphilis in the migrant workers, and more effective and comprehensive health promotion measures should be taken.