云南省某矿区工人性行为和艾滋病病毒/性传播感染状况的调查

目的 了解云南省某地矿工艾滋病病毒/性传播感染（HIV/STIs）相关知识、态度、行为及其感染状况和影响因素.方法 2005年1月在云南省个旧市进行了由13名社区顾问委员会成员和12名矿工班组长参加的2个专题小组讨论;在个旧市2个矿区,用整群抽样方法招募矿工233名进行匿名问卷调查,并采血样进行HIV/STIs检测.结果 矿工艾滋病相关知识贫乏,三种传播途径的正确回答率为54.4%（92/169）,日常生活是否传播艾滋病的正确回答率为7.7%（13/169）.自我报告嫖娼的比例为9.0%.HIV和淋病感染率均为0.4%,衣原体感染率为8.2%.衣原体感染与文化程度（P=0.0347）和婚姻状况（P=0.032）有统计学联系.结论 矿工HIV/STIs预防意识差,安全套使用率低,是今后控制HIV的重点人群.

Study on sexual behavior and HIV/ STIs among miners in Yunnan province

Objective This paper aims to describe human immunodeficiency virus/sexual transmitted infections(HIV/STIs) related knowledge, attitudes, practice and the prevalence of HIV/STIs amongst miners. Methods Two focus-group related discussions with a total number of 13 members including Community Advisory Boards(CAB) and 12 miners were conducted in a mining township in Yunnan province. Questionnaire surveys and HIV/STIs tests were conducted among 233 miners recruited by cluster sampling in two towns where the mines were located. Results The average age of respondents was 28 year old with 82.8% of them younger than 35 year old. 95.3% of the respondents attended the education level of junior middle school. AIDS related knowledge among miners was low. The percentage of right answers to the routes of transmission was only 54.4%. The ratio of self-reported prostitutes visits was 9.0%. The prevalence rates of Neisseria gonrrhoeae, HIV and Chlamydia trachomatis were 0.4%, 0.4%and 8.2% respectively. The correlation between Chlamydia trachomatis infection and education( P= 0.0347) was significant, and so was that between Chlamydia trachomatis infection and marriage status( P= 0.032). Conclusion This study showed that the awareness of HIV/STIs prevention was limited and the rate of condom use was low, suggesting that miners needed to be viewed as a key population in HIV/STIs prevention and control.