2010年上海市金山区流动人口艾滋病监测报告

目的了解上海市金山区流动人口艾滋病(AIDS)相关知识、态度、行为,以及艾滋病病毒(HIV)、梅毒和丙型肝炎病毒(HCV)感染的情况,为有效防治AIDS提供依据。方法在整群随机抽取的企业中,采用连续抽样法选取男性流动工人,开展问卷调查和血清学检测。结果 405名调查对象的AIDS相关知识知晓率为62.22%,且随着"文化程度"或"获取AIDS信息的来源数"的升高而升高(P均<0.001)。愿意与感染HIV的工友共事者的知识知晓率(78.79%)显著高于"不愿意"者(58.22%)和"不知道"者(35.42%)(P<0.001)。最近一年,人群安全套每次使用率13.16%,接受过AIDS服务水平低于10.00%。HCV抗体检出阳性1份,HIV和梅毒抗体均阴性。结论调查人群AIDS相关知识知晓率、安全套使用率、接受AIDS服务水平均较低,歧视现象较普遍,需继续深入开展有效干预防治工作,提高其AIDS防治知识水平和安全套使用率,减少危险行为和歧视现象。

Report of AIDS surveillance among migrant workers in Jinshan district of Shanghai in 2010

Objective To investigate the status of AIDS-related knowledge,attitude,practice and infections of human immunodeficiency virus(HIV),syphilis and hepatitis C virus(HCV) among migrant workers in Jinshan district of Shanghai,and to provide evidence for effective HIV/AIDS related prevention and intervention.Methods Migrant male workers were selected from an enterprise with stratified sampling method,and a survey was conducted with standardized questionnaires,while venous blood specimens were collected.Results Among the selected 405 migrant workers the awareness of AIDS-related knowledge accounted for 62.22%,increasing with their education backgrounds and the number of sources of AIDS information(both P<0.001).The awareness of AIDS-related knowledge was significantly different among the workers who took different attitudes to the question whether they were willing to work with the HIV-infected coworkers,the awareness rate among the workers who answered "yes" was significantly higher than among those who answered "no" or "no idea"(78.79% vs 58.22% vs 35.42%,P<0.001).In the past year,the rates of consistent condom use and receiving AIDS-related services were 13.36% and below 10.00%.respectively.The laboratory tests found HCV antibody positive in 1 specimen and found no HIV antibody or syphilis positive specimens.Conclusion Among the target population,the awareness of AIDS-related knowledge,the rate of condom use and receiving AIDS-related services are all at a relatively low level,while the discrimination against AIDS patients is rather common.It is necessary to take more effective prevention and interventions,to improve the awareness of AIDS related knowledge and condom use,and also to reduce risk behavior and discrimination against HIV/AIDS.