2012年福州市艾滋病哨点监测数据分析

目的了解福州市高危人群性行为、艾滋病（AIDs）知识知晓与艾滋病病毒（HIV）、梅毒螺旋体、丙肝病毒（HCV）感染状况，为决策部门评估防治工作效果及制定防治策略措施提供科学依据。方法对2012年4～6月福州市监测点暗娼、吸毒者、男男性行为耆、性病门诊男性就诊者、孕产妇、流动人群和男性长途运输司乘人员血清学检测和AIDS相关知识知晓情况调查资料进行分析。结果合计检测7类人群2797人，HIV抗体阳性率为1.57％，梅毒抗体阳性率为3．54％，抗HCV阳性率为6．33％。其中，暗娼梅毒抗体阳性率、抗-HCV阳性率分别为1．58％、0．23％；吸毒者HIV抗体阳性率、梅毒抗体阳性率、抗-HCV阳性率分别为0．23％、7．22％、38．83％；男男性行为人群HIV抗体阳性率、梅毒抗体阳性率、抗-HCV阳性率分别为12．79％、10．10％、0．67％；性病就诊者HIV抗体阳性率、梅毒抗体阳性率分别为1．25％、6．25％；孕产妇构毒抗体阳性率、抗-HCV阳性率分别为1．25％、0．25％；男性长途运输司乘人员抗-HCV阳性率为0．25％。AIDS知识知晓率，暗娼为90．32％，男男性行为人群为86．53％，吸毒人群为52．60％，男性性病就诊者为56．75％，孕产妇为61．00％，流动人口为84．39％，男性长途运输司乘人群为61．79％。安全套使用比例，暗娼人群最近1个月发生商业性行为时每次都用的占52．25％；吸毒者最近1年与商业性伴发生性行为时每次都用的为32．88％；男男性行为者最近6个月与同性发生过肛交时每次都用的占45．38％；男性长途汽车司乘人员最近1年与小姐（暗娼）发生过性行为时每次都用的占17．65％。结论福州市对高危人群的艾滋病综合干预工作已经取得效果，对吸毒人群、男性性病就诊者和男性长途运输司乘人员的的艾滋病性病宣传干预措施有待加强。

Analysis on Data of HIV/AIDS Sentinel Surveillance, Fuzhou City, 2012

Objective To understand the high risk sexual behavior, AIDS related knowledge, HIV and trephonema pallidum and HCV infection status in Fuzhou city,so as to provide scientific basis for evaluating the effectiveness of HIV prevention and development of control strategies. Methods During April June in 2012,monitoring stations in Fuzhou city including sex workers, drug users, MSMs, male STD outpatients, maternal, floating population and male long-distance transportation drivers,the seven populations＇ serological test were made and HIV/AIDS related knowledge about the survey data for analysis. Results In a total of 2 797 people,the positive rate of HIV antibody was 1.57% ,syphilis antibody positive rate was 3.54% ,the positive rate of anti HCV was 6.33%. Among the seven populations,sex workers＇ syphilis antibody positive rate was 1.58 %;, anti HCV positive rate was 0.23 % ;Drug users positive rate of anti HIV, syphilis anti- body and anti-HCV were 0.23 %, 7.22 % ,and 38.83 % respectively; MSM positive rate of anti-HIV, syphilis antibody and anti-HCV was 12.79%, 10. 10%, and 0.67%; Male STD outpatients＇ positive rate of anti-HIV, syphilis antibody was 1.25% .6.25% ;The positive rate of maternal syphilis antibody and anti HCV was 1.25% and 0.25% ;Male long-distance transportation drivers anti-HCV positive rate was 0.25%. Awareness of knowledge about HIV/AIDS, sex worker was 90.32%,MSM was 86.53% ,dr%g user was 52.60% ,male STD outpatient population was 56.75%,the maternal popula- tion was 61.00%, floating population was 84. 39 %,long-distant transport drivers population was 61.79%. Proportion of condom use, sex workers commel＇cial behavior in recent one month every time use accounted for 52.25 % ;Drug users in re- cent one year with commercial sex every time use was 32.88% ;MSM in recent six months had anal sex with every time use accounted for 45.38% ;Male long-distance transport drivers in recent one year having sex with CSWs every time use accounted for 17.65%. Conclusion The comprehensive intervention for the high-risk population has been effective in Fuzhou city,but the publicity intervention measures should be strengthened for drug users, male STD patients, and long- distance transportation drivers.