大连口岸出入境人员HIV监测及高危性行为统计分析

目的了解大连口岸出入境人员的艾滋病病毒感染情况和高危性行为,为有效开展艾滋病监测和防止传播提供科学依据。方法对2010—2013年大连口岸出入境人员的艾滋病监测资料和流行病学调查结果进行分类统计、对比分析。结果 2010—2013年共进行艾滋病监测体检150 232人,检出艾滋病病毒抗体阳性24例,主要是未婚或离异的青壮年男性。其中62.50%的人有婚前性行为;33.33%的人有多个性伙伴;25.00%的人承认有冶游史;12.50%的人是同性传播;8.33%的人采取过安全措施;4.16%的人正在接受正规治疗;95.84%的人为首次检出。不同职业、不同年龄段和不同性别艾滋病检出率有统计学意义(P0.01或P0.05)。结论身处异乡的职业性质和高危性行为是出入境人员感染艾滋病的主要原因,应加强对出入境人员的卫生知识宣传和教育,提高其自我防范意识,进而制定相应的干预措施。

Analysis on surveillance results of HIV infection and high-risk sexual behavior among entry-exit population at Dalian port

Objective To understand the situation of HIV infection in high-risk sexual behavior, and to provide a scientific basis for effective monitoring and preventing the spread of AIDS among entry-exit personnel at Dalian port. Methods The HIV infectious surveillance data and epidemiologieal results of entry-exit personnel at Dalian port were analyzed statistically from 2010 to 2013. Results From 2010 to 2013, a total of 150 232 AIDS medical monitoring people were detected, 24 cases with HIV-positive were found, who were mainly unmarried or divorced young men. In which, 62.50% of people had premarital sex; 33.33% of people with multiple sexual partners; 25.00% of people admitted MCC history tour; 12.50% of people were homosexual transmission; 8.33% of people took use of security measures; 4.16% of people were receiving regular treatment; 95.84% of people were detected for the first time. There were significant difference in occupations, ages and genders （P 〈 0.01 or P 〈 0.05）. Conclusion The main reason of HIV infection are occupations and high-risk sexual behaviors of entry-exit personnel. It is important to strengthen HIV surveillance. We should increase publicity and education on health knowledge of the class of people to improve their self--awareness, and thus develop appropriate interventions.