贵港市2012—2015年不同地区暗娼HIV/梅毒感染及其影响因素
|
摘要
目的调查贵港市不同地区暗娼人群艾滋病病毒(human immunodeficiency virus,HIV)/梅毒感染现况,并分析其影响因素,为制定针对贵港市不同地区HIV/梅毒感染的防制措施提供参考依据。方法参照《全国艾滋病哨点监测实施方案操作手册》,对贵港市2012—2015年3个地区哨点所监测的暗娼人群进行问卷调查和HIV、梅毒抗体的血清学检测。结果共调查监测4 266名暗娼人员,平均年龄为(34.74±8.56)岁,主要以汉族为主(79.04%),在婚或同居者居多(76.37%),小学及以下文化程度所占比例较大(55.27%),以服务于低档场所为主(50.21%)。该调查人群流动性较低,本次在本地工作时间>1年者占60.09%。HIV总感染率为1.55%,其中贵港市辖区、桂平市、平南县3个地区的HIV感染率分别为1.31%、2.63%、1.06%,差异有统计学意义(P<0.05)。梅毒总感染率为10.01%,且呈逐年下降的线性趋势(χ~2_(趋势)=43.42,P<0.001),三个地区梅毒感染率分别为7.38%、21.76%、4.81%,差异有统计学意义(P<0.05)。多因素分析结果显示,吸毒、本次在本地工作时间>1年是HIV感染的危险因素,居住于桂平市、较低档场所服务、年龄大、在婚/同居均是梅毒感染的危险因素。结论贵港市三个地区暗娼HIV/梅毒感染率较高,参考HIV和梅毒感染的影响因素,因地制宜地针对不同人群采取干预措施和长期有效宣传对防控HIV/梅毒感染非常重要。
Objective To investigate the prevalence of HIV/syphilis infection and its influencing factors among female sex workers(FSWs) in different regions of Guigang City, so as to provide the references for formulating the HIV/syphilis prevention and control measures. Methods A questionnaire survey and serological tests for HIV/syphilis antibodies were performed according to The Manual of National AIDS Sentinel Surveillance Implementation Plan among FSWs in three regions of Guigang City from 2012 to 2015. Results A total of 4 266 FSWs were recruited from urban areas of Guigang City, Guiping County and Pingnan County, the average age of them was(34.74±8.56)years, and 79.04% were of the Han nationality, 76.37% were in marriage/cohabitation, 55.27% were of primary school educational level or below, 50.21% worked in low-level service place, and 60.09% worked in the local more than one year at this time. The overall prevalence of HIV infection was 1.55%, and in the three regions, the prevalence rates of HIV infection were 1.31%, 2.63% and 1.06% respectively(P<0.05), and the overall prevalence of syphilis in Guigang City were 10.01%, and in the three regions, the prevalence rates of syphilis were 7.38%,21.76% and 4.81% respectively(P<0.05). Between 2012 and 2015, there was a statistically significant decrease in syphilis prevalence in Guigang City(linear trend χ~2_(2012 – 2015)=43.42, P<0.001). The multivariate logistic regression analysis showed that taking drugs and the period of working in local >1 year were risk factors for HIV infection. The risk factors for syphilis were the residence in Guiping County, working in low-level service place, high age, and marriage/cohabitation. Conclusions The prevalence of HIV/syphilis is high among the three study regions of Guigang City. The targeted intervention measures and long-term effective health education for different populations should be taken to prevent and control HIV/syphilis infection.
Objective To investigate the prevalence of HIV/syphilis infection and its influencing factors among female sex workers(FSWs) in different regions of Guigang City, so as to provide the references for formulating the HIV/syphilis prevention and control measures. Methods A questionnaire survey and serological tests for HIV/syphilis antibodies were performed according to The Manual of National AIDS Sentinel Surveillance Implementation Plan among FSWs in three regions of Guigang City from 2012 to 2015. Results A total of 4 266 FSWs were recruited from urban areas of Guigang City, Guiping County and Pingnan County, the average age of them was(34.74±8.56)years, and 79.04% were of the Han nationality, 76.37% were in marriage/cohabitation, 55.27% were of primary school educational level or below, 50.21% worked in low-level service place, and 60.09% worked in the local more than one year at this time. The overall prevalence of HIV infection was 1.55%, and in the three regions, the prevalence rates of HIV infection were 1.31%, 2.63% and 1.06% respectively(P<0.05), and the overall prevalence of syphilis in Guigang City were 10.01%, and in the three regions, the prevalence rates of syphilis were 7.38%,21.76% and 4.81% respectively(P<0.05). Between 2012 and 2015, there was a statistically significant decrease in syphilis prevalence in Guigang City(linear trend χ~2_(2012 – 2015)=43.42, P<0.001). The multivariate logistic regression analysis showed that taking drugs and the period of working in local >1 year were risk factors for HIV infection. The risk factors for syphilis were the residence in Guiping County, working in low-level service place, high age, and marriage/cohabitation. Conclusions The prevalence of HIV/syphilis is high among the three study regions of Guigang City. The targeted intervention measures and long-term effective health education for different populations should be taken to prevent and control HIV/syphilis infection.
引文
[1]Ministry of Health of the People’s Republic of China,UNAID.2012 China AIDS Response Progress Report[R].Beijing,2012.
[2]中国疾病预防控制中心性病艾滋病预防控制中心.广西老年嫖客HIV感染率上升[EB/OL].疫情监测,2016-12-05.
[3]葛琳,李东民,李培龙,等.2010-2015年中国艾滋病哨点监测人群HIV、梅毒和HCV感染状况分析[J].疾病监测,2017,32(2):111-117.
[4]曾小妹,莫少雄,郑钰,等.海南省2010—2015年孕产妇艾滋病哨点监测结果[J].中国热带医学,2018,18(3):249-251,288.
[5]方艳姣,豆正东,杨康生,等.2013—2015年芜湖市暗娼人群艾滋病哨点监测结果[J].职业与健康,2018,34(3):374-378.
[6]葛宪民,唐振柱,朱秋映,等.广西2010-2015年艾滋病流行特征及趋势分析[J].中国艾滋病性病,2017,23(1):40-43.
[7]刘勇鹰,林鹏,王晔,等.广东省不同地区吸毒者HIV相关危险行为的研究[J].中国艾滋病性病,2004,10(1):7-12.
[8]YU Y J,MCCARTY C,WANG B.Network and Individual Factors Associated with Drug Use among Female Sex Workers(FSWs)in Southern China:A Mixed-Method Approach[J].Subst Use Misuse,2018,53(11):1763-1770.
[9]罗涛.邵阳市暗娼人群无保护性性行为及相关危险因素调查[J].中国热带医学,2013,13(2):183-185,219.
[10]阎冬梅,张秀军.艾滋病病人的病耻感现状调查[J].中国艾滋病性病,2016,22(9):740-742.
[11]胡婷,常文辉,董丽芳,等.陕西省新发现经商业异性性行为感染HIV病例的回顾性研究[J].中国艾滋病性病,2017,23(1):83-84.
[12]罗雅凌,廖清华,成慧,等.400名暗娼艾滋病、梅毒、丙肝感染前瞻性队列研究[J].中华疾病控制杂志,2015,19(12):1244-1247.
[13]许海卫,王黎明,钟娜,等.琼海市暗娼人群性病/艾滋病综合干预效果分析[J].中国热带医学,2014,14(11):1386-1387,1406.
[14]王珏,马艳玲,张琬悦,等.云南2012—2015年低档暗娼性病艾滋病干预效果评价[J].中国热带医学,2016,16(11):1081-1084.
[15]覃雄林,朱刚劲,徐志良,等.贵港市艾滋病综合防治措施的效果评价[J].应用预防医学,2017,23(1):23-26.
[2]中国疾病预防控制中心性病艾滋病预防控制中心.广西老年嫖客HIV感染率上升[EB/OL].疫情监测,2016-12-05.
[3]葛琳,李东民,李培龙,等.2010-2015年中国艾滋病哨点监测人群HIV、梅毒和HCV感染状况分析[J].疾病监测,2017,32(2):111-117.
[4]曾小妹,莫少雄,郑钰,等.海南省2010—2015年孕产妇艾滋病哨点监测结果[J].中国热带医学,2018,18(3):249-251,288.
[5]方艳姣,豆正东,杨康生,等.2013—2015年芜湖市暗娼人群艾滋病哨点监测结果[J].职业与健康,2018,34(3):374-378.
[6]葛宪民,唐振柱,朱秋映,等.广西2010-2015年艾滋病流行特征及趋势分析[J].中国艾滋病性病,2017,23(1):40-43.
[7]刘勇鹰,林鹏,王晔,等.广东省不同地区吸毒者HIV相关危险行为的研究[J].中国艾滋病性病,2004,10(1):7-12.
[8]YU Y J,MCCARTY C,WANG B.Network and Individual Factors Associated with Drug Use among Female Sex Workers(FSWs)in Southern China:A Mixed-Method Approach[J].Subst Use Misuse,2018,53(11):1763-1770.
[9]罗涛.邵阳市暗娼人群无保护性性行为及相关危险因素调查[J].中国热带医学,2013,13(2):183-185,219.
[10]阎冬梅,张秀军.艾滋病病人的病耻感现状调查[J].中国艾滋病性病,2016,22(9):740-742.
[11]胡婷,常文辉,董丽芳,等.陕西省新发现经商业异性性行为感染HIV病例的回顾性研究[J].中国艾滋病性病,2017,23(1):83-84.
[12]罗雅凌,廖清华,成慧,等.400名暗娼艾滋病、梅毒、丙肝感染前瞻性队列研究[J].中华疾病控制杂志,2015,19(12):1244-1247.
[13]许海卫,王黎明,钟娜,等.琼海市暗娼人群性病/艾滋病综合干预效果分析[J].中国热带医学,2014,14(11):1386-1387,1406.
[14]王珏,马艳玲,张琬悦,等.云南2012—2015年低档暗娼性病艾滋病干预效果评价[J].中国热带医学,2016,16(11):1081-1084.
[15]覃雄林,朱刚劲,徐志良,等.贵港市艾滋病综合防治措施的效果评价[J].应用预防医学,2017,23(1):23-26.