Zhang Xiao-fei, Liu Xue-zhen, Tao Xiao-run, Huang Tao, Su Sheng-li, You Xiang-dong, Qian Yue-sheng, Fu Ji-hua, Wang Ning
School of Public Health, South-East University, Nanjing 210009, China.
Zhonghua Liu Xing Bing Xue Za Zhi. 2005 May;26(5):314-6.
To understand the current epidemic situation and high risk factors of human immunodeficiency virus (HIV) infection among paid blood donors living in Shandong provincial China Comprehensive Response (CARES) Project Areas.
All residents between 20 to 60 years old were selected from one or several counties in August 2003.
There were 19 HIV(+) infections among 661 subjects interviewed. HIV prevalence rate among paid blood donors was higher (3.98%) than that of others (0.48%) while HIV prevalence rate was higher in plasma donors (7.24%) than that in both plasma and full blood donors (2.90%). There was no infections identified in full blood donors. Donors who donated blood during 1994 - 1995 had a higher prevalence rate (7.07%) than those who started donation after 1995 and those began donation before 1993 (0.99%). The rate of condom use was lower among paid blood donors (13.72%) than that of others. There was a lower rate of voluntary HIV testing among paid blood donors than that of others.
The main high risk population of HIV infection were paid donors in CARES Project Areas, whose risk factor was plasma donation and were infected mainly before 1995. Both the rate of condom use and HIV testing were all very low, indicating that they knew little on HIV/AIDS and paid less attention to self-proctection. It is necessary to enhance HIV/AIDS health education and behavior intervention on paid blood donors.
了解中国山东省综合防治艾滋病项目(CARES)地区有偿献血者中人类免疫缺陷病毒(HIV)感染的现状及高危因素。
2003年8月从一个或几个县选取所有20至60岁的居民。
在接受访谈的661名对象中,有19人HIV检测呈阳性。有偿献血者中的HIV感染率(3.98%)高于其他人群(0.48%),单采血浆献血者中的HIV感染率(7.24%)高于既献单采血浆又献全血的献血者(2.90%)。全血献血者中未发现感染。1994 - 1995年期间献血的人感染率较高(7.07%),高于1995年以后开始献血的人和1993年以前开始献血的人(0.99%)。有偿献血者中使用避孕套的比例(13.72%)低于其他人群。有偿献血者中自愿进行HIV检测的比例低于其他人群。
CARES项目地区HIV感染的主要高危人群是有偿献血者,其高危因素是单采血浆,主要感染时间在1995年以前。避孕套使用率和HIV检测率都很低,表明他们对HIV/AIDS了解甚少,自我保护意识淡薄。有必要加强对有偿献血者的HIV/AIDS健康教育和行为干预。