中国云南省矿区矿工中 HIV-1 和性传播感染的流行情况及危险因素。
HIV-1 and STIs prevalence and risk factors of miners in mining districts of Yunnan, China.
机构信息
National Center for AIDS/STD Control and Prevention, Beijing, China.
出版信息
J Acquir Immune Defic Syndr. 2010 Feb;53 Suppl 1(Suppl 1):S54-60. doi: 10.1097/QAI.0b013e3181c7d8d2.
OBJECTIVE
To assess HIV/sexually transmitted infection (STI) prevalence and associated risk factors among miners in Yunnan, China.
METHODS
A cross-sectional study was conducted among 1798 miners in 2 townships of Gejiu City, Yunnan, from March to May 2006. Standardized interviewer-administered questionnaires were completed and specimens collected for HIV/STI testing.
RESULTS
The prevalence of HIV, Chlamydia trachomatis, Neisseria gonorrhoeae, syphilis, herpes simplex virus-2, and any STIs among all miners was 0.7%, 4.8%, 0.8%, 1.8%, 9.6%, and 14.9%, respectively. One fifth of miners reported patronizing female sex workers (FSWs) at least once, and of these, 72% never used a condom with a FSW. Miners who visited FSWs had a higher prevalence of HIV (1.8% vs. 0.5%) and any STI (23.2% vs. 4.3%), including C. trachomatis (6.9% vs. 4.3%), N. gonorrhoeae (2.1% vs. 0.5%), and herpes simplex virus-2 (14.9% vs. 8.4%), and higher rates of illegal drug use compared with miners who visited no FSWs.
CONCLUSIONS
High prevalence of HIV/STIs among miners in Gejiu warrants special attention to this population, and vigorous interventions should address both sexual and drug use-related risk.
目的
评估中国云南矿工中 HIV/性传播感染（STI）的流行情况和相关危险因素。
方法
2006 年 3 月至 5 月，在云南省个旧市 2 个乡镇对 1798 名矿工进行了横断面研究。采用标准化的访谈式问卷调查，并采集标本进行 HIV/STI 检测。
结果
所有矿工的 HIV、沙眼衣原体、淋病奈瑟菌、梅毒、单纯疱疹病毒 2 及任何 STI 的流行率分别为 0.7%、4.8%、0.8%、1.8%、9.6%和 14.9%。五分之一的矿工至少光顾过 1 次性工作者（FSW），其中 72%与 FSW 发生性行为时从不使用安全套。光顾 FSW 的矿工 HIV 感染率（1.8%比 0.5%）和任何 STI（23.2%比 4.3%）包括沙眼衣原体（6.9%比 4.3%）、淋病奈瑟菌（2.1%比 0.5%）和单纯疱疹病毒 2（14.9%比 8.4%）的流行率更高，且非法药物使用率也高于未光顾 FSW 的矿工。
结论
个旧矿工 HIV/STI 的高流行率值得对这一人群给予特别关注，应针对性和药物使用相关的风险采取强化干预措施。
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