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[西藏自治区女性性工作者及其他6类高危人群艾滋病病毒感染、梅毒和丙型肝炎流行状况的流行病学调查]

[Epidemiological survey of prevalence of HIV infection, syphilis and hepatitis C in female sex workers and other 6 risk populations in Tibet Autonomous Region].

作者信息

Lu S, Cui Y, Guo W, Li D M, Sun J

机构信息

Tibet Autonomous Region Center for Diseases Control and Prevention, Lhasa 850000, China.

National HIV Surveillance Team, National Center for AIDS/STD Control and Prevention, Chinese Center for Disease Control and Prevention, Beijing 102206, China.

出版信息

Zhonghua Liu Xing Bing Xue Za Zhi. 2017 Jul 10;38(7):921-925. doi: 10.3760/cma.j.issn.0254-6450.2017.07.015.

DOI:10.3760/cma.j.issn.0254-6450.2017.07.015
PMID:28738467
Abstract

To understand the prevalence of HIV infection, syphilis and hepatitis C and related behavioral factors in female sex workers (FSWs) and other 6 risk populations in Tibet Autonomous Region. A cross-sectional survey was conducted among 2 000 FSWs, 200 men who have sex with men (MSM), 200 drug users, 1 200 male migrants, 5 600 young students, as well as hospital patients and pregnant women in Lhasa, Qamdo, Nyingchi, Xigaze Shannan, Ali and Nagqum from June to December 2015. Face to face interviews were conducted to collect their demographic and behavioral information, and blood samples were collected for the tests of HIV, syphilis and hepatitis C virus (HCV) antibodies. The enumeration data were described by using rate and constituent. A total of 20 597 participants were involved in cross-sectional survey. The positive rates of HIV and syphilis antibodies were 5.81(124/2 133) and 0.05 (1/2 133) respectively among FSWs. The positive rates of HIV and syphilis antibodies were the same (9.80,10/102) among MSM. There were no HIV infection detected in among drug users, male migrants and young students, but the positive rates of syphilis antibody were 4.00(4/100), 0.33(4/1 297) and 0.08(4/5 095) respectively. The positive rates of HIV and syphilis antibodies were 0.04(2/5 565) and 1.64(91/5 565) among hospital patients. The positive rates of HIV and syphilis antibodies were 0.11(7/6 305) and 1.19(75/6 305)among pregnant women. The positive rates of HCV antibody were 1.00 (1/100) among drug users and less than 0.50 in other risk populations. The overall consistent condom use rate was low. In Tibet, HIV infection mainly occurred in the MSM, syphilis mainly occurred in FSWs and MSM, HCV infection mainly occurred in drug users. The AIDS related knowledge awareness rate was low in these risk populations, and less of them received intervention service.

摘要

了解西藏自治区女性性工作者及其他6类高危人群中艾滋病病毒(HIV)感染、梅毒和丙型肝炎的流行情况及相关行为因素。于2015年6月至12月在拉萨、昌都、林芝、日喀则、山南、阿里和那曲对2000名女性性工作者、200名男男性行为者(MSM)、200名吸毒者、1200名男性流动人口、5600名青年学生以及医院患者和孕妇进行了横断面调查。通过面对面访谈收集其人口学和行为学信息,并采集血样检测HIV、梅毒和丙型肝炎病毒(HCV)抗体。计数资料采用率和构成比描述。共有20597名参与者纳入横断面调查。女性性工作者中HIV抗体和梅毒抗体阳性率分别为5.81(124/2133)和0.05(1/2133)。男男性行为者中HIV抗体和梅毒抗体阳性率相同(9.80,10/102)。吸毒者、男性流动人口和青年学生中未检测到HIV感染,但梅毒抗体阳性率分别为4.00(4/100)、0.33(4/1297)和0.08(4/5095)。医院患者中HIV抗体和梅毒抗体阳性率分别为0.04(2/5565)和1.64(91/5565)。孕妇中HIV抗体和梅毒抗体阳性率分别为0.11(7/6305)和1.19(75/6305)。吸毒者中HCV抗体阳性率为1.00(1/100),其他高危人群中低于0.50。全程正确使用避孕套率较低。在西藏,HIV感染主要发生在男男性行为者中,梅毒主要发生在女性性工作者和男男性行为者中,HCV感染主要发生在吸毒者中。这些高危人群中艾滋病相关知识知晓率较低且较少接受干预服务。

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