热带病与寄生虫学

热带病与寄生虫学 ›› 2014, Vol. 12 ›› Issue (4): 204-208.doi: 10.3969/j.issn.1672-2302.2014.04.006

• 论著 • 上一篇    下一篇

合肥市2010~2013年青年学生艾滋病哨点监测结果分析

孙静   

  1. 230061 合肥市， 合肥市疾病预防控制中心
  • 出版日期:2014-12-10 发布日期:2015-01-27

Sentinel surveillance in HIV/AIDS in adolescents in Hefei City from 2010 to 2013

Sun Jing   

  1. Hefei Center for Disease Control and Prevention, Hefei 230061, China
  • Online:2014-12-10 Published:2015-01-27

被引次数

14

摘要： 目的  了解合肥市青年学生的艾滋病知识、行为及艾滋病、梅毒、丙肝感染情况，帮助制订艾滋病防治的相关措施。 方法  2010~2013年采用分阶段整群抽样，共抽取合肥市青年学生3 244人，经过知情同意后，开展匿名问卷调查并进行HIV、丙型肝炎病毒和梅毒等3项血清学检测。 结果  2010~2013年青年学生艾滋病相关知识总知晓率分别为81.8%、86.1%、82.6%和85.7%，在8个相关问题中以“蚊虫叮咬会传播艾滋病吗”知晓率最低。全部被调查对象中，过去一年有过性行为的人数占7.84%，四年中“首次性行为使用安全套比例”均低于40%，在固定性伴、临时性伴及商业性伴中最近1年 “每次性行为使用安全套比例 ”均低于50％ 。最近1年做过艾滋病检测的比例为2.7％。接受、参与艾滋病宣传服务率和自愿检测HIV 抗体比例偏低；四年来青年学生HIV 和梅毒抗体检测阳性均为1例(0.03%)，HCV 抗体阳性7例，阳性率为0.2％。 结论  合肥市2010~2013 年青年学生艾滋病相关知识知晓情况总体尚好，但有个别知识点知晓率较低，部分学生有不安全的性行为，且对艾滋病自我防护意识薄弱。今后需进一步加强青年学生群体中艾滋病相关防治知识的教育、培训及宣传工作，同时应扩大高危行为干预及艾滋病检测的覆盖面。  

关键词: 艾滋病, 哨点监测, 青年学生

Abstract:

Objective  To investigate the HIV/AIDS-related knowledge, risk behavior and infective status of HIV, hepatitis C virus(HCV)and syphilis among adolescents in Hefei, Anhui Province, China, for effective policies for prevention and control of HIV/AIDS. Methods  By using multi-stage cluster sampling method, we conducted a survey on a total of 3244 adolescents living in Hefei area from 2010 to 2013 by self-response to anonymous questionnaire after obtaining the informed consent. Additional serological tests for HIV, HCV and syphilis were performed. Results  The correct response to HIV/AIDS-related knowledge was 81.8%, 86.1%, 82.6% and 85.7% in different age group. Awareness on "Whether mosquito bite will transmit HIV or not" ranked lowest in the 8 related questions. Of the total responders, 7.84% had sexual behavior in the past year. No more than 40% had ever used condom in their first sexual intercourse in our surveillance in four years, and lower than 50% insisted on using condoms in the last year in each sexual intercourse with either regular sexual partner, temporary sex partner or commercial sex partner. Only 2.7% had received HIV test in the past year, and generally, much fewer of the adolescents had ever received education on HIV/AIDS-related knowledge or voluntarily participated in spreading of HIV/AIDS-related knowledge. The serological finding revealed one case was positive to syphilis(0.03%) and 7, positive to HCV(0.2%) in the past years. Conclusion   Overall, the adolescents in Hefei area have a better knowledge on HIV/AIDS, yet they are poor in some individual awareness, and some of them have risk sexual behaviors and poor awareness on self-protection on HIV infection. More strength shall be laid on education, training and propaganda of this knowledge in this population group besides intervention with the high-risk behavior and wider coverage on HIV tests.

Key words: HIV, Sentinel surveillance, Adolescents