云南省2013年暗娼梅毒感染情況及相關(guān)因素分析
發(fā)布時間:2018-03-05 11:26
本文選題:暗娼人群 切入點:梅毒 出處:《中國公共衛(wèi)生》2017年05期 論文類型:期刊論文
【摘要】:目的了解云南省暗娼梅毒感染狀況及影響因素。方法 2013年4—6月采用普查和社區(qū)概率抽樣法對云南省16個州(市)118個縣(區(qū))暗娼哨點進行橫斷面調(diào)查,共25 574人,收集人口學(xué)、艾滋病知曉率及高危行為等信息。結(jié)果有371例感染梅毒(感染率為1.5%),陽性組艾滋病知識知曉率為94.07%(349/371),陰性組知曉率為98.02%(24 703/25 203),差異有統(tǒng)計學(xué)意義(χ~2=28.47,P=0.000);陰性組暗娼最近1次與客人發(fā)生性行為時安全套的使用率和最近1個月與客人堅持使用安全套的比例均高于陽性組(χ~2=17.28、73.89,均P=0.000);陽性組的吸毒、注射和共用針具比例均高于陰性組(χ~2=72.38、9.45、5.02,P=0.000、0.020、0.025);低、中檔場所、外省、初中及以下文化、年齡≥20歲、吸毒和不知曉艾滋病知識為梅毒感染的危險因素,最近1個月與客人堅持使用安全套為梅毒感染的保護因素。結(jié)論需加強暗娼的干預(yù)工作,對梅毒陽性暗娼及時進行規(guī)范治療,降低該人群的梅毒感染率,阻斷二代傳播和減少傳播他人的風(fēng)險。
[Abstract]:Objective to understand the prevalence of syphilis among prostitutes in Yunnan Province and its influencing factors. Methods A cross-sectional survey was carried out on 118 counties (districts) of 16 counties (cities) in Yunnan Province from April to June in 2013 by means of general survey and community probability sampling, totally 25 574 persons were involved. Collecting demography, Results 371 cases were infected with syphilis (infection rate was 1.5%), positive group was 94.07% and negative group was 24 703/25 203%, the difference was statistically significant (蠂 2 + 2 + 28.47% P0. 000; negative group was 28. 47% P 0. 000). The rate of condom use during sexual intercourse with guests and the proportion of condom users who insisted on condom use in the last month were higher than those in the positive group (蠂 ~ 2 / 2 17.28 / 73.89, P = 0.000), while in the positive group, the rate of drug abuse was higher than that in the positive group (P < 0.05). The proportion of injection and sharing of needles was higher than that of negative group (蠂 2: 72.38 / 9.45 / 5.02P 0.000 / 0.020 / 0.025); low, middle class, provincial, junior middle school and lower education, age 鈮,
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