云南省2013年暗娼梅毒感染情况及相关因素分析

发布时间：2018-03-05 11:26

  本文选题：暗娼人群　切入点：梅毒　出处：《中国公共卫生》2017年05期 　论文类型：期刊论文

【摘要】：目的了解云南省暗娼梅毒感染状况及影响因素。方法 2013年4—6月采用普查和社区概率抽样法对云南省16个州(市)118个县(区)暗娼哨点进行横断面调查,共25 574人,收集人口学、艾滋病知晓率及高危行为等信息。结果有371例感染梅毒(感染率为1.5%),阳性组艾滋病知识知晓率为94.07%(349/371),阴性组知晓率为98.02%(24 703/25 203),差异有统计学意义(χ~2=28.47,P=0.000);阴性组暗娼最近1次与客人发生性行为时安全套的使用率和最近1个月与客人坚持使用安全套的比例均高于阳性组(χ~2=17.28、73.89,均P=0.000);阳性组的吸毒、注射和共用针具比例均高于阴性组(χ~2=72.38、9.45、5.02,P=0.000、0.020、0.025);低、中档场所、外省、初中及以下文化、年龄≥20岁、吸毒和不知晓艾滋病知识为梅毒感染的危险因素,最近1个月与客人坚持使用安全套为梅毒感染的保护因素。结论需加强暗娼的干预工作,对梅毒阳性暗娼及时进行规范治疗,降低该人群的梅毒感染率,阻断二代传播和减少传播他人的风险。
[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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