艾滋病对丽水市经济和社会的危害性研究及应对分析

发布时间：2019-01-05 20:59

【摘要】：目的：收集整理丽水市艾滋病相关的资料数据；估计当地疫情规模及发展趋势，全面评估艾滋病对一个地区经济的影响；提出适合当地的、可行的艾滋病防治应对措施。方法：通过信息收集、问卷调查、定性访谈等方法进行基线调查，估计当地艾滋病的疫情规模；用直接法、人力资本法分别估算艾滋病的直接和间接经济负担，估算艾滋病造成当地的经济损失大小；通过艾滋病形势分析、资源调用等方法，提出针对当地艾滋病疫情的应对措施。结果：目前丽水市虽然仍属于艾滋病低流行区，但由于当地经济水平较低，流动人口众多(约88万)，艾滋病传播的危险因素广泛存在。人群艾滋病知识知晓率均偏低，普通人群、学生及暗娼分别为68.06％、74.69％和56.63％；定性访谈发现暗娼和吸毒者多为无正当职业人员，他们认为全市暗娼或吸毒者众多。暗娼之间交流防病知识较少，，担忧患妇科疾病和性病等问题。这提示可以通过提供质优价廉的医疗服务进行干预。吸毒者一般都知道吸毒更易感染艾滋病，对吸毒者的干预应该以帮助他们去掉毒瘾为主。多数暗娼能说出同伴防护情况，这说明她们之间存在相互联系与沟通。而吸毒者之间的联系更加密切，这提示我们在干预时采用同伴教育是可行的。高危人群包括暗娼、吸毒者、嫖客、归国人员、外省移民、艾滋病感染者配偶、男同性恋者；估计丽水市现有艾滋病感染者或病人312～1852例，平均约为1082例，艾滋病对当地造成的经济损失约为427,329,516.136元；初步估计未来五年将出现艾滋病感染者5464例。结论：当地艾滋病实际疫情规模远高于报告数，艾滋病已对当地造成了巨大的经济损失，应尽快采取应对措施。
[Abstract]:Objective: to collect and sort out the data of AIDS in Lishui City, estimate the scale and development trend of local epidemic situation, evaluate the impact of AIDS on the economy of a region, and put forward some feasible measures for AIDS prevention and treatment. Methods: to estimate the epidemic scale of local AIDS by means of information collection, questionnaire survey, qualitative interview and so on. Direct method, human capital method to estimate the direct and indirect economic burden of AIDS, estimated the size of local economic losses caused by AIDS; Through AIDS situation analysis, resource transfer and other methods, the local AIDS epidemic response measures are put forward. Results: although Lishui is still a low prevalence area of AIDS, the risk factors of AIDS transmission are widespread because of the low economic level and large floating population (about 880000). The awareness rate of AIDS knowledge among the general population, students and prostitutes was 68.06% and 56.63% respectively. Qualitative interviews found that the majority of illegal sex workers and drug addicts, they think that the city's clandestine prostitutes or drug addicts. Sex workers communicate less knowledge about disease prevention and worry about gynaecological diseases and sexually transmitted diseases. This suggests intervention by providing quality and inexpensive medical services. Drug users generally know that drug use is more susceptible to HIV / AIDS, and intervention should focus on helping them get rid of their addiction. Most prostitutes were able to talk about peer protection, which indicated that they were connected and communicated with each other. The closer association between drug users suggests that peer education is feasible in intervention. High risk groups include prostitutes, drug users, clients, returning personnel, immigrants from other provinces, spouses of AIDS patients, gay men; It is estimated that there are 312 AIDS cases in Lishui city, with an average of 1082 cases, and the local economic loss caused by AIDS is about 427329516.136 yuan. It is estimated that 5464 cases will be infected with AIDS in the next five years. Conclusion: the actual scale of the local AIDS epidemic is much higher than the reported number, AIDS has caused huge economic losses to the local area, and measures should be taken as soon as possible.
【学位授予单位】：浙江大学
【学位级别】：硕士
【学位授予年份】：2006
【分类号】：F127;R181.8

【引证文献】