【摘要】 目的了解福州市高危人群中艾滋病流行趋势及危险因素,为决策部门评估艾滋病防治工作效果及制定防治策略措施提供科学依据。方法按《全国艾滋病哨点监测实施方案(试行)操作手册》对暗娼人群、男男性行为人群、性病门诊就诊者、吸毒人群及长途卡车司机(下称长卡司机)进行血清学和行为学监测。结果共监测暗娼479人,HIV阳性率0,梅毒阳性率0.21%,丙型肝炎阳性率0.63%;调查男男性行为人群238人,检测147人,HIV阳性率6.8%,梅毒阳性率29.25%,丙型肝炎阳性率2.04%;吸毒者400人,HIV阳性率0.5%,梅毒阳性率8.5%,丙型肝炎阳性率45.50%;性病就诊者707人,HIV阳性率0.42%,梅毒阳性率20.93%,丙型肝炎阳性率0.85%;长卡司机400人,HIV阳性率0,梅毒阳性率4.50%,丙型肝炎阳性率0.50%。吸毒者艾滋病知识知晓率最低,而男男性行为人群艾滋病知识知晓率最高。暗娼与客人、吸毒者与固定性伴发生性行为时安全套使用频率均较低,从来不用安全套的比例分别为30.7%和56.57%。性病就诊者接受的干预项目较少,主要是安全套宣传和发放。暗娼和男男性行为人群最近一年内进行艾滋病检测比例高于吸毒者和性病就诊者。结论在福州市暗娼、男男性行为人群、性病就诊者、吸毒者和长卡司机等高危人群存在HIV传播的多种危险性因素,应针对各人群特点,加强对高危人群检测和宣传干预。更多还原

【Abstract】 [Objective]To study the prevalence and risk factors of HIV/AIDS-related high risk groups,and provide evidence for evaluating the effectiveness of HIV prevention and developing control strategies. [Methods]In accordance with "Operation Manual of The Programs of National AIDS Sentinel Surveillance",the serological and behavioral surveillance were performed among female sex workers(FSWs),the men who have sex with men(MSM),sexually transmitted disease(STD)outpatient,drug abusers,and the male long-distance truck drivers. [Results]Totally 479 FSWs were monitored,with HIV positive rate of 0,syphilis of 0.21%,HCV of 0.63%;of 238 MSMs,147 were examined,the positive rate of HIV,syphilis and HCV was 6.8%,29.25% and 2.04%,respectively;among 400 drug abusers,those were 0.5%,8.5% and 45.5%;among 707 STD outpatients,those were 0.42%,20.93% and 0.85%;among 400 male long-distance truck drivers,those were 0,4.5% and 0.5%.The AIDS awareness rate was lowest among drug users and highest among MSMs.The frequency of condom use was low in sexual behavior of FSWs with sexual behavior and that of drug users with steady partners,the proportion of never using condom among them was 30.7% and 56.57%,respectively.The STD outpatients received a few intervention programs,such as condom promotion and distribution.The AIDS examination rate in last year of FSWs and MSMs were higher than that of drug users and STDs. [Conclusion]Risk factors such as HIV transmission is prevalent among high-risk groups of FSWs,MSMs,drug abusers,STD outpatients and male long-distance truck drivers with multiple risk factors associated with HIV transmission in Fuzhou City.It is necessary to strengthen intervention on the basis of their different characteristics.更多还原