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倪明健, 陈学玲, 王吉亮, 胡晓敏, 古丽娜孜, 毛利旦, 艾力, 热汗古丽. 新疆艾滋病单阳配偶性传播综合干预效果评价[J]. 中国公共卫生, 2012, 28(12): 1552-1554. DOI: 10.11847/zgggws-2012-28-12-02
引用本文: 倪明健, 陈学玲, 王吉亮, 胡晓敏, 古丽娜孜, 毛利旦, 艾力, 热汗古丽. 新疆艾滋病单阳配偶性传播综合干预效果评价[J]. 中国公共卫生, 2012, 28(12): 1552-1554. DOI: 10.11847/zgggws-2012-28-12-02
NI Ming-jian, CHEN Xue-ling, WANG Ji-liang, . Evaluation of comprehensive prevention among HIV serodiscordant couples in Xinjiang[J]. Chinese Journal of Public Health, 2012, 28(12): 1552-1554. DOI: 10.11847/zgggws-2012-28-12-02
Citation: NI Ming-jian, CHEN Xue-ling, WANG Ji-liang, . Evaluation of comprehensive prevention among HIV serodiscordant couples in Xinjiang[J]. Chinese Journal of Public Health, 2012, 28(12): 1552-1554. DOI: 10.11847/zgggws-2012-28-12-02

新疆艾滋病单阳配偶性传播综合干预效果评价

Evaluation of comprehensive prevention among HIV serodiscordant couples in Xinjiang

  • 摘要: 目的 探索适合新疆特点的艾滋病单阳配偶干预方式,减少家庭内经性途径的感染风险。方法 选择依从性较好的艾滋病病毒(HIV)感染者阴性配偶开展为期1年的综合干预,分别在基线与终期进行问卷调查,同时每季度1次进行采血检测。结果 新疆单阳配偶HIV年阳转率为2.17%(8/368),每季度阳转人数有逐步下降趋势;艾滋病知晓率由干预前的87.9%(471/536)上升为91.0%(405/445);最近1年安全套每次使用率由干预前的65.5%(311/475)上升为81.8%(324/396);最近1次安全套使用率由干预前的80.6%(382/474)上升为90.7%(359/396);最近1年未发生醉酒后性行为比例由干预前的18.8%(89/474)下降为12.4%(49/396);最近1年吸毒后性行为比例由干预前的11.4%(54/475)下降为7.1%(28/396);最近1年接受卫生工作者宣传教育、定期从卫生工作者处获取安全套以及接受艾滋病检测的比例均有明显上升。结论 在新疆针对单阳配偶进行综合干预效果明显。

     

    Abstract: Objective To explore suitable prevention method among human immunodeficiency virus(HIV)serodiscordant couples in Xinjiang for reducing the transmission risk among the group.Methods The serodiscordant couples were enrolled for an one year comprehensive intervention on prevention of HIV infection.Questionnaire survey was conducted at the beginning and the end of the intervention.At the same time,blood test was carried out once a quarter.Results The serodiscordant HIV positive rate in the couples was 2.17%(8/368).The number of sero-conversion was reduced quarterly during the follow up.The results from questionnaire survey showed that the know ledge rate of AIDS raised from 87.9%(471/536)to 91.0%(405/445);the rate of condom use in every sex in the previous year increased from 65.5%(311/475)to 81.8%(350/438);the rate of condom use in the latest sex increased from 80.6%(382/474)to 90.7%(359/396).The proportion of sex after drunk in the laest year was reduced from 18.8%(89/474)to 12.4%(49/396).The proportion of sex after drug use in the previous year declined from 11.4%(54/475)to 7.1%(28/396).The proportion of receiving health education,condom and HIV test regularly from health workers in the previous year increased.Conclusion The comprehensive intervention on prevention of HIV infection among serodiscordant couples in Xinjiang is very effective.

     

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