| 张晓菲,刘学真,陶小润,黄涛,苏生利,尤向东,钱跃升,傅继华,汪宁.山东省艾滋病综合防治示范区艾滋病病毒感染流行病学调查[J].Chinese journal of Epidemiology,2005,26(5):314-316 |
| 山东省艾滋病综合防治示范区艾滋病病毒感染流行病学调查 |
| The epidemiological study on human immunodeficiency virus infection among paid blood donors living in Shandong provincial China Comprehensive Response Project Areas |
| Received:August 25, 2004 |
| DOI： |
| KeyWord: 艾滋病 有偿献血员 流行病学调查 |
| English Key Word: Acquired immunedeficiency syndrom Paid blood donor Epidemiological survey |
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| Abstract: |
| 目的 了解山东省艾滋病综合防治示范区艾滋病病毒(HIV)感染状况和流行因素分析. 方法 2003年8月在山东省艾滋病综合防治示范区采取整群抽样方法, 对有偿献血员比较集中的一个或数个村庄年龄20～60岁的人群进行问卷调查, 并采静脉血做HIV抗体检测. 结果 在661名调查对象中共检出19例HIV感染者, 其中有偿献血员的感染率为3. 98%(18/452), 非献血员的感染率为0. 48%(1/209);452名有偿献血员中有单采血浆史者HIV感染率(7. 24%)高于既献全血又献血浆者(2. 90%), 献全血者中没有检出感染者;1994-1995年之间有偿献血员感染率(7. 07%)高于1995年以后有偿献血员感染率(3. 85%)和1993年前有偿献血员感染率(0. 99%);非献血员安全套使用率(21. 53%)高于有偿献血员(16. 59%);HIV自愿检测率, 非献血员(86. 28%)高于有偿献血员(13. 72%). 结论 示范区内HIV感染的主要高危人群为既往有偿献血员, 时间主要集中在1995年以前, 并且有偿献血员较低的安全套使用率和HIV自愿检测率说明他们艾滋病防治知识的匮乏和自我防护意识的淡薄, 因此应加强对这一人群的艾滋病防治知识宣传和行为干预. |
| English Abstract: |
| Objective To understand the current epidemic situation and high risk factors of human immunodeficiency virus (HIV)infection among paid blood donors living in Shandong provincial China Comprehensive Response(CARES)Project Areas. Methods All residents between 20 to 60 years old were selected from one or several counties in August 2003. Results There were 19 HIV(+)infections among 661 subjects interviewed. HIV prevalence rate among paid blood donors was higher(3.98 %)than that of others(0.48 %)while HIV prevalence rate was higher in plasma donors(7.24 %)than that in both plasma and full blood donors(2.90 %). There was no infections identified in full blood donors. Donors who donated blood during 1994- 1995 had a higher prevalence rate(7.07 %)than those who started donation after 1995 and those began donation before 1993(0.99 %).The rate of condom use was lower among paid blood donors(13.72 %)than that of others. There was a lower rate of voluntary HIV testing among paid blood donors than that of others. Conclusion The main high risk population of HIV infection were paid donors in CARES Project Areas,whose risk factor was plasma donation and were infected mainly before 1995. Both the rate of condom use and HIV testing were all very low, indicating that they knew little on HIV/AIDS and paid less attention to self-proctection. It is necessary to enhance HIV/AIDS health education and behavior intervention on paid blood donors. |
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