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目的评价上蔡县艾滋病综合防治效果。方法采用回顾性方法,收集上蔡县2003-2008年艾滋病基线调查及专题调查、预防艾滋病母婴传播信息、艾滋病疫情网络直报及分析等资料,采用SPSS11.5软件进行统计分析。结果村民、中学生、暗娼(CSW)和艾滋病病毒感染者/病人(PLWHA)的艾滋病知识知晓率,分别由2003年的15.6%、39.8%、21.9%、28.8%,上升到2008年的75.5%、83.6%、88.3%、97.0%。4种人群愿意与感染HIV熟人继续来往的比例分别由2003年的25.4%、51.4%、34.1%、40.7%,上升到2008年的75.6%、83.3%、54.8%、99.6%,差异均有统计学意义(P<0.05)。2003年和2008年,CSW人群过去3个月与客人发生性行为时安全套每次使用率,由2003年的58.3%提高到2008年的84.7%。自2001年10月到2008年12月底,对169名不愿终止妊娠的艾滋病孕产妇及所生176名婴儿实施了综合阻断措施,母婴阻断成功率97.6%。结论上蔡县实施综合防治项目以来,以项目带动工作,综合防治工作成效显著,但人群艾滋病知识、态度和行为还有待进一步提高和改善。
Objective To evaluate the comprehensive prevention and control of AIDS in Shangcai County. Methods A retrospective analysis was conducted to collect data on AIDS baseline survey and special investigation of HIV / AIDS in 2003-2008 in Shangcai County, prevent direct reports of mother-to-infant transmission of HIV / AIDS and HIV / AIDS epidemic situation, and analyze the data by SPSS11.5 software. Results The awareness rate of AIDS among villagers, secondary school students, female sex workers (CSW) and people living with HIV / AIDS (PLWHA) increased from 15.6%, 39.8%, 21.9% and 28.8% in 2003 to 75.5% 83.6%, 88.3%, 97.0%. The proportions of 4 kinds of people who are willing to continue HIV infection and acquaintances with HIV continued to increase from 25.4%, 51.4%, 34.1% and 40.7% in 2003 to 75.6%, 83.3%, 54.8% and 99.6% in 2008 respectively, with statistical differences Significance (P <0.05). In 2003 and 2008, the CSW condom use per person in the past three months during the past three months increased from 58.3% in 2003 to 84.7% in 2008. From October 2001 to the end of December 2008, 169 HIV / AIDS pregnant women and 176 infants born were unwilling to terminate the pregnancy. The success rate of maternal and child block was 97.6%. Conclusion Since the implementation of the comprehensive prevention and control project in Shangcai County, the project-led work has made remarkable achievements in comprehensive prevention and control work. However, knowledge, attitudes and behaviors of people in the population still need to be further improved and improved.