Abstract：Objective To investigate the awareness, sexual behavior characteristics and infection status of AIDS among male floating population in Anhui Province, so as to provide insights into formulating prevention and control measures for male floating population. Methods Male floating population of three occupations including construction workers, enterprise workers, and business operators in Wuhu, Tongling, Hefei, and Fuyang cities were selected using stratified cluster random method from April to August 2021. Demographic information, knowledge of AIDS and high-risk behaviors were collected through questionnaires surveys. The results of HIV, syphilis and hepatitis C virus (HCV) antibody testing were collected through laboratory tests. Awareness rate of AIDS knowledge, sexual behavior characteristics, and positive rates of HIV, syphilis, and HCV among male floating population of different occupations were analyzed. Results A total of 1 616 people were enrolled, including 1 016 construction workers (62.87%), 253 enterprise workers (15.66%) and 347 business operators (21.47%), and had a mean age of (40.63±12.32) years. The overall awareness rate of AIDS knowledge among male floating population was 89.54%, the awareness rates of business operators, construction workers, and enterprise workers were 98.33%, 88.29% and 82.61%, respectively, and the difference was statistically significant (P<0.05). The proportions of consistent condom use during sexual intercourse with a spouse or cohabitant, during commercial sexual encounters, and with casual partners in the past year were 7.15% (91/1 273), 64.00% (16/25) and 50.00% (8/16), respectively. The proportions of construction workers, enterprise workers, and business operators who used condoms every time they had sexual behavior with their spouses/cohabitants in the past year were 4.54%, 11.63%, and 15.60%, respectively, with statistically significant differences (P<0.05). One case of HIV, one case of syphilis, and three cases of HCV antibody were detected. Conclusion The overall awareness rate of AIDS knowledge among the male floating population in Anhui Province is relatively high, but unsafe sex behaviors exist, which may lead to the risk of HIV infection.
戴色莺, 沈月兰, 刘爱文, 张进, 吴家兵. 安徽省男性流动人口艾滋病相关知识和HIV感染情况调查[J]. 预防医学, 2024, 36(8): 674-678,682.
DAI Seying, SHEN Yuelan, LIU Aiwen, ZHANG Jin, WU Jiabing. Awareness of AIDS knowledge and HIV infection status among male floating population in Anhui Province. Preventive Medicine, 2024, 36(8): 674-678,682.
[1] 国家统计局.第七次全国人口普查公报(第七号)[EB/OL].[2024-06-26].http://www.stats.gov.cn/tjsj/tjgb/rkpcgb/qgrkpcgb/202106/t20210628_1818826.html. [2] VERKUIJL S,MIDDELKOOP K.Protecting our front-liners:occupational tuberculosis prevention through infection control strategies[J].Clin Infect Dis,2016,62(Suppl.3):S231-S237. [3] 曾恩泉,田小兵,冯俊林,等.当艾滋病遭遇流动人口——我国流动人口管理的政策与法律浅析[J].现代预防医学,2012,39(2):345-347. [4] 赵丽娜,王大勇,叶振淼,等.温州市性行为感染的男性HIV/AIDS病例特征分析[J].预防医学,2021,33(12):1240-1242. [5] 赵刚,张兴亮,陈珺芳,等.杭州市非婚非商业异性性行为感染HIV/AIDS病例特征分析[J].预防医学,2021,33(12):1209-1214. [6] 任航,王欣心,李彦奇,等.2016—2020年北京市丰台区流动人口艾滋病哨点监测结果分析[J].中国卫生工程学,2022,21(1):43-47. [7] 陈楚莹,王曼,来学惠,等.中山市三种职业流动人口艾滋病干预调查分析[J]. 热带医学杂志,2018,18(11):1529-1532. [8] 中国疾病预防控制中心性病艾滋病预防控制中心.全国艾滋病哨点监测实施方案操作手册[Z].2017. [9] 国务院防治艾滋病工作委员会办公室.中国艾滋病防治督导与评估框架(试行)[M].北京:人民卫生出版社,2007. [10] 王会松,李淑波,李芬,等.2018—2021年北京市昌平区建筑工地流动人口艾滋病哨点监测结果分析[J].首都公共卫生,2023,17(3):184-187. [11] 敬丹,罗业涛,叶孟良.重庆市男性流动人口艾滋病、梅毒感染现状及影响因素分析[J].现代预防医学,2019,46(14):2630-2633. [12] 贺淑芳,李桂英,孙燕鸣,等.2010—2013年北京市男性流动人口艾滋病哨点监测结果分析[J].中国艾滋病性病,2014,20(9):668-671. [13] 刘壮,王媛媛,田飞.2016—2020年北京市东城区男性流动人口艾滋病哨点监测结果分析[J].职业与健康,2022,38(18):2499-2502. [14] 夏永玲,张海芳,陶桃,等.丽水市MSM人群HIV定期检测及暴露后预防调查[J].预防医学,2024,36(6):465-469. [15] 梁银霞,彭洪滨,罗霞,等.广西男男性行为者不同HIV检测轨迹使用HIV暴露前/后预防药物的影响因素[J].现代预防医学,2024,51(14):2634-2641. [16] 徐杰,张广,董薇.我国艾滋病病毒暴露前后预防措施的推广应用[J].中国艾滋病性病,2023,29(11):1167-1171. [17] World Health Organization.Pre-exposure prophylaxis(PrEP)[EB/OL].[2024-06-26].https://www.who.int/teams/global-hiv-hepatitis-and-stis-programmes/hiv/prevention/pre-exposure-prophylaxis. [18] World Health Organization.Policy brief:consolidated guidelines on HIV prevention,diagnosis,treatment and care for key populations[EB/OL].[2024-06-26].https://www.who.int/hiv/pub/toolkits/keypopulations/en/. [19] GRULICH A E,GUY R,AMIN J,et al.Population-level effectiveness of rapid,targeted,high-coverage roll-out of HIV pre-exposure prophylaxis in men who have sex with men:the EPIC-NSW prospective cohort study[J].Lancet HIV,2018,5(11):629-637. [20] 孙武,蔡卫平,李凌华.我国男男性行为人群HIV非职业暴露后预防的研究进展[J].中国热带医学,2023,23(3):314-318. [21] 吴韶彬,陈亮,连巧龄,等.2013年福建省流动人口艾滋病相关知识行为调查[J].预防医学论坛,2016,22(6):425-427. [22] 李颍,姚纯,王华东,等.颍上县流动人口艾滋病梅毒及丙肝知识调查分析[J].安徽预防医学杂志,2013,19(4):243-246. [23] 王瑾,商美丽,张展,等.上海市浦东新区建筑工地外来男工安全性行为干预研究[J].中国艾滋病性病,2015,21(12):1052-1054. [24] 杨中荣,李婧,刘小琦,等.湖州市男性外来务工人员非婚性行为安全套使用情况调查[J].预防医学,2021,33(3):268-270.
