HIV and syphilis in migrant workers in eastern China
HIV and syphilis in migrant workers in eastern China
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DOI：
10.1136/sti.2004.014043
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发表时间：
2006-02-01
影响因子：
3.6
通讯作者：
Tomkins, A
中科院分区：
文献类型：
--
作者：
Hesketh, T;Li, L;Tomkins, A
目的：目的了解华东地区外来务工人员艾滋病病毒（HIV）和梅毒（梅毒）的感染情况，了解他们对HIV的认识和态度。方法：采用干血斑法和自填式问卷进行横断面调查。浙江省杭州市两个区39个工作单位的流动人口和城镇职工参加了招聘。受访者完成了一份关于艾滋病毒知识和态度的问卷。采用明胶颗粒凝集法对4148名流动人口和2197名城市工作人员的干血斑进行HIV-1和梅毒抗体检测。在流动人口和城市人口中均未发现艾滋病毒感染。城市工人（0.68%，95%CI：0.35 ~ 1.02）和农民工（0.48%，95%CI：0.26 ~ 0.66，p = 0.07）的患病率差异无统计学意义。36%的移民是与伴侣一起移民的，7%的移民是与子女一起移民的。城市工人对艾滋病毒的了解一直比移民多，但两个群体对主要传播方式的了解都很好。对性行为的传统态度在这两个群体中仍然普遍存在，对艾滋病毒感染者的态度普遍不容忍。性工作者的使用似乎罕见，并没有更常见的流动人口比城市workers.Conclusion：目前艾滋病病毒可能不会在中国东部地区的内部流动人口中传播。在流动人口和城市人口中，梅毒都是一个问题。与伴侣一起移徙的趋势使移徙者从事随意性行为的风险相对较低。
Objective: To measure the prevalence of HIV and syphilis in migrant and urban workers in eastern China, and to determine their knowledge and attitudes towards HIV.Methods: A cross sectional survey involving dried blood spot testing and self completion questionnaires. Migrants and urban workers in 39 work units in two districts of Hangzhou, Zhejiang Province, were recruited. Respondents completed a questionnaire about knowledge and attitudes towards HIV. Testing for antibodies to HIV-1 and syphilis was carried out on dried blood spots using a gelatin particle agglutination technique.Results: Data were obtained from 4148 migrants and 2197 urban workers. There were no HIV infections detected in either the migrant or urban populations. Syphilis was detected, but the prevalence was not significantly different between urban workers (0.68%, 95% CI: 0.35 to 1.02) and migrant workers (0.48%, 95% CI 0.26 to 0.66, p = 0.07). 36% of the migrants had migrated with a partner, and 7% had also migrated with children. Urban workers were consistently more knowledgeable than migrants about HIV, but knowledge of the major modes of transmission was good in both groups. Traditional attitudes to sexual behaviour were still pervasive in both groups and attitudes towards individuals with HIV were generally intolerant. The use of sex workers appears rare and no more common in migrants than urban workers.Conclusion: At present HIV is probably not spreading in the internal migrant population in eastern China. Syphilis is a problem in both the migrant and urban populations. The tendency to migrate with partners makes migrants relatively low risk for engaging in casual sex.