| Objective1.To under stand the sociological characteristics,awarenessonknowledge of AIDS,high-risk behavior characteristics and serological testing results among the male migrant populationin Shandong province during 2010-2017.2.Analyze the awareness rate of AIDS knowledge and related factors of HCV infection,so as to provide reference for improving the measures about monitoring,prevention,control,and intervention.MethodsAccording to the requirements of the National AIDS Sentinel Monitoring Implementation Plan(Trial)operation manual,Rongcheng shi dao pier,commodity trading market in Linyi city andtownship construction enterprises in Guangrao county were selected as HIV monitoring area.A total of 400 respondents were selected from the HIV surveillance area in April to June every year to conduct a questionnaire survey and collect blood samples.HIV/HCV antibody was detected twice by ELISA.which was determined to be positive for HIV/HCV antibody when both tests were positive.And syphilis antibody was detected by ELISA,and then the positive serum was retested by rapid plasma reactive hormone cyclic card test(RPR).which was determined to be positive for syphilis antibody when both tests were positive.The detectionmethod was carried out according to the operating instructions of reagent.Data analysis mainly uses descriptive analysis,chi-square test,chi-square trend test and multivariate logistic regression analysis methods.Descriptive analysis mainly describes the general demographic characteristics,AIDS knowledge rate and high-risk sexual behavior characteristics and so on about the migrant population.The variables included in the multivariate analysis were those with statistically significant differences in the results of the univariateanalysis.The method of inclusion is stepwise forward,and the test level is a=0.05.Results1.A total of 9354 male migrants are surveyed in 2010-2017.The sample source is mainly enterprise workers,accounting for 66.85%.The average age of respondents is 32.65 11.41 years old,with the largest proportion in the 21-30 age group,accounting for 37.6%.Marriage is dominated by marriage and cohabitation,accounting for 64.5%.66.4 percent of the floating population is registered in this province.The majority of the ethnic group is han,accounting for 93.02%.Among the floating population,85.88%have lived locally for less than one year.In terms of education level,7661 people(81.95%)are mainly middle school,high school or technical secondary school degree.The overall awareness rate of AIDS knowledge is 82.0%.The following factors show an upward trend over the years,including sample source of enterprise workers(?2trend=1 273.526,P<0.001),age?41 years old(X2trend=497.51 3,P<0.001),marriageand cohabitation(?2trend=47 0.824,P<0.001)andAIDSawareness rate(?2trend=393.645,P<0.001).The proportion of Shandong registered residence(?2trend=157.626,P<0.001),Han population(?2trend=289.93,P<0.001),residence time less than 1 year(?2trend=164.999,P<0.001)and college degree or above(?2 trend=179.029,P<0.001)in the past years have a downward trend.2.The proportion of fixed sexual behavior among mobile population from 2010 to 2017 is 71.75%,and the proportion of sexual behavior increased(?2trend=603.238,P<0.001).There are statistically significant differences between different years in the rate of using condoms every time when having sex(?2trend=17.907,P<0.001)and the rate of using condoms in the last year when having sex(?2trend?33.47,P<0.001).The rate of commercial sexual behavior is 7.27%,and the incidence is on the rise(?2trend=20.556,P<0.001).And the proportion of condom use at each time(?2trend=36.361,P<0.001)and the rate of condom use at the last sexual encounter with a female prostitute in the last year(?2 trend=5.569,P=0.018)showed a decreasing trend.The incidence of temporary behavior is 9.48%,and the occurrence rate is on the rise(?2tren=5.667,P=0.017).The rate of condom use each time(?2 trend=19.264,P<0.001)and the rateof condom use in the most recent year with a temporary partner(?2 trend=18.107,P<0.001)decreased.The proportion of homosexual sex is 0.45%,with an increasing trend(?2 trend=41.703,P<0.001).3.HIV?syphilis and HCV prevalence were 0.14%?0.16%and 0.34%,of the floating population,in 2010-2017,all at a low level.4.Univariate analysis showed that factors related to AIDS knowledge awareness include sample source(?2=270.866,P<0.001),age(?2=234.842,P<0.001),marital status(?2=171.497,P<0.001),household registration(?2=197.681,P<0.001),ethnicity(?2=150.708,P<0.001),education level(?2=353.904,P<0.001),local residence time(?2=23.625,P<0.001),sexual behavior(?2=210.629,P<0.001),whether to insist on using condoms in recent year(?2=4.427,P=0.035)and whether a condom was used in the most recent sex(?2=6.911,P=0.009).And factors associated with HCV infection including household register(?2=37.147,P<0.001),national(?2=84.984,P<0.001),cultural degree(?2=12.307,P<0.001),the presence or absence of sexual behavior(?2=3.929,P=0.047),whether to have sex with a prostitute in the last year(?2=47.667,P<0.001),consistent use of condoms during sex with prostitutes in recent years(?2=12.903,P<0.001),the latest condom use when sex with a female prostitute in the last year(?2=20.493,P<0.001)and whether a temporary behavioroccured in the last year(?2=25.705,P<0.001).5.Multivariate analysis showed that:Compared with people who don't know AIDS knowledge,who infected knowledge were more likely to enterprise workers(OR=3.998,95%CI=2.162-7.39),low level of education(OR=3.998,95%CI=2.162-7.39),Shandong residencies((OR=0.432,95%CI=0.361-0.516).people who non-persistent using condoms in the last year(OR=0.618,95%CI=0.400-0.955).In the most recent year,use condom in the last sexual(OR=1.561,95%CI=1.282-1.901).Comparedwithuninfected MPO,who infected HCV were more likely tonon-Han migrants(OR=16.138,95%CI=3.928-66.668).In the most recent year,whoun-condomsuseduring the recent sex with sex workers(OR=0.211,95%CI=0.051-0.872),people who had sex with temporary partners(OR?4.227,95%CI=1.006-18.171).Conclusion1.The floating population in Shandong Province has the following characteristics:young adults,predominantly married and cohabitation,low educational level and low AIDS knowledge rate,high-risk behaviors such as commercial sexual behavior,temporary sexual behavior,homosexual sexual behavior and drug abuse,low condom use in all sexual behaviors.2.The infection rates of HIV,syphilis and HCV among the floating population in Shandong province are all at a low level.These factors include enterprise workers,Shandong household registration,low educational level,the persistence of condom use in the most recent sexual intercourse in the last year are risk factors affecting the awareness rate of AIDS.Risk factors for HCV infection are non-Han nationality,not using condoms when having sex with sex workers in the most recent year and sexual behavior with temporary partners in the last year. |
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