摘要
目的了解不同场所中暗娼艾滋病病毒/性病感染(HIV/STI)的感染状况,为制定针对暗娼的综合干预措施提供科学依据。方法对广西某县各城区、乡镇、村屯各类场所的暗娼进行流行病学调查,收集人口学和高危行为信息,并采集静脉血检测HIV、梅毒,采用SPSS11.5软件进行统计分析。结果 326名暗娼中,中高档场所占60.7%(198/326),低档场所占39.3%(128/326)。两组相比,在年龄、职业、文化程度、婚姻、高危行为、艾滋病认知和艾滋病感染率等方面,中高档和低档暗娼相比差异有统计学意义(P<0.001)。低档暗娼年龄较大,农民占的比例更高,文化程度较低,对艾滋病的认知较差,已婚占的比例更多;低档暗娼服务的客人为中老年为主,安全套使用率低,服务收费低廉,首次从事性交易年龄较大,低档暗娼最近一个月平均每天服务客人的数量更多,而她们获得的艾滋病服务较少;低档暗娼HIV阳性感染率为3.9%,明显高于中高档暗娼,梅毒感染率为12.5%,与中高档暗娼相比差异无统计学意义。结论低档暗娼比中高档暗娼存在更高的艾滋病高危行为,传播艾滋病的几率更大,应作为监测和干预的重点人群。
Objective To investigate the prevalence of HIV/STIs among female sex workers（FSWs） in different settings,and to provide scientific evidence for developing comprehensive intervention measures.Method Epidemiological survey was conducted among FSWs from different districts,towns and villages of a county in Guangxi.Information related to their demography and risk behaviors was collected,and blood specimens were taken for testing HIV and syphilis antibodies.Results Among 326 female sex workers,60.7%（198/326） were from high-level and middle-level places and 39.3%（128/326） based on low-level places.There were statistically significant differences in age,vocation,high-risk behaviors,awareness of HIV/AIDS,and infection rate of HIV among FSWs from high-level and middle-level places and low-level places（P0.001）.FSWs from low-level places were older,with lower educational backgrounds and poor awareness of HIV/AIDS,and most of them were peasants and married.Their average age of the first sex trade was higher than that of FSWs from high-level and middle-level places.Among their commercial sex trades in the last month,only 20.3% of the low-level place FSWs used condoms for every sex activity.The prevalence rate of HIV in FSWs from low-level places was 3.9%,which was significantly higher than that of those in high-level and middle-level places.The prevalence rate of syphilis in FSWs from low-level places was 12.5%,and no statistically significant difference was found among FSWs from low-level places and from high-level and middle-level places.Conclusions FSWs from low-level places have the higher risk behaviors for HIV/STIs compared with those in other settings,and hence,they should be listed as a key subpopulation for surveillance and interventions.
出处
《实用预防医学》
CAS
2013年第7期816-818,共3页
Practical Preventive Medicine
关键词
暗娼
艾滋病
性病
高危行为
Female sex workers
AIDS
STIs
High risk behaviors
