摘要
目的了解江门市女性性服务者艾滋病防治知识知晓情况、艾滋病流行状况及相关危险因素,为艾滋病综合防治提供依据。方法 2010-2013年对江门市的夜总会、桑拿/洗浴中心、歌舞厅、发廊、洗脚屋、路边店等娱乐场所的女性性服务人群进行调查,并根据其危险行为状况,将场所分为高、中、低三个层次。使用统一的哨点监测健康调查问卷进行访谈式问卷调查,并进行艾滋病病毒(HIV)、梅毒、丙肝血清学检测。结果女性性服务者艾滋病防治知识知晓率为80.04%(6 427/8 030)。不同档次、不同文化程度女性性服务者艾滋病知晓率差异均具有统计学意义(χ2=144.22,P<0.01;χ2=144.95,P<0.01)。经多因素Logistic回归分析结果显示,在本地工作时间、文化程度两个因素对知晓率有影响,其中在本地居住时间在6个月以上的人群其艾滋病知识知晓率是居住不足6个月的1.6倍;初中、高中及以上文化程度者其艾滋病防治知识知晓率分别是小学及以下文化程度者的1.4、2.7倍。最近一次商业性行为中坚持使用安全套比例为77.14%,最近1个月商业性行为中安全套每次使用率为61.74%;不同档次场所最近一次安全套使用率差异有统计学意义(χ2=198.68,P<0.01)。HIV抗体、梅毒和HCV检测阳性率分别为0.10%、3.50%和0.72%。结论江门市女性性服务者艾滋病相关知识知晓率偏低,存在高危险行为;女性性服务者HIV感染率总体处于较低水平,但是艾滋病流行的危险因素仍然存在,需要进一步加强女性性服务者干预力度。
Objective To understand the AIDS knowledge awareness,HIV / AIDS epidemic situation and related risk factors among female sex workers（FSWs） in Jiangmen, Guangdong province, and provide evidence for AIDS prevention and control. Methods The face-to-face questionnaire survey were conducted among female sex workers in Jiangmen service institutes such as nightclub, sauna / bath center,dance halls,barber shops, feet-bath salons and roadside parlors ect, during April-July 2010 to 2013. According to their risk behavior, the service institutes were divided into high,medium and low three grades. A total of 8 030 blood samples were tested for the HIV,HCV and Syphilis antibody.Results Among the 8 030 female sex workers, the awareness of AIDS-related knowledge was 80.04%. There were difference in the awareness of AIDS-related knowledge among different levels of public amenities and education of FSWs（χ^2=144.22,P 〈0.01;χ^2=144.95,P 〈0.01）.Multiple Logistic regression analysis showed that the length of working and degree of education were the affecting factors, AIDS-related knowledge among population was related to the length of working; for six months or more was 1.6 times than less six months; For those with junior high school or higher education level, the AIDS-related knowledge were 1.4 or 2.7 times of that with primary and lower education level. The rate of condom use in the last time with their clients during sex was 77.14%, and the rate of condom was 61.74% in recent one month. The rate of condom use in last time was statistically significant different among different level of public amenities（χ^2=198.68,P〈 0.01）. Conclusions The awareness of AIDS-related knowledge among FSWs in Jiangmen is comparatively low,and high risk behaviors among them exist. Although the HIV infection level in still low, but the risk factors which would facilitate HIV transmission do exist. It is necessary to strengthen the AIDS intervention in FSWs.
出处
《热带医学杂志》
CAS
2015年第3期399-402,共4页
Journal of Tropical Medicine
关键词
艾滋病
哨点监测
女性性服务者
安全套使用
human immunodeficiency virus/acquired immunodeficiency syndrome
sentienl surveillance
female sex workers
condom use
