摘要
目的分析常州市近3年暗娼人类免疫缺陷病毒（HIV）、梅毒感染状况及高危行为特征变化，为制定有效的艾滋病综合防治政策，完善干预措施提供依据和参考。方法根据《全国艾滋病哨点监测实施方案》要求，于每年4—6月份连续对娱乐场所内暗娼的高危行为等情况进行问卷调查，同时采集血样进行HIV及梅毒抗体检测，每个哨点每年样本量400人。结果2011-2013年共调查2400名暗娼，采集血样2400份。调查对象平均年龄28岁，在该地工作时间1年以下个体逐年增多（χ2=71．35，P〈0．01）。艾滋病知晓率由2011年的62．2％，升至2013年96．6％；最近1次与客人发生l生行为时安全套使用率59．1％～75．1％，吸毒对象比例为0．38％～0．90％；最近1年，做过艾滋病检测的比例由16．0％升至38．2％（χ2=115．5，P〈0．01）。2011—2013年，HIV抗体检出阳性率比例分别为0．13％（1／800）、0．38％（3／800）和0．25％（2／800）。梅毒抗体阳性比例分别为3．9％（31／800）、3．4％（27／800）和4．9％（39／800）。结论常卅l市娱乐场所暗娼HIV及梅毒呈低流行态势，但艾滋病知识知晓率及安伞套使用率偏低．需要继续加强官传教育．同时扩大以检测为主的干预措施覆盖面。
[ Objective ] To analyze the infection status of HIV and syphilis among female sex workers （FSWs） in Changzhou City in recent three years, explore the changes in characteristics of high risk behaviors, and provide basis and reference for developing effective AIDS prevention and control policy and improving the intervention measures.[Methods] According to the requirements of National AIDS sentinel surveillance protocol, a questionnaires survey was conducted among FSWs in entertainment places from April to June every year, to collect the information about demographic characteristics and risk behaviors. Blood samples were collected to test the HIV and syphilis antibody. 400 FSWs were storeyed in every sentinel point every year. [ Results ] A total of 2 400 FSWs and 2 400 blood samples were surveyed. The average age of FSWs was 28 years old, and the proportion of FSWs worked less than one year in Changzhou City increased gradually （χ2=71.35, P〈0.01）. The awareness rate of AIDS knowledge increased from 62.2% in 2011 to 96.6% in 2013.The condom use rate at the latest sexual intercourse with client was 59.1%-75.1%, and the proportion of drug addicts was 0.38%-0.90%.The proportion of HIV test in the last year increased from 16.0% and 38.2%, with a rising trend （χ2=115.5, P〈0.01）.During 2011-2013, the positive rate of HIV antibody was 0.13% （1/800）, 0.38% （3/800） and 0.25% （2/800）, respectively.The positive rate of syphilis antibody was 3.9% （31/800）, 3.4% （27/800） and 4.9% （39/800）, respectively. [ Conclusion ] The epidemic situation of HIV and syphilis is still at low level among FSWs in Changzhou City. However, the lower awareness rate of AIDS knowledge and rate of condom use indicate that it is necessary to strengthen publicity and education, and expand the coverage of intervention measures, especially detection.
出处
《职业与健康》
CAS
2015年第13期1791-1793,共3页
Occupation and Health
关键词
暗娼
哨点监测
梅毒感染
Female sex workers （FSWs）
Sentinel surveillance
Syphilis infection
