某城市女性性工作者AIDS相关人口学和行为学变化情况调查  

Investigation of demographic and behavioral changes related to AIDS among urban female sex workers(FSW)

作　　者：储全胜[1] 张西江[1] 法仆[1] 姜珍霞 吴伟苹 郝毕 修翠珍[1] 吴绍文[1] 

机构地区：[1]青岛市疾病预防控制中心,山东青岛266033 [2]青岛市妇女劳动教养所,山东青岛266033

出　　处：《中国艾滋病性病》2005年第1期23-26,共4页Chinese Journal of Aids & STD

摘　　要：目的了解某沿海城市近年女性性工作者(FSW)人口学特征和艾滋病(AIDS)高危行为变化情况。方法2000～2003年连续4年对曾从事性工作的妇教所“学员”进行调查,并对调查结果进行比较。结果妇教所学员有逐渐减少趋势。共调查321位FSW,总样本平均年龄2637±694岁,未婚者占59%～74%,文化程度初中及以下者占80%以上,已婚妇女所占比例逐渐增加;从事性工作时无正当收入或低收入者占80%以上;非该市的流动人口占80%以上;个体服务者所占比例逐年增加;初次卖淫年龄2575±72岁,平均累计性伙伴1147±1519人。16%～29%曾患性病。安全套使用,特别是多数情况使用者逐年增加,商业性伙伴对安全套的态度明显影响FSW对安全套的使用。结论FSW人口学特征的改变使得AIDS干预的难度增加。FSW中安全套使用率的增加和主动检测艾滋病病毒抗体比例的增加,表明对大众的AIDS宣传能有效地影响到FSW,但需进一步在各种娱乐服务场所大力推广安全套。Objective To understand the demographic changes of female sex workers(FSW) in a seaside city and their high risk behavior related to AIDS in recent years.Methods Investigation was made continuously for 4 years among female sex workers detained in Women Education Station(WES) from 2000 to 2003.Results The number of female sex workers in WES was tending to reduce gradually.A total of 321.FSW were investigated,with an average age of 26.37 years.Of them 59%-74% were unmarried;over 80% got an education of less than 9 years.It seemed that the proportion of married women was increasing;80% were without income or with low income when engaging in sex work.Over 80% were floating population and many of them were selling sex individually in their capacity of waitresses or attendants.The average of accumulative sex partners was 11.47;16%-29% had suffered from STD.The proportion of FSW receiving HIV testing and counseling was increasing evidently in recent years.More and more female sex workers began to use condom,and the condom use rate was influenced evidently by attitude of their commercial sex partners.Conclusion The change in demographic characteristics of FSW resulted in more difficulty for AIDS prevention.The condom use rate and the proportion of FSW receiving HIV testing and counseling were increasing in recent years.Although AIDS related education in the public influenced FSW effectively,condom use should be promoted particularly among female sex workers in entertainment sites.

关 键 词：女性性工作者 艾滋病 人口学 高危行为 

分 类 号：R512.91[医药卫生—内科学]