重庆市519名暗娼艾滋病防治知识态度和高危行为特征分析  

Analysis of status of AIDS related knowledge,attitude and risk behavior among 519 female sex workers in Chongqing

作　　者：丁贤彬[1] 易辉容 蒋雪飞 韩力苏[1] 吴国辉[1] 凌华[1] 肖邦忠[1] 

机构地区：[1]重庆市疾病预防控制中心,重庆400042 [2]重庆市九龙坡区疾病预防控制中心,重庆400050 [3]重庆市永川市疾病预防控制中心,重庆402160

出　　处：《中国艾滋病性病》2006年第4期347-349,共3页Chinese Journal of Aids & STD

摘　　要：目的了解暗娼人群艾滋病防治知识认知水平、行为特征和性病艾滋病感染率,为开展有针对性的行为干预和宣教工作提供依据。方法对暗娼人群进行方便抽样,在知情同意后对她们进行面对面的问卷调查和采样检测,所有资料经Epidata 3.02进行双录入,用SPSS 12.0进行统计分析。结果共调查了519名暗娼,平均年龄23.5±6.0岁。调查发现,暗娼人群对艾滋病传播途径和预防知识的认知水平低,获取艾滋病防治知识的主要途径是广播电视和网络。她们从事性服务工作的平均年龄是20.1±2.8岁。与客人发生性行为时每次都用安全套的只有12.5%,不用安全套的原因主要是客人拒绝使用。在调查的519名暗娼中,性病患病率为18.3%。病种分布是:尖锐湿疣2例(0.4%),生殖道衣原体感染75例(14.5%),梅毒11例(2.1%),淋病16例(3.1%),HIV抗体阳性2例(0.4%)。结论暗娼人群艾滋病防治知识缺乏、多性伴、安全套使用率低和性病感染率较高等因素,将促进艾滋病在这一人群中的流行和蔓延,因此加强对暗娼人群的宣传教育和行为干预工作迫在眉睫。Objective To understand the status of AIDS related knowledge, risk behavior and STD＆HIV infection among female sex workers（FSWs） and provide evidence for implementing behavioral intervention and health education targeting to this population group. Methods FSWs＇ sampled conveniently were interviewed by face-to-face approach and samples were taken for STD＆HIV after informed consent. All data were entered with Epidata 3.02 software and analyzed with SPSS 12.0 software. Results A total of 519 FSWs were surveyed. Their average age was 23.5 ± 6.0 years. This study reflected that FSW had poor recognition of the transmission routes and prevention methods about AIDS. Major routes of acquiring information about AIDS were TV, broadcast and internet. The average age engaged in commercial sex trade was 20.1 ± 2.8 years. The rate of condom use with their clients during sex was low. Only 12.5 96 of them used condom consistently during their sex with cleints. The main reason for not using condoms was the fact that clients refused it. The prevalence of STDs among FSWs was 18.3 percent. The cases of genital warts, chlamydia, syphilis, gonorrhoea and HIV were 2,75,11,16 and 2 respectively and their respective prevalence was 0.4 %, 14.5 %, 2.1%, 3.1% and 0.4 % Conclusion The factors including poor knowledge about AIDS, multiple sex partners, low rate of condom use and high prevalence of STD will accelerate AIDS epidemic and spreading among female sex workers. It is urgent to conduct health education and behavioral intervention targeting to them.

关 键 词：暗娼 艾滋病 高危行为 

分 类 号：R512.91[医药卫生—内科学]