不同场所暗娼的高危行为和HIV/STI感染状况调查  

High risk behaviors and HIV/STI prevalence among female sex workers in different settings

作　　者：李东民[1] 袁飞[2] 胡绍源[2] 吕繁[1] 

机构地区：[1]中国疾病预防控制中心性病艾滋病预防控制中心,北京100050 [2]贵阳市疾病预防控制中心,贵州贵阳519002

出　　处：《中国艾滋病性病》2007年第3期210-213,共4页Chinese Journal of Aids & STD

摘　　要：目的了解不同场所中暗娼与艾滋病(AIDS)传播有关的行为,以及艾滋病病毒/性传播感染(HIV/STI)的感染状况,为开展有针对性的行为干预提供依据。方法对贵阳市云岩区宾馆、酒店、卡拉OK歌厅等娱乐场所的暗娼进行两阶段概率抽样,发廊和街头的暗娼在知情同意后全部纳入调查。收集人口学和高危行为信息,并采集静脉血检测HIV、梅毒、乙型肝炎病毒(HBV)、丙型肝炎病毒(HCV)。结果432名暗娼中,来自宾馆、酒店及娱乐场所占50.9%,发廊占25.5%,街头占23.6%。与前两组相比,街头暗娼平均年龄较大(30.6岁),文化程度较低(小学和文盲占54.9%),首次性交年龄(18.7岁)和首次从事性交易年龄(27.9岁)较大,从事性交易时间较长(4年及以上者占21.6%)。调查对象最近一次与客人发生性关系时使用安全套的比例为81.3%,最近1个月与客人发生性关系时,每次都使用安全套的比例为44.9%,从未使用的占8.1%。17.6%的街头暗娼有吸毒行为。HIV感染率为0.2%,HBV感染率为4.6%,HCV感染率为4.9%,梅毒感染率为13.0%。结论街头暗娼高危行为的危险性最高,STI的感染率也高于其他场所的暗娼,应作为监测和干预的重点亚人群。Objective To investigate the prevalence and risk behaviors of HIV/STI amongst female sex workers （FSWs） in different settings. Methods The FSWs based on hotels and Karaoke facilities in Yunyan district of Guiyang city were selected through two-stage probability sampling（group 1 ）, and FSWs based on barber shops and streets were se- lected after informed content and surveyed with questionnaires（group 2 and group 3） ~ Information related to their demography and risk behaviros wre collected, and blood specimens were taken for testing HIV, HBV, HCV and syphilis antibody. Results Among 432 female sex workers, 50.9 % were based on hotels and Karaoke facilities, 25.5 %- based on barber shops, and 23.6 %-based on streets. Compared with those in group 1 and group 2, street-based FSWs were older（with an average age of 30.6 years）, and had lower education, of whom 54.9 % only had elementary schooling or were even illit- erate; their average age of experiencing the first sex intercourse and the first sex trade was 18.7 and 27.9 years respective- ly, which was higher than the average ages of those in group 1, and they engaged in sex trades for a longer period of time （21.6 % of them had worked as FSWs for 4 years or longer）. For all the respondents ,the rate of using condom in the last commercial sex trade was 81.3 %. In their commercial sex trade in the last month, 44.9 % of the respondents used condoms for every sex activity, and 8.1% never used condom. Of the street-based FSWs, 17.6 % used drugs. The prevalence rates of HIV,HBV,HCV and syphilis were 0.2% ,4.6% ,4.9% ,and 13.0% ,respectively.Conclusion Compared with those in other settings, street-based FSWs had the highest risk behavior and the highest STIs infections, and therefore they should be listed as a key subpopulation for surveillance and interventions.

关 键 词：暗娼 艾滋病 性病 高危行为 

分 类 号：R512.91[医药卫生—内科学]