某乡镇暗娼艾滋病知识、态度、安全套使用与STD感染调查分析  

Analysis on HIV-related knowledge,attitude,condom using and STD prevalence among commercial sex workers in a township

作　　者：周月姣[1] 刘伟[1] 董柏青[1] 梁绍伶[1] 李晓铭 方晓义[3] 赵然[3] 黄冬梅[1] 陆伟江[1] 陈锦华[1] 郭宁贞[1] 

机构地区：[1]广西壮族自治区疾病预防控制中心,广西南宁530021 [2]Wayne State University [3]北京师范大学发展心理研究所,北京100875

出　　处：《疾病控制杂志》2007年第5期488-490,共3页Chinese Journal of Disease Control and Prevention

基　　金：美国国立健康研究院(NIH)项目(R01MH064878&R01MH064878-3S1)

摘　　要：目的了解乡镇地区暗娼艾滋病知识、态度、安全套使用及性传播疾病(STD)感染状况,为乡镇地区开展健康教育与行为干预提供依据。方法暗娼知情同意后,采取一对一的方式进行问卷调查、STD按要求进行采样检测。结果暗娼文化程度低,艾滋病3条传播途径正确回答率为62.5%～71.3%,所调查暗娼中没有人认为自已可能会感染艾滋病。商业性性行为中能坚持使用安全套的只占7.5%,不使用安全套的原因主要为客人拒绝使用,对方看起来没有性病,从来没有想过要使用安全套。性病总检出率为50.0%,淋病、沙眼衣原体、梅毒、滴虫检出率分别为21.3%、8.8%、13.8%、6.3%。结论乡镇地区暗娼艾滋病知识知晓率低,在商业性性行为中安全套使用频率非常低,性病检出率高,在乡镇娱乐服务场所推广安全套预防艾滋病性病刻不容缓。　Objective To investigate the HIV-related knowledge,attitude,condom using and STD prevalence among commercial sex workers（CSW）,and provide evidence for conducting health education and behavioral intervention.Methods After getting the informed consent from the CSWs,one-by-one questionnaire interview and the specimen for STD test were conduct.Results CSWs were poor educated;62.5%～71.3% knew transmission routes;none of CSWs considered herself in danger of getting HIV.Only 7.5% of them used condoms in commercial sex intercourse.The reason for that was the clients refused to use,the clients seemed to be healthy,and never thought about using condoms.50.0% CSWs had STD.The prevalence of gonorrhea,chlamydia trachomatis,syphilis and infusorians were 21.3%,8.8%,13.8%,6.3% respectively.Conclusions CSWs＇ HIV-related knowledge is low;condom using rate is low,and prevalence of STD is high.There is an emergency need of promoting 100% condom use to prevent HIV/STD in village and township entertainment places.

关 键 词：获得性免疫缺陷综合征 健康知识 态度 实践 性传播疾病 

分 类 号：R512.91[医药卫生—内科学] R275.9[医药卫生—临床医学]