广东省东莞市部分性罪错人员艾滋病病毒/梅毒监测报告  

Sex criminal HIV/syphilis surveillance report in Dongguan,Guangdong province

作　　者：王晓霞[1] 张巧利[1] 陈柏芬[1] 方晓君[1] 

机构地区：[1]广东省东莞市疾病预防控制中心,广东东莞523006

出　　处：《疾病监测》2008年第8期490-492,共3页Disease Surveillance

摘　　要：目的为了解东莞市性罪错人员中性病艾滋病流行情况及其相关的危险行为,为更好地制定针对该人群的性病艾滋病防治干预措施提供科学依据。方法对东莞市收容教养所内所有收容教养的228名暗娼和130名嫖客逐个进行询问、登记,然后采集5ml静脉血做艾滋病病毒(HIV)抗体和梅毒抗体检测。结果228名暗娼中,年龄最小16岁,平均24.31岁。嫖客最小19岁,平均32.97岁,30岁以下的暗娼数多于嫖客(χ2=63.53,P<0.01);暗娼以未婚为主,其未婚比例高于嫖客(χ2=22.83,P<0.01);暗娼和嫖客均以外来流动人群和初中以下文化程度为主,分别为99.56%、91.23%和99.23%、84.62%;在性接触中从未使用安全套的比例,嫖客为14.62%,暗娼为6.58%,嫖客高于暗娼(χ2=6.22,P<0.05);暗娼中有7人承认吸毒,1人有共用注射器史;暗娼中查出梅毒抗体阳性35例,阳性率15.35%,嫖客中查出梅毒抗体阳性12例,阳性率9.23%;暗娼中查出HIV感染者2例,感染率0.88%,嫖客中未查出HIV阳性者。结论性罪错人员中的性病艾滋病相关危险行为发生率和性病感染率均高,而嫖客中的危险行为高过暗娼。故加强对所有性罪错人员的艾滋病性病监测,开展有效针对性罪错人员的性病艾滋病防治知识宣传和干预工作,是减缓艾滋病扩散速度的重要措施。Objective The study was conducted to determine the prevalence of sexually transmitted diseases （STD） in sex criminals and AIDS-related risk behaviors, providing evidence for the improvement of STD and AIDS prevention and interventions. Methods A total of 228 female sexual workers and 130 patrons in the asylums/correctional facilities in Dongguan city were individually inquired and registered, with each 5 ml blood collected for HIV antibody and syphilis antibody detection. Results Of all 228 sexual workers, the youngest was aged 16 years. The average age of them was 24.31. The youngest patron was aged 19 years, the average age being 32.97 years. Sex workers below the age of 30 were more than the patrons of the similar age （X^2 = 63.53, P〈0.01）; they were mostly unmarried, whereas the proportion of unmarried patrons were smaller （X^2 = 22.83, P〈0.01）. Both sex workers and patrons consisted mostly of migrant people and those at the level of no more than junior secondary education, accounting for 99.56%, 91.23% and 99.23%, 84.62%, respectively. The proportion of sexual activities where condoms were not used amounted to 14.62% in patrons and 6.58% in prostitutes, the former being obviously higher （X^2= 6.22, P〈0.05）. Seven sex workers admitted drug addict, and one had a history of sharing syringes. A total of 35 cases were confirmed positive for syphilis antibody testing, the positive rate being 15.35%; 12 positive patrons were found, the positive rate being 9.23%. Two sex workers were found infected by HIV, the infection rate being 0.88%. However, no HIV-infected patrons were identified. Conclusion High infection rates and incidence of STD-related risk behaviors were found in sex criminals, and these risk behaviors were more commonly seen in patrons of brothel. Therefore, AIDS/STD surveillance for sex criminals should be intensified in conjunction with health education on the prevention of STD/AIDS and interventions to contain the spread of AIDS.

关 键 词：性罪错人员 艾滋病病毒 梅毒 监测 

分 类 号：R181.8[医药卫生—流行病学]