克拉玛依市女性性服务者AIDS监测结果分析  

Analysis of AIDS sentinel surveillance among female sex workers in Karamay from 2004 to 2008

作　　者：林彬[1] 曾克芬[1] 孟炜[1] 郭俊[1] 阿斯木古丽[1] 胡俊[1] 

机构地区：[1]新疆维吾尔自治区克拉玛依市疾病预防控制中心,834000

出　　处：《中国公共卫生》2009年第1期75-76,共2页Chinese Journal of Public Health

基　　金：世行贷款卫生九项目(艾滋病/性病部分)NGO参与预防控制艾滋病/性病项目

摘　　要：目的监测2004～2008年新疆克拉玛依市女性性服务者（FSWs）性传播疾病（STD）和人类免疫缺陷病毒（HIV）感染流行趋势，为制定艾滋病（AIDS）防治措施提供依据，并为在女性性服务者中进行行为干预并评价干预效果提供数据。方法对女性性服务者实施哨点监测，采用重复、横断面调查方法进行行为学和血清学调查。结果5年共监测女性性服务者1856人，检出5例HIV感染者，平均感染率为0．27％；检出24例梅毒感染者，平均感染率为1．29％。过去一个月内的女性性服务者与嫖客发生性关系时安全套使用率呈逐年上升趋势（χ^2=9438，P〈0．01）；但与固定性伴发生性关系时安全套使用率普遍较低，且各年度间无明显变化（χ^2=146，P〉0．01）。结论克拉玛依市女性性服务者HIV和梅毒感染总体处于低流行水平，女性性服务者在性病／艾滋病传播中起着重要的桥梁作用，因此，必须持之以恒地进行干预，以有效控制艾滋病在该人群的流行与蔓延。Objective To understand STD and HIV infection status and trends among female sex workers（FSWs） in Karamay from 2004 to 2008, and provide materials for AIDS prevention measure and appraisal of intervention. Methods Cross - sectional behavioral and serological sentinel surveys were repeatedly conducted among FSWs. Results Five cases were found anti - HIV positive in 1856 FSWs for 5 years. The HIV infection rate was 0.27%. The rate of syphlis infection was 1.29% （24 cases）. The condom - using rate Of the last month with male sex consumers was increased yearly （ χ^2 = 94. 38, P 〈 0.01 ）, but the rate of condom use with regular sexual partners was low, and the yearly difference was no statistical signficnce（χ^2 = 1.46, P 〉 0. 01 ）. Conclusion Infection rate of HIV and syphlis was relatively low among FSWs in Karamay. But the FSWs were likely to play a greater role as ＂bridge＂ in transmitting HIV, so health education and behavioral intervention should be reinforced among FSWs in Karamay.

关 键 词：艾滋病 女性性服务者 哨点监测 

分 类 号：R512.91[医药卫生—内科学]