开远市不同场所暗娼的高危行为及HIV/STD感染状况调查  

Survey of high risk behaviors and HIV/STD infection among FSWs from different venues of Kaiyuan City

作　　者：李庆华[1,2] 徐俊杰[1,3] 王维佳 王桂香[4] 常东方[4] 丁国伟[1] 汪宁[1] 

机构地区：[1]中国疾病预防控制中心 性病艾滋病预踌控制中心,北京100050 [2]红河州疾病预防控制中心,云南蒙自661100 [3]中国医科大学附属第一医院卫生部艾滋病免疫学重点实验室,辽宁沈阳110001 [4]开远市疾病预防控制中心,云南开远661600

出　　处：《中国艾滋病性病》2009年第2期164-166,共3页Chinese Journal of Aids & STD

基　　金：美国国立卫生研究院(NIH)国家传染病与变态反应研究所资助项目(U19A151915)

摘　　要：目的了解云南省开远市不同场所,暗娼的高危行为特征及艾滋病病毒(HIV)和其他性传播疾病(STD)的感染状况。方法于2006年9-10月,对开远市所有娱乐场所的暗娼开展一次横断面调查。结果在调查的734人中,宾馆/酒店/夜总会暗娼(A类)占45.64%,卡拉OK厅/美容美发厅(B类)占42.51%,出租房/街头(C类)占11.85%。A、B和C三类暗娼最近1周的嫖客中位数分别为2个、4个和8个,最近1周与嫖客总是使用安全套的比例依次为94.93%、91.35%和41.38%。另外,A、B和C三类暗娼中HIV/STD的感染率也均呈现依次升高的趋势,HIV感染率分别为5.07%、15.71%、19.54%,尿吗啡阳性率依次为6.57%、26.60%和12.64%。结论开远市中、低档暗娼的嫖客数多,安全套使用率较低,吸毒现象严重,HIV/STD感染率较高,为当地艾滋病监测和干预的重点亚人群。Objective To learn high risk behaviors, the prevalence of HIV and other STDs among female sex workers （FSWs） from different venues of Kaiyuan City, Yunnan Province. Method Cross- sectional survey was carried out among FSWs （N = 734） from all venues of Kaiyuan City from September to October in 2006. Result The proportion of FSWs recruited from hotels, night clubs （type A） was 45.64% , 42.55% from Kara OK house and Beauty salon （type B）, and 11.85 % were recruited from rented rooms and streets （type C）. The median number of served male clients was 2, 4and 8 among FSWs, type A,type B , and type C respectively. And their proportion of consistent condom using with male clients in recent week was 94.93 % , 91.35 % , and 41.38 % , respectively. Additionally, the prevalence of HIV/ STDs all showed a increasing trend among FSWs of type A, type B,and type C, among whom the prevalence of HIV was 5.07%, 15.71%, and 19.54 %, respectively. Additional, the positive rate of urine opiate was 6.57%, 26.60%, and 12.64 %, respectively. Conclusion Compared with those of high class （type A）, FSWs of middle/low class （type B, type C） had more number of male clients, lower condoms using rate, and higher proportion of drug- using behaviors, which resulted in high prevalence of HIV/STDs among them. So, HIV/STIN surveillance and behaviors intervention should be mainly focused on local middldow class FSWs to prevent further transmission of HIV epidemic to the general population.

关 键 词：暗娼 艾滋病 性传播疾病 

分 类 号：R512.91[医药卫生—内科学]