娱乐场所女服务员艾滋病性传播风险现况调查  

Investigation of the transmission risk of STIs/HIV among FSW in Luwan district of Shanghai

作　　者：范惠琍[1] 宋琴[1] 吴健[1] 袁家麟[1] 吴建华[1] FAN Hui Li,SONG Qin, WU Jian, YUAN Jia Lin, WU Jian Hua. Luwan Center for Disease Control and Prevention, Shanghai, China 200023

机构地区：[1]上海市卢湾区疾病预防控制中心,200023

出　　处：《社区卫生保健》2010年第6期391-393,共3页Journal of Community Healthcare

摘　　要：目的了解卢湾区娱乐场所女服务员性传播感染和艾滋病感染（STIs／HIV）风险，为制定干预措施提供依据。方法随机抽取上海市卢湾区4家大型娱乐场所和18家小场所的125名女服务员进行问卷调查，并采集其血、尿标本进行实验室检测。结果HIV抗体阳性1人（0．8％），梅毒RPR阳性12人（9．6％）。仅36．8％女服务员在最近3次性行为时使用安全套；超过50％的调查对象不知道怎样正确使用安全套。结论娱乐场所女服务员艾滋病、梅毒患病率高，艾滋病防治知识知晓率低，不安全性行为频繁，传播艾滋病风险高，应加强对该类人群的行为干预。Objective To learn the transmission risk by surveying prevalence of the human immunodeficieney virus/ sexually transmitted infections （STIs/HIV）, information about condom use and knowing rate of AIDS＇ knowledge among female sex worker（FSW） in entertainment venues of Luwan district to provide the basis for making the aimed intervention measures to prevent and control the spread of AIDS. Method 125 FSW in four large entertainment venues and eighteen small places in Luwan district of Shanghai were selected with randomly sampling method. Their condom use, knowledge and attitude related to STIs/HIV were investigated by the ques- tionnaire survey. Their Blood and urine samples were collected and tested. Results Blood test showed that 0.8% （1/125） of them was found HIV antibody positive, and 9.6%（12/125） were RPR positive. Only 36.80/oo of them used condom in recent three Sex life, and more than 50% of them didn＇t know how to use condom correctly and lacked clear understanding on the importance of condom use to prevent STIs/HIV. More than 500/00 of them knew spread knowledge of HIV, but misunderstood the specific preventive knowledge, and their risk awareness were low. Conclusion Prevalence of HIV/syphilis among them was relatively high and unsafe sex behavior was frequent. Also, the rate of griping condom use and its importance among them was low, and the rate of misunder- standing prevention knowledge of HIV was high. Floating and covert FSW made intervention difficult. So the transmission risk of STIs/HIV among FSW in entertainment venues of Luwan district was high, and comprehensive behavior intervention should be enhanced to reduce the probability of STIs/HIV spread from FSW to general population.

关 键 词：女服务员 艾滋病 传播风险性 

分 类 号：R759.01[医药卫生—皮肤病学与性病学;医药卫生—临床医学]