芜湖市镜湖区2011年暗娼人群艾滋病知识及相关行为调查报告  

Survey on AIDS-related knowledge and behavior among prostitutes in Jinghu district of Wuhu city,2011

作　　者：吴军 何建刚[2] 

机构地区：[1]芜湖市镜湖区疾病预防控制中心,安徽芜湖241000 [2]芜湖市疾病预防控制中心,安徽芜湖241000

出　　处：《安徽预防医学杂志》2012年第3期175-178,共4页Anhui Journal of Preventive Medicine

摘　　要：目的了解芜湖市镜湖区暗娼人群艾滋病相关知识的知晓情况、行为特征及其在商业性性行为中的安全套使用情况,为在公共娱乐场所性服务工作者中全面推广正确使用安全套、加强艾滋病的健康教育以及预防控制提供参考依据。方法采用暗娼人群哨点监测统一的调查问卷,对芜湖市镜湖区不同档次娱乐场所中暗娼人群进行行为学调查和血清学调查。结果共调查暗娼405人,HIV抗体检测均为阴性,梅毒感染率为9.63%,丙肝感染率为0.74%;中高档与低档暗娼艾滋病知晓率差异无统计学意义(P>0.05);中高档场所和低档场所暗娼最近一次安全套使用率和最近一个月安全套使用率差异有统计学意义(P<0.01);低档场所暗娼的梅毒感染率和中高档场暗娼梅毒感染率差异有统计学意义(P<0.01);多因素logisitic回归分析显示:娱乐场所的档次(P<0.01,OR=4.19)、文化程度(P<0.01,OR=1.82)、艾滋病知识知晓程度(P<0.01,OR=2.09)和接受同伴教育(P=0.01,OR=1.94)是安全套使用的影响因素。结论不同档次娱乐场所的暗娼艾滋病相关知识知晓率均较高,但每次性行为均使用安全套的比率仍然较低,低档场暗娼的安全套使用率更低,需要探索更有实效行为干预模式,提高安全套的全程正确使用率,以减少艾滋病经性行为传播。Objective To investigate the awareness of AIDS related knowledge,behavior characters and condom use among female commercial sex workers（CSW） in Jinghu district,Wuhu,and provide references for vromote the 100% developing effectire measures to condom use among CSW in entertainment places,and strengthen health education,and prievent and control AIDS.Methods The unified questionnaire for sentinel surveillance of CSW was used for behavioral and serological survey among CSW in different levels of public amenities.Results A total of 405 CSW participated in this survey,of whose HIV antibody test were all negative.The syphilis infection rate was 9.63% and hepatitis C infection rate was 0.74%.There was no difference in the awareness of AIDS related knowledge between middle-high grade CSW groups and low grade groups（P〉0.05）,however,there was significant difference in last-time condom use（P〈0.01） and last month’s condom use（P〈0.01） between the two groups.There was difference in syphilis infection rate between the two groups（P〈0.01）.Multiple logistic regression analysis showed that the level of public amenities（P〈0.01,OR=4.19）,education（P〈0.01,OR=1.82）,awareness of AIDS related knowledge（P〈0.01,OR=2.09） and peer education（P=0.01,OR=1.94） were the influencing factors of condom use.Conclusion CSW from various grades of entertainment places had a high awareness rate of AIDS related knowledge,but the proportion of condom use at each commercial sex acting was low,especially for CSW from low grade places.The results indicates that we should explore more effective mode of behavior intervention to increase the rate of correct condom use among CSW,and reduce the risk of AIDS infection transmitted through sexual intercourse.

关 键 词：艾滋病 暗娼人群 知晓率 安全套使用 

分 类 号：R512.91[医药卫生—内科学]