马鞍山市低档暗娼艾滋病及生殖道感染综合干预效果分析  

Analysis on effects of the AIDS/reproductive tract infections intervention to female sex workers in low-class establishments of Maanshan

作　　者：秦其荣[1] 苏斌[2] 徐伏牛 朱宏斌[1] 张振[1] 高媛[1] 曹多志[1] 詹圣伟[1] 叶冬青[4] 

机构地区：[1]马鞍山市疾病预防控制中心艾滋病防治科,安徽马鞍山243000 [2]安徽省疾病预防控制中心艾滋病防治科,安徽合肥230601 [3]安徽省性病艾滋病防治协会,安徽合肥230061 [4]安徽医科大学公共卫生学院流行病与卫生统计学系,安徽合肥230032

出　　处：《中华疾病控制杂志》2012年第12期1056-1059,共4页Chinese Journal of Disease Control & Prevention

基　　金：2010年国家艾滋病防治社会动员项目(2010-A-24)

摘　　要：目的评估马鞍山市低档暗娼艾滋病及生殖道感染综合干预的效果。方法组织性病专科医生、妇科临床医生(工余时间)巡诊及转介服务,提供性病、生殖道感染检查与艾滋病自愿咨询检测(voluntary counselingand testing,VCT)服务,同时免费发放安全套。对马鞍山市低档暗娼进行抽样问卷调查,样本量不少于300人。结果调查表明干预前马鞍山市低档暗娼对艾滋病基本知识总知晓率为75.0%,其中对蚊虫叮咬会传播艾滋病的正确认知不高,仅为53.0%;干预后低档暗娼对艾滋病基本知识总知晓率为78.6%,其中对蚊虫叮咬会传播艾滋病的正确认知不高,仅为58.3%,但比干预前均有所提高。调查结果显示干预前最近一次与嫖客性交使用安全套的比例为54.2%,干预后为77.5%,干预前后差异有统计学意义(2=41.37,P<0.001);干预前最近一个月与嫖客性交每次坚持使用安全套的比例为43.3%,干预后为55.0%,干预前后差异有统计学意义(2=8.51,P=0.001)。调查结果表明干预前低档暗娼生殖道自报患病率为20.1%,干预后为40.4%,比干预前提高了20.3%。干预前在自报有症状的人中就诊率为56.3%,干预后为74.6%,比干预前增加了18.3%。结论通过性病专科医生、妇科临床医生(工余时间)巡诊及转介服务及生殖道感染检查,低档暗娼艾滋病及生殖道感染的综合干预成效明显。Objective To evaluate the effect of the AIDS/Reproductive tract infections intervention to female sex workers in low-class establishments of Maanshan.Methods The venereal disease specialists and gynecological clinicians were organizated to provide the patrol consultation services,sexually transmitted diseases and reproductive tract infections check,and Voluntary ounseling Testing（VCT） services and free condoms in spare time for female sex workers from the low-class establishments in Maanshan.Female sex workers from the low-class establishments in Maanshan were recruited by venue-based sampling,and the survey sample size was not less than 300.Results The general awareness of AIDS among the female sex workers in low-class establishments in Maanshan was 75.0% before the intervention,and it was 78.6% after the intervention.The rate of using condom in the latest was 54.2% before the intervention,and it was 77.5% after the intervention,which was significantly higher than that of before the intervention（X2=41.37,P0.001）.The rate of consistent using condom in the last 1 month was 43.3% before the intervention,and it was 55.0% after the intervention,which was significantly higher than that of before the intervention（X2=8.51,P=0.001）.Self-reported prevalence of reproductive tract infections was 20.1% before the intervention,and it was 40.4% after the intervention,which was over 20.3% than that of before the intervention.The visiting rate among the self-reported symptoms was 56.3%,and it was 74.6% after the intervention,which was over 18.3% than that of before the intervention.Conclusions The effect of the AIDS/reproductive tract infections intervention to female sex workers in low-class establishments of Maanshan was obvious.

关 键 词：获得性免疫缺陷综合征 避孕套 性交 

分 类 号：R181.1[医药卫生—流行病学] R512.91[医药卫生—公共卫生与预防医学]