2005-2011年江苏省镇江市某女子劳教所暗娼人群哨点监测结果分析  

Sentinel surveillance of AIDS in female sex workers in correctional facility in Zhenjiang,Jiangsu,2005-2011

作　　者：郑玉群[1] 刘晓霞[1] 张明辉[1] 朱晴[1] 

机构地区：[1]镇江市疾病预防控制中心,江苏镇江212000

出　　处：《疾病监测》2012年第12期971-974,共4页Disease Surveillance

摘　　要：目的掌握江苏省镇江市暗娼人群中艾滋病性病感染状况、流行趋势以及艾滋病知识知晓情况、危险行为情况,为实施艾滋病性病的干预措施和开展干预效果评价提供参考依据。方法根据国家《全国艾滋病哨点监测实施方案操作手册》要求,从2005-2011年每年某个时间段对镇江市某女子劳教所暗娼人群进行艾滋病知识及危险行为问卷调查和血清学调查。结果 2005-2011年该监测点共监测暗娼1505人,调查对象入所前1个月从事商业性行为时从未使用安全套的比例逐年下降,而每次使用安全套的比例呈上升趋势;2009-2011年该监测点暗娼人群的艾滋病防治知识知晓率分别为56.45%、71.65%和70.90%,2010、2011年较2009年显著提高(χ2=10.60,P<0.05);该监测点自2011年开始检出艾滋病病毒(human immunodeficiency virus,HIV)抗体阳性者,共2人(0.13%);共检出梅毒抗体阳性151例(10.03%),梅毒抗体阳性率逐年上升。结论镇江市暗娼人群HIV感染率处于较低水平,但仍存在向一般人群扩散的趋势,因此需进一步开展宣传教育和行为干预,同时加强相关监测工作。Objective To understand the current status of HIV infection and awareness of AIDS related knowledge among the female sex workers （FSWs） in correctional facility of Zhenjiang, provide evidence for effective intervention and its evaluation. Methods According to the manual of national AIDS sentinel surveillance protocol, The cross- sectional questionnaire surveys and serological detections were conducted annually among the FSWs in a correctional facility in Zhenjiang from 2005 to 2011. Results Totally 1505 FSWs have been surveyed since 2005. The number of FSWs who never used condoms at commercial sex in the latest month before custody decreased year by year, and the number of those who used condoms at each sex increased. The awareness rate of AIDS-related knowledge among the FSWS surveyed was 56.45% in 2009, 71.65% in 2010 and 70.90% in 2011, the differences was statistical significant （X^2 = 10. 60,P 〈 0. 05）. Two FSWs were detected to be H1V positive in 2011 （0. 13% ）. Totally 151 FSWs were detected to be syphilis positive from 2005 to 201l （10. 03% ）, the prevalence of syphilis increased year by year. Conclusion It is important to conduct health education and behavior intervention, strengthen the surveillance to prevent the transmission of AIDS from FSWs to general population.

关 键 词：哨点监测 暗娼 艾滋病 

分 类 号：R512.91[医药卫生—内科学]