桂林低档暗娼艾滋病知识、安全套使用情况及危险因素分析  

An analysis on knowledge, condom use and risk behavior related to HIV/AIDS in low-tier female sex workers in Guilin

作　　者：文小青[1] 

机构地区：[1]广西桂林市疾病预防控制中心艾滋病防制科,广西桂林541001

出　　处：《现代预防医学》2013年第15期2848-2850,2855,共4页Modern Preventive Medicine

摘　　要：目的分析桂林低档暗娼的艾滋病相关知识、安全套使用情况、高危行为及艾滋病、丙肝和梅毒感染情况。方法选择路边店、洗头房、浴足屋等低档场所或街边,或者是她们每提供一次性服务(例如阴道交、肛交或口交)收取少于50元钱的861名低档暗娼进行问卷和血清学调查。结果调查对象平均年龄为31.2岁,艾滋病相关知识知晓率为65.27%,最近1月发生性关系平均客人数为54.2人,最近1个月每次性行为均使用安全套的率为40.19%,存在吸毒现象,HIV阳性14人,丙肝阳性24人,梅毒阳性62人。结论低档暗娼年龄偏大,自我保护意识差,客人数多,安全套的使用率低,是艾滋病感染和传播的高危人群,应深入开展宣传教育和干预工作,并同时开展嫖客干预。OBJECTIVE To analyze knowledge, condom use, risk behavior related to HIV/AIDS and the infectious rate of HIV, HCV and syphilis of low-tier female sex workers in Guilin. METHODS Investigated 861 low-tier female sex workers in low-end establishments, including roadside parlors, hair salon and feet-bath salons ect. or streets, or who charged less than 50 Yuan for their sexual service （e.g., vaginal, anal or oral sex） by questionnaire survey and serological test. RESULTS Among the 861 low-tier female sex workers, the average age was 31.2 years, and the awareness of AIDS-related knowledge was 65.27% . The average number of clients was 54.2 cases and the rate of condom use with their clients during sex was 40.19% in recent one month. The drug use existed among them. We identified 14 HIV antibody positive cases , 24 HCV antibody positive cases and 62 syphilis antibody positive cases. CONCLUSION Low-tier female sex workers are elder. They have low awareness of self-protection. They have more clients and the rate of condom use is low. They are the high risk group vulnerable to HIV and to spread. So we should give comprehensive propaganda and intervention to this high-risk group , and at the same time we should intervene their clients.

关 键 词：低档暗娼 艾滋病 安全套 知识 高危行为 

分 类 号：R512.91[医药卫生—内科学]