扬州市女性性工作者3年HIV/梅毒血清学和行为学调查  

A three-year investigation on the HIV / syphilis serology and behavior of female sex workers in Yangzhou City

作　　者：肖越胜 韦正亚 张晋 孙丽 张军 

机构地区：[1]扬州市疾病预防控制中心,江苏扬州225001 [2]扬州市广陵区疾病预防控制中心

出　　处：《现代预防医学》2013年第18期3391-3393,共3页Modern Preventive Medicine

摘　　要：目的比较扬州市部分娱乐服务和洗浴场所女性性工作者(SWs)3年艾滋病病毒/梅毒血清学状况和行为学特征,研究其发展趋势,为进一步干预提供依据。方法连续3年对同一区域内SWs人群进行调查,采集血液样本检测HIV抗体和梅毒。用EpiData软件对问卷和检测结果进行数据处理,线性趋势χ2检验进行统计分析。结果 3年调查人数分别为172、142、100人,3年间接受健康咨询检测3项次以上人数和最近1次性交易时使用安全套的比例差异有统计学意义(χ2=53.12,P﹤0.05;χ2=44.10,P﹤0.05);梅毒ELISA法阳性人数和有多项妇科症状人数逐年增加,现症梅毒(TRUST阳性)分别为8.1%、11.4%、7.0%,差异无统计学意义。所有采集标本未检测出HIV抗体。结论扬州市部分娱乐服务和洗浴场所SWs最近1次安全套使用和接受健康咨询检测比例呈逐年上升趋势,存在低HIV感染率、高梅毒感染和现症感染率,应继续加强有效干预,控制性病的传播。OBJECTIVE HIV/syphilis serology and behavioral features of female sex workers （SWs） offering entertainment or bathing services in the City of Yangzhou were studied for 3 years to assess the trend of development, so to provide a reference for further intervention. METHODS SW population within the same area was surveyed for 3 consecutive years. Blood samples of the surveyees were collected to determine the presence of HIV antibody and syphilis. The EpiData software was used to process the questionnaires and test results, and statistical analyses of the data were performed by using the X^2 test of linear trends. RESULTS The numbers of surveyees during the 3 years were 172, 142, and 100, respectively. Difference between the number of people who received health counseling and examination for over 3 times within the 3 years and the percentage of condom use in the last transactional sex was statistically significant （X^2 = 53.12, P 〈 0.05; X^2= 44.10, P 〈 0.05）. Increase in the number of syphilis ELISA-positive cases and in the number of people having multiple gynecological symptoms was observed. The percentages of syphilis （TRUST-positive） cases during the 3 years were 8.1%, 11.4%, and 7.0%, respectively, with no statistical significance observed between the numbers. HIV antibody was not detected in any of the blood samples. CONCLUSION Among some of the SWs providing entertainment or bathing services in Yangzhou City, the percentage of condom use in the last transactional sex and the percentage of SWs receiving regular health counseling and examination is on the rise. Although the infection rate of HIV is low, syphilis infection rate has been high. Therefore, reinforcing effective interventive measures to control the transmission of sexually transmitted diseases （STDs） is advised.

关 键 词：女性性工作者 HIV 梅毒 

分 类 号：R173[医药卫生—妇幼卫生保健]