无锡市性工作者性病艾滋病高危行为调查  

Survey on High Risk Behavior related with STD and HIV Infection among Sexual Workers in Wuxi City

作　　者：沈晓文 杨俊莹 张守橼 王骊[3] 

机构地区：[1]无锡市崇安区疾病预防控制中心,江苏无锡214000 [2]江阴市疾病预防控制中心,江苏无锡214000 [3]宜兴市疾病预防控制中心,江苏无锡214200

出　　处：《现代预防医学》2014年第16期2980-2983,共4页Modern Preventive Medicine

摘　　要：目的了解无锡市性工作者及两性性工作者中艾滋病、梅毒、丙肝感染情况和艾滋病防治知识知晓以及安全套使用状况。方法(1)通过定额抽样和方便抽样、滚雪球抽样方法分别在江阴、宜兴和崇安3个地区高、中、低档场所选择1 625名暗娼人群,在崇安区娱乐场所选取113名男性性工作者进行实验室血清检测并进行相关问卷调查;(2)比较两性性工作者艾滋病、梅毒、丙肝感染、艾滋病防治知识知晓及安全套使用情况。结果(1)1 625名暗娼人群HIV、梅毒、丙肝感染率分别为0、2.95%、0.18%,艾滋病防治知晓率为80.43%,最近1次商业性性行为安全套使用率为74.58%;(2)113名男性性工作者HIV、梅毒、丙肝感染率为0.88%、7.08%、0,艾滋病防治知识知晓率为78.76%,最近1次商业性性行为安全套使用率为71.68%;(3)两性工作者在是否吸毒(P0.003),最近1年内是否接受过安全套宣传和发放/艾滋病咨询与检测(P0.000),最近1年内是否接受过同伴教育(P0.000),HIV感染(P0.019)以及梅毒感染率(P0.035)有统计学差异。结论无锡市性工作者HIV、梅毒和丙肝的感染率较低,但是作为干预工作中首次被关注的男性性工作者,HIV、梅毒感染率较暗娼高,而接受的高危行为干预服务较暗娼少。Objective This work was to investigate the infection of HIV/AIDS, syphilis, hepatitis among sex workers in Wuxi and their knowledge about condom use and the prevention and control of HIV/AIDS. Methods （1） The quota sampling, convenience sampling and snowball sampling methods were applied to select 1625 female sex workers from different recreation locations in Jiangyin, Yixing and Chongan districts, and 113 male sex workers in Chongan district for lab serum detection and related questionnaire survey. （2） Between female sex workers and male sex workers, their knowledge and awareness on condom use and HIV/AIDS, syphilis, hepatitis diseases were compared and analyzed. Results （1） Among the 1625 female sex workers, the HIV infection rate was 0, syphilis infection rate was 2.95%, hepatitis C infection rate was 0.18%, the awareness of HIV/AIDS prevention and control was 80.43%, and the recent rate of commercial condom use was 74.58%; （2） Among the 113 male sex workers, the HIV infection rate was 0.88%, syphilis infection rate was 7.08%, hepatitis C infection rate was 0%, the awareness of HIV/AIDS prevention and control was 78.76%, the recent rate of commercial condom use was 71.68%. （3） Between female and male sex workers, significant difference was observed in drug use （P=-0.003）, the recently received education on condom use/ AIDS counseling and the free use of condom and AIDS testing （P=-0.000）, being infected by HIV （P=-0.019） or by Syphilis infection （P=-0.035）. Conclusion The incidence of HIV, syphilis and HCV infections among sex workers in Wuxi was low. During the intervention in this study, male sex workers for whom this was the first survey that they ever received, had higher HIV and syphilis infection rates than female sex workers, but received less intervention to their high-risk behaviors.

关 键 词：性工作者 性病 知晓率 高危行为干预 

分 类 号：R183.9[医药卫生—流行病学]