2009—2013年广东省女性性工作者人群梅毒感染状况分析  

Infection status among female sex workers in Guangdong Province from 2009 to 2013

作　　者：任旭琦[1] 杨立刚[1] 郑和平[1] 黄澍杰[1] 张晔[1] 刘凤英[1] 沈鸿程 陈磊[1] 杨斌[1] 

机构地区：[1]广东省皮肤性病防治中心,广东广州510091

出　　处：《中国感染控制杂志》2014年第7期393-395,439,共4页Chinese Journal of Infection Control

基　　金：广东省医学科研基金项目(A2011110)

摘　　要：目的评价广东省女性性工作者(FSW)中梅毒防控工作效果,为后期工作调整干预措施及策略提供理论依据。方法对2009年1月—2013年12月广东省皮肤性病防治系统性病艾滋病高危人群干预工作中的FSW的梅毒感染检测结果进行分析。结果 2009—2013年广东省共检测FSW34 338人次,其中高档FSW23 816人次(69.36%),中档8 811人次(25.66%),低档1 711人次(4.98%)。2009年高、中、低档FSW的梅毒感染率分别为2.60%、7.36%、10.54%,2013年分别为1.45%、2.75%、21.88%;χ2趋势检验结果显示,2009—2013年期间,高档及中档FSW中的梅毒感染率均呈下降趋势(χ2值分别为12.807、52.333,均P<0.001),而低档FSW中的梅毒感染率则一直保持在较高状态(χ2=0.027,P=0.87)。2013年不同档次FSW之间的梅毒感染率差异存在统计学意义(χ2=190.64,P<0.001);珠三角、粤东、粤西及粤北3个片区之间的FSW梅毒感染率差异无统计学意义(χ2=5.24,P=0.07)。结论不同档次的FSW之间梅毒感染率存在较大差异;低档FSW中存在较高的梅毒感染率,且梅毒检测覆盖人数较少。Objective To analyze effect of the syphilis prevention and control work among female sex workers（FSWs）, and provide reference data for target intervention in Guangdong province. Methods Syphilis prevalence among FSWs from 2009 to 2013 were analyzed statistically based on the data from Guangdong Provincial high-risk groups in sexually transmitted infection（STI） control program. Results A total of 34 338 FSWs were detected, including 23 816（69.36%）FSWs at the high-tier venues, 8 811 （25.66 %） middle-tier, and 1 711 （4.98 % ） low tier. The syphilis prevalence of FSWs at high-, middle-, and low-tier venues in 2009 was 2.60%, 7.36%, and 10.54% respectively,and in 2013 was 1.45% ,2.75% ,and 21.88% respectively. Chi-square test showed a downward trend in the prevalence of syphilis among the high and middle tier FSWs in 2009-2013（χ^2 =12. 807,52.333 respectively, both P〈0. 001）, and remained high among FSWs at low-tier venues（χ^2 = 0. 027 ,P = 0. 87）. The difference in syphilis prevalence in 2013 among FSWs from different types of venues was statistically significant （χ^2 = 190. 64,P〈0. 001 ）. No significant difference in syphilis prevalence was found among FSWs from Pearl River Delta, eastern, western and northern Guangdong （χ^2 = 5.24, P = 0. 07）. Conclusion Significant difference is found in prevalence of syphilis among FSWs from different types of settings. FSWs from low-tier settings have a relatively lower syphilis testing rate but with higher infection rate.

关 键 词：梅毒 性传播疾病 女性性工作者 流行病学 公共卫生 

分 类 号：R181.81[医药卫生—流行病学]