攀枝花市少数民族与汉族暗娼艾滋病哨点监测结果分析  

Analysis of HIV/AIDS sentinel surveillance results among the female sex workers of the minority and Han ethnic

作　　者：唐作红[1] 李春霞[1] 张晴晴[1] 刘金康[1] 谭琴[1] 

机构地区：[1]攀枝花市疾病预防控制中心,四川攀枝花617000

出　　处：《中国艾滋病性病》2015年第7期604-607,共4页Chinese Journal of Aids & STD

摘　　要：目的对比分析攀枝花市少数民族和汉族暗娼艾滋病哨点监测结果,为综合干预提供依据。方法利用2009-2013年攀枝花市艾滋病哨点监测资料,将暗娼按照"民族"分为少数民族暗娼和汉族暗娼,并对其艾滋病病毒(HIV)感染状况及相关行为进行分析。结果 2009-2013年,共监测暗娼3904人,汉族暗娼3354人,少数民族暗娼550人。少数民族与汉族暗娼的HIV抗体阳性率分别为2.5%(14人)、0.8%(28人),差异有统计学意义(χ2=12.992,P<0.001)。少数民族暗娼初中及以上文化程度占36.4%、艾滋病知识知晓率为88.4%、安全套坚持使用率为36.4%、吸毒比例为3.6%、做过HIV检测的比例为18.0%,分别与汉族暗娼的72.4%、93.0%、59.9%、1.7%、29.3%比较,差异均有统计学意义;少数民族与汉族暗娼接受过干预服务的比例分别为95.5%、95.4%,差异无统计学意义。艾滋病知识、民族、干预服务、户籍、文化程度、年龄、艾滋病检测、固定性伴、工作时间等,是暗娼坚持使用安全套的影响因素。结论少数民族暗娼更容易感染HIV,应提高暗娼综合干预工作的针对性和可接受性。Objective To compare and analyze the results of HIV/AIDS sentinel surveillance among the female sex workers（FSWs）of the minority and Han ethnic and to provide the basis for HIV/AIDS comprehensive intervention.Methods Using the data of HIV/AIDS sentinel surveillance in Panzhihua city from 2009 to 2013,classified the FSWs by their reported ethnic group and analyzed HIV infection status and the relationship between the HIV infection status and the behavior factors.Results HIV antibody positive rates of the minority and Han FSWs were 2.5% and 0.8%respectively and the difference was statistically significant（χ^2=12.992,P〈0.001）.Among the minority FSWs,the junior middle school or above degree accounted for 36.4%,the AIDS awareness rate was88.4%,the rate of condom use were 36.4%,the ratio of drug use was 3.6%,and the proportion of received HIV testing was 18.0%,which were significantly different from Han FSWs＇.The proportion of received intervention services were 95.5% and 95.4% among the minority and Han ethnic FSWs respectively and the difference was not statistically significant.The risk factors of the condom use were including HIV/AIDS related knowledge,the ethnicity,intervention services,residence,education levels,age,HIV testing,regular sexual partners and working hours.Conclusion The minority FSWs was more susceptible to HIV/AIDS and the specificity and the acceptability of FSWs＇ HIV/AIDS comprehensive intervention should be concerned.

关 键 词：艾滋病 暗娼 民族 哨点监测 

分 类 号：R512.91[医药卫生—内科学]