温州市鹿城区娱乐场所女性性服务者HIV、HCV、HBsAg、梅毒感染状况及危险因素  

Infections of HIV,HCV,HBsAg and syphilis and the related risk factors among female sex workers in entertainment places in Lucheng District,Wenzhou City

作　　者：薛芳辉 孙智霞[1] 张文珠[1] 朱海深 金镒华 

机构地区：[1]温州市鹿城区疾病预防控制中心,浙江温州325000

出　　处：《实用预防医学》2016年第2期170-172,共3页Practical Preventive Medicine

基　　金：鹿城区科技计划项目资助课题(No.S10204)

摘　　要：目的了解温州市鹿城区娱乐场所女性性服务者HIV、HCV、HBsAg、梅毒感染状况及影响因素，为实施有效干预，预防控制相关疾病在该类人群中传播提供依据。方法采用分层随机抽样法抽取不同类别高危场所，再采用整群抽样（≤25人）或方便样本法（〉25人）抽取调查对象，由经过培训的调查员对调查对象进行匿名问卷调查及抽血检测HIV、HCV、HBsAg、梅毒。结果412名调查对象以20-29岁年龄段为主，占67．96％，初中及以下文化程度者占63．84％，未婚者占61．65％，外省户籍占89．08％，艾滋病相关知识知晓率为70．87％。最近1个月与客人发生性行为时安全套使用率较低，每次都用的占48．30％，从来不用的占12．14％，曾做过艾滋病检测的占53．71％。18．20％的人曾患过性病，1．46％的人有吸毒史。未检出HIv抗体阳性，HCV、HBsAg、梅毒抗体阳性率分别为0．24％、6．31％和2．43％。低档和中高档场所梅毒阳性率分别为5．15％、1．59％，最近一年曾患过性病和未患过性病的梅毒阳性率分别为8．51％、1．64％，梅毒阳性率在不同档次场所和是否曾患过性病间差异有统计学意义（χ^2=3．985，P=0．045；χ^2=8．290，P=0．004）。结论温州市鹿城区娱乐场所女性性服务者艾滋病知识掌握不全面，安全套使用率较低，HIV感染率总体处于较低水平，低档次场所和曾患过性病的女性性服务者梅毒感染率较高。仍需进一步加强对此类人群特别是低档次人群的健康教育和行为干预工作。Objective To investigate the infection status of HIV, HCV, HBsAg and syphilis and the influencing factors among female sex workers in entertainment places in Lucheng District, Wenzhou City, so as to provide evidence for effective interven- tion, prevention and control of the diseases among them. Methods Different high risk sites were selected by stratified ran- dom sampling, and then the female sex workers were sampled by cluster sampling （for risk sites having 25 persons or less） or convenience sampling （ for risk sites having more than 25 persons）. With obtaining informed consent, a cross sectional survey was conducted using structured anonymous questionnaire by well- trained investigators, and blood samples were collected for detection of HIV, HCV and syphilis antibodies as well as HBsAg. Results Among 412 female sex workers investigated, 67.96% were aged 20-29 years, 63.84% had junior middle school or lower education, 61.65% were unmarried, and 89.08% came from other provinces. The general awareness rate of AIDS- related knowledge was 70.87 %. The percentage of using condom during sex in the last month was low, only 48.30% reported consistent condom use and 12.14% never use. 53.71% had ever received HIV test. 18.20% had suffered from sexually transmitted diseases and 1.46% reported taking drug. No HIV- anti- body was detected from 412 samples. The positive rates of HCV antibody, HEsAg and syphilis antibody were 0.24 %, 6.31% and 2.43 %, respectively. The positive rates of syphilis in low- grade and high- grade entertainment places were 5.15 % and 1.59 % respectively, and the positive rates of syphilis in the female sex workers with or without venereal disease during the past year were 8.51% and 1.64% respectively. There were statistically significant differences in the positive rates of syphilis between low - grade and high - grade entertainment places as well as between the female sex workers with or without venereal disease （ χ^2 = 3. 985, P = 0. 045 ; χ^2= 8. 290, P = 0. 004）. Conclusions The

关 键 词：娱乐场所 女性性服务者 性传播疾病 感染 

分 类 号：R512.91[医药卫生—内科学]