钦州市2013-2015年女性性工作者性行为特征分析  

Analysis on sexually transmitted diseases and high-risk sexual behavior among female sex workers during 2013-2015 in Qinzhou city

作　　者：黄春湲 余军[1] 王卫军[2] 刘春秀[2] 蒋俊俊[1] 宋丽萍[3] 梁冰玉[1] 

机构地区：[1]广西医科大学公共卫生学院广西艾滋病防治研究重点实验室,南宁530021 [2]钦州市疾病预防控制中心,广西钦州530000 [3]桂林医学院公共卫生学院,广西桂林541000

出　　处：《中国艾滋病性病》2017年第8期714-718,共5页Chinese Journal of Aids & STD

基　　金：国家自然科学基金(81360441);广西自然科学基金资助项目(2016GXNSBA380189);2014年广西科学研究技术开发计划(桂科技字[2014]124号);广西重点实验室资助计划(桂教人[2013]18号)~~

摘　　要：目的了解钦州市2013-2015年女性性工作者(FSW)艾滋病知信行及性传播疾病感染的状况,为评价艾滋病干预效果及调整干预措施提供依据。方法于2013-2015年的5-7月,按照《全国艾滋病哨点监测实施方案操作手册》的要求开展监测工作,对钦州市娱乐场所的FSW进行问卷调查并采集血样做血清学检测。结果2013-2015年共调查FSW 3 151人,2013-2015年FSW的HIV阳性率分别为0.67%、0.29%、0.86%;梅毒阳性率分别为3.90%、3.90%、3.14%;HCV阳性率分别为1.05%、0.76%、0.29%。艾滋病知识知晓率分别为95.34%、97.91%、94.38%。最近一次性交易时安全套使用率分别为95.53%、97.52%、94.57%,最近一个月性交易时安全套每次使用率分别为70.41%、83.33%、81.52%。低、中、高档FSW的HIV阳性率分别为0.98%、0.15%、0.54%;梅毒阳性率分别为4.66%、2.70%、1.61%;HCV阳性率分别为0.74%、0.75%、0。艾滋病知识知晓率分别为93.87%、97.83%、99.46%。最近一次性交易时安全套使用率分别为94.24%、97.45%、98.92%,最近一个月性交易时安全套每次使用率分别为71.37%、85.16%、91.94%。结论钦州市FSW HIV感染率较低,艾滋病知识知晓率及干预覆盖率较高,安全套每次使用率较低,梅毒感染率较高,艾滋病通过FSW传播的危险性仍较大。Objective To understand HIV/AIDS related knowledge awareness,infection and high-risk sexual behavior among female sex workers（FSWs）of Qinzhou during 2013-2015,and provide the basis for further adjustment of intervention strategies.Methods A face-to-face questionnaire survey was conducted annually among FSWs in Qinzhou from May to July in each year of 2013-2015.Blood samples were collected for serological detection.Results 3151 FSWs were investigated.From 2013 to 2015,the positive rate of HIV was 0.67%,0.29%and 0.86%,respectively,and those of syphilis 3.90%,3.90% and 3.14% and HCV 1.05%,0.76% and 0.29%.The awareness rate of AIDS knowledge was 95.34%,97.91%and 94.38%,and the rate of condom use in last commercial sex was 95.53%,97.52% and 94.57%,and in every commercial sex in the last month was 70.41%,83.33% and81.52%.FSWs in low,medium and high grade places had HIV positive rate of 0.98%,0.15% and 0.54% with the positive rates of syphilis（4.66%,2.70% and 1.61%）,HCV（0.74%,0.75% and 0）,the awareness rate of AIDS knowledge（93.87%,97.83% and 99.46%）,condom use in last commercial sex（94.24%,97.45%and 98.92%）,and condom use in every commercial sex in the last month（71.37%,85.16% and 91.94%）.Conclusion The rate of HIV infection is low,and the rate of AIDS knowledge and intervention coverage is high among FSWs in Qinzhou,indicating that AIDS intervention measures are effective.However,the risks of AIDS transmission via sexual behavior are still high due to low rate of condom use and high rate of syphilis infection.

关 键 词：女性性工作者 艾滋病 哨点监测 知晓率 安全套 

分 类 号：R512.91[医药卫生—内科学] R373.9[医药卫生—临床医学]