暗娼人群艾滋病队列研究中失访率及影响因素分析  

Analysis of lost to follow-up rate and influence factors among female sex worker of the crowd AIDS cohort study

作　　者：朱刚劲 徐志良[1] 韦发双[1] 覃雄林[1] 覃春伟[1] 徐月香[1] 梁贤君 黄运轩[1] 

机构地区：[1]贵港市疾病预防控制中心,广西537100

出　　处：《医学动物防制》2017年第11期1122-1126,共5页Journal of Medical Pest Control

基　　金：十二五国家重大科技项目-广西防治艾滋病规模化现场流行病学和干预研究项目(2012ZX10004910)

摘　　要：目的了解暗娼人群艾滋病队列研究中艾滋病病毒(HIV)、梅毒感染现况以及失访率和影响因素,为采取干预措施提供依据。方法通过经过培训的调查员,采用统一的问卷调查,6~12月后进行随访,随访内容同第一次调查。结果共调查108名暗娼人群,6~12个月后随访率75.00%(81人)。最近一次性行为使用安全套率92.59%。最近一个月商业性行为的安全套每次都使用率为41.67%,logistic回归分析显示来源于低档场所是暗娼人群失访的保护因素,其失访率是来源于中档暗娼的0.11倍(P<0.05)。首次调查阳性检出率为0.93%,6个月后HIV无新发感染。结论暗娼队列研究随访难度高,暗娼危险行为比例高,是干预的重点人群。Objective To analyze the crowd of AIDS virus （HIV） and syphilis infection status and lost to follow - up rate and in- fluence factors associated with it in female sex worker, provide the basis for AIDS prevention and control. Methods Female sex worker were investigated using uniform questionnaire and all case were followed up for 6 to 12 months with the first survey con- tent. Results A total of 108 FSWs were investigated, after 6 to 12 months of follow - up rate was 75.00% （ 81 ）. The proportion of condom use in the last commercial sex was 92. 59%. The proportion of condom use in commercial sex last month was 41.67%. Unconditional multivariate logistic regression analysis showed that comes from low - grade place were observed the protection of the people lost to follow - up. The lost to follow - up rate is 0. 11 times from mid - range （ P 〈 0. 05 ）. The HIV infection rates was 0. 93% during the first investigation. There was no new HIV infection after six months late. Conclusion The follow - up of cohort study among FSWs was difficult. There were much high - risk behaviors among FSWs. They are the focus of the intervention group.

关 键 词：暗娼 艾滋病 失访 队列研究 

分 类 号：R512.91[医药卫生—内科学]