兰州市城关区低档场所FSW性病/艾滋病感染及相关因素调查  

Investigation on STDs/AIDS infection and risks in low-grade FSWs in Chengguan district of Lanzhou

作　　者：陶连弟[1] 陈海燕 程宝莲[1] 

机构地区：[1]甘肃省兰州市城关区疾病预防控制中心,兰州730030

出　　处：《疾病预防控制通报》2018年第1期59-62,共4页Bulletin of Disease Control & Prevention(China)

摘　　要：目的调查甘肃省兰州市城关区低档场所女性商业性性服务人员(female sex worker,FSW)人群的性病/艾滋病感染情况、相关危险行为和求医行为,为制定干预措施和评估FSW人群的求医行为对疫情报告的影响提供依据。方法采取整群抽样方法,对城关区低档娱乐场所的300名FSW开展一对一的人口学特征、性病感染的风险意识、求医行为和求医意向等问卷调查,同时进行HIV、梅毒、淋球菌、HSV-2和生殖道沙眼衣原体感染检测。结果 300名FSW艾滋病相关知识知晓率为41.00%;最近一次性服务安全套使用率75.00%,最近一个月性服务每次使用安全套率为61.67%,有时使用为35.00%,从未使用为3.33%;性病(STDs)阳性检出率34.33%,沙眼衣原体14.67%、梅毒14.00%、淋球菌5.67%。结论兰州市城关区低档FSW性病/艾滋病防治知识知晓率、安全套使用率和自我防护意识普遍较低,STDs患病率比较高,说明低档场所FSW更易受到性病和艾滋病威胁;提示今后针对FSW开展综合干预工作时,应将低档场所FSW列为重点宣传干预对象。objective To investigate infection status of STDs/AIDS, risk behaviors and health seeking behaviors in low-grade female sex workers（FSWs） in Chengguan district of Lanzhou city, and provide the basis for intervention development and evaluation on impact of FSWs health seeking behaviors on the epidemic report. Methods There were 300 FSWs selected by cluster sampling at low-grade entertainment places in Chengguan district. The questionnaire about demographic characteristics, risks awareness of STDs infection, health seeking behaviors and the intention of seeking doctor were investigated by one-on-one interview. Meanwhile, HIV, syphilis, gonococcus, HSV-2 and genital tract chlamydia trachomatis were detected. Results Out of the 300 FSWs, the awareness rate of AIDS knowledge was 41.00%. The usage rate of condom in the latest sexual behavior was 75.00%; the usage rate of condom was 61.67% for each time, 35.00% sometimes used and 3.33% never used in the latest month. The positive detection rate was 34.33% of STDs, 14.67% of Chlamydia trachomatis,14.00% of syphilis and 5.67% of gonococcus. Conclusions The rate of awareness of STDs/AIDS and usage of condom are generally low in the low grade FSWs in Chengguan district of Lanzhou, and they lack the consciousness of self-protection. Therefore, the STDs incidence is high. It indicates that the FSWs are more vulnerable to STDs/AIDS, and they should be as the key objects for comprehensive intervention in FSWs group.

关 键 词：女性商业性性服务人员(FSW) 性病/艾滋病 感染 相关因素 

分 类 号：R512.91[医药卫生—内科学] R181.3[医药卫生—临床医学]