贵港市2012—2015年不同地区暗娼HIV/梅毒感染及其影响因素  

HIV/syphilis infection status and its influencing factors among female sex workers in different regions of Guigang,2012-2015

作　　者：刘美良 韦发双[2] 李康[1] 朱刚劲 徐志良[2] 覃雄林[2] 徐月香[2] 梁贤君 黄运轩[2] 邓本本 曾小云[1] 覃春伟[2] LIU Meiliang;WEI Fashuang;LI Kang;ZHU Gangjin;XU Zhiliang;QIN Xionglin;XU Yuexiang;LIANG Xianjun;HUANG Yunxuan;DENG Benben;ZENG Xiaoyun;QIN Chunwei(Department of Epidemiology and Biostatistics,School of Public Health,Guangxi Medical University,Nanning,Guangxi 530021,China;Guigang Municipal Center for Disease Control and Prevention,Guigang,Guangxi 537000,China)

机构地区：[1]广西医科大学公共卫生学院流行病与卫生统计学教研室,广西南宁530021 [2]贵港市疾病预防控制中心,广西贵港537000

出　　处：《中国热带医学》2018年第8期787-791,共5页China Tropical Medicine

基　　金：2018年度第二批广西医药卫生自筹项目(No.Z20180857)

摘　　要：目的调查贵港市不同地区暗娼人群艾滋病病毒(human immunodeficiency virus,HIV)/梅毒感染现况,并分析其影响因素,为制定针对贵港市不同地区HIV/梅毒感染的防制措施提供参考依据。方法参照《全国艾滋病哨点监测实施方案操作手册》,对贵港市2012—2015年3个地区哨点所监测的暗娼人群进行问卷调查和HIV、梅毒抗体的血清学检测。结果共调查监测4 266名暗娼人员,平均年龄为(34.74±8.56)岁,主要以汉族为主(79.04%),在婚或同居者居多(76.37%),小学及以下文化程度所占比例较大(55.27%),以服务于低档场所为主(50.21%)。该调查人群流动性较低,本次在本地工作时间>1年者占60.09%。HIV总感染率为1.55%,其中贵港市辖区、桂平市、平南县3个地区的HIV感染率分别为1.31%、2.63%、1.06%,差异有统计学意义(P<0.05)。梅毒总感染率为10.01%,且呈逐年下降的线性趋势(χ~2_(趋势)=43.42,P<0.001),三个地区梅毒感染率分别为7.38%、21.76%、4.81%,差异有统计学意义(P<0.05)。多因素分析结果显示,吸毒、本次在本地工作时间>1年是HIV感染的危险因素,居住于桂平市、较低档场所服务、年龄大、在婚/同居均是梅毒感染的危险因素。结论贵港市三个地区暗娼HIV/梅毒感染率较高,参考HIV和梅毒感染的影响因素,因地制宜地针对不同人群采取干预措施和长期有效宣传对防控HIV/梅毒感染非常重要。Objective To investigate the prevalence of HIV/syphilis infection and its influencing factors among female sex workers（FSWs） in different regions of Guigang City, so as to provide the references for formulating the HIV/syphilis prevention and control measures. Methods A questionnaire survey and serological tests for HIV/syphilis antibodies were performed according to The Manual of National AIDS Sentinel Surveillance Implementation Plan among FSWs in three regions of Guigang City from 2012 to 2015. Results A total of 4 266 FSWs were recruited from urban areas of Guigang City, Guiping County and Pingnan County, the average age of them was（34.74±8.56）years, and 79.04% were of the Han nationality, 76.37% were in marriage/cohabitation, 55.27% were of primary school educational level or below, 50.21% worked in low-level service place, and 60.09% worked in the local more than one year at this time. The overall prevalence of HIV infection was 1.55%, and in the three regions, the prevalence rates of HIV infection were 1.31%, 2.63% and 1.06% respectively（P〈0.05）, and the overall prevalence of syphilis in Guigang City were 10.01%, and in the three regions, the prevalence rates of syphilis were 7.38%,21.76% and 4.81% respectively（P〈0.05）. Between 2012 and 2015, there was a statistically significant decrease in syphilis prevalence in Guigang City（linear trend χ-2（2012 – 2015）=43.42, P〈0.001）. The multivariate logistic regression analysis showed that taking drugs and the period of working in local 1 year were risk factors for HIV infection. The risk factors for syphilis were the residence in Guiping County, working in low-level service place, high age, and marriage/cohabitation. Conclusions The prevalence of HIV/syphilis is high among the three study regions of Guigang City. The targeted intervention measures and long-term effective health education for different populations should be taken to prevent and control HIV/syphilis infection.

关 键 词：暗娼 艾滋病 梅毒 感染 

分 类 号：R512.99[医药卫生—内科学]