2011—2016年北京市女性性工作者HIV梅毒血清学调查  

Characteristics of female sex workers and their HIV and syphilis prevalence in Beijing,2011-2016

作　　者：孙燕鸣[1] 李桂英[1] 卢红艳[1] SUN Yunming;LI Gidying;LU Hongyan(Beijing Centers for Disease Prevention and Control , Beijing Centers for Disease Preventive Medical Research , Beijing 100013 , China)

机构地区：[1]北京市疾病预防控制中心北京市预防医学研究中心,北京100013

出　　处：《中国艾滋病性病》2019年第3期260-263,272,共5页Chinese Journal of Aids & STD

摘　　要：目的了解北京市不同档次场所的女性性工作者(FSW)性病艾滋病相关行为及血清学感染状况及变化趋势。方法 2011—2016年对监管场所、社区来源的不同档次场所FSW进行连续横断面调查。收集人口学、高危行为、血清学等相关信息。监管场所采用全年连续抽样,社区来源暗娼采用概率抽样。结果共调查FSW 29 726人,其中低档场所FSW 11 898人,中高档场所FSW 17 828人。低档场所FSW在本地工作时间一年以上者从2011年的22.2%上升至2016年的46.4%(P=0.001),最近一个月内与客人发生性行为每次使用安全套者从2011年的61.4%下降至2016年的34.5%(P=0.001),艾滋病病毒(HIV)抗体阳性率在0～0.3%之间,梅毒阳性率在2.8%～4.7%之间,有波动但无明显变化趋势。中高档场所FSW安全套使用无明显变化趋势,HIV抗体阳性率在0～0.1%之间,梅毒阳性率从2011年的1.2%上升至2016年的1.8%,无统计学变化趋势。2016年调查的低档场所FSW在文化程度、本地工作一年以上、最近一个月与客人每次使用安全套的比例均低于中高档场所FSW(P=0.001),梅毒阳性率高于中高档场所FSW。结论北京市FSW人群存在流动性强,安全性行为比例低等特点,其中低档场所FSW年龄更大,艾滋病高危行为更严重,未来应继续加强FSW的现场干预和检测工作。Objective To investigate the demographic characteristics, risk behaviors and prevalence of HIV and syphilis among female sex workers(FSWs) in different levels of entertainment establishments in Beijing. Methods Surveys were conducted during 2011 to 2016 among FSWs in Beijing to collect information on the demographic characteristics, sexual behaviors and HIV and syphilis prevalence. Serial cross-sectional surveys were done in detention places and probability sampling was used in communities. Results A total of 29 726 FSWs were surveyed, with 11 898 from low levels and 17 828 from middle-high levels. The local working time of low levels increased from 22.2% in 2011 to 46.4% in 2016(P=0.001). The rate of condom use each time in their sex with clients in the last month among low-level FSWs decreased from 61.4% in 2011 to 34.5% in 2016(P=0.001). HIV prevalence was between 0-0.3%. Syphilis ELISA and RPR doubled, and 11 898 prevalence was between 2.8-4.7%, without any statistical significance. Among the middle-high-level FSWs, the rate of condom use had no statistical significance. HIV prevalence was between 0-0.1%. Syphilis RPR prevalence was increasing from 1.2% in 2011 to 1.8% in 2016, without any statistical significance. In 2016, education, local working time of low levels among FSWs were all lower than those in middle-high levels(P=0.001). The rate of condom use each time in their sex with clients in the last month among low-level FSWs was lower than that among middle-high-level ones. Conclusion The FSWs in Beijing are very mobile, low education and less safe sex behavior, especially the low-level FSWs. More attention should be paid to intervention and spot testing of HIV with low-level FSWs.

关 键 词：女性商业性行为服务者 艾滋病病毒 梅毒 血清学检测 感染状况 

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