云南河口县越南跨境女性性工作者性传播感染和求医行为状况  

Status of sexually transmitted infections and seeking medical treatment among Vietnamese cross-border female sex workers in Hekou County,Yunnan

作　　者：王涵 王跃会 段志洲 王棠 刘家发[3] 燕虹 WANG Han;WANG Yuehui;DUAN Zhizhou;WANG Tang;LIU Jiafa;YAN Hong(Department of Preventive Medicine,School of Health Sciences,Wuhan University,Wuhan 430071,China;Yuzhong District of Chongqing Center for Disease Control and Prevention,Chongqing 400010,China;Hubei Provincial Center for Disease Control and Prevention,Wuhan 430079,China)

机构地区：[1]武汉大学健康学院预防医学系,武汉430071 [2]重庆市渝中区疾病预防控制中心 [3]湖北省疾病预防控制中心

出　　处：《公共卫生与预防医学》2020年第1期48-52,共5页Journal of Public Health and Preventive Medicine

基　　金：国家科技重大专项(2012ZX10001-001)。

摘　　要：目的了解云南河口县越南跨境女性性工作者(FSW)人群性传播感染状况、求医行为及其影响因素,为促进越南跨境FSW生殖健康和预防控制性病传播提供依据。方法采用“滚雪球”方式在云南河口县娱乐场所招募研究对象,进行问卷调查并采集血液、阴道分泌物和取宫颈拭子标本进行HIV/性病检测。结果共调查262名越南跨境FSW,94人被检出感染性病和艾滋病,感染率为35.88%。近一年116名(44.27%)越南跨境FSW出现性病相关症状,其中34.45%出现症状后选择去医院或私人门诊就诊,44.83%自行买药治疗,20.69%未做任何治疗。在过去一年进行过性病检测(OR=3.54,P<0.05),来自中高档场所(OR=3.94,P<0.05),出现两种以上性病相关症状(OR=3.88,P<0.05),自认为感染性病高风险(OR=3.03,P<0.05)的FSW更可能去医院或私人门诊就诊。结论云南河口县越南跨境FSW人群有较高的性病感染率,出现性病相关症状去医院门诊就诊率较低,未做任何治疗比例较高,需要正确引导越南跨境FSW的求医行为。Objective To understand the status of sexually transmitted infection and seeking medical treatment behavior among Vietnamese cross-border female sex workers(FSW)for improving their reproductive health and controlling the spread of sexually transmitted diseases.Methods"Snowball"method was performed to recruit Vietnamese cross-border FSW in entertainment places of Hekou County,Yunnan.Province.A face to face questionnaire survey was conducted and biological samples including blood,urine and cervical swab were collected for sexually transmitted infection detection.Results A total of 262 Vietnamese cross-border FSWs were investigated.The total infection rate of sexually transmitted diseases and HIV was 35.8%(94/262).In the past year,116 Vietnamese cross-border FSW had symptoms related to sexually transmitted diseases,in which 34.5%chose to go to the hospital or outpatient clinic,44.8%were on their own medicine,and 20.7%did not receive any treatment.The FSW who reported having sexually transmitted diseases testing in the past year(OR=3.54,P<0.05),from medium and high-grade CSW places(OR=3.94,P<0.05),having more than two symptoms(OR=3.88,P<0.05),and self-perceived high risk of sexually transmitted infection were more likely to seek medical treatment.Conclusion The Vietnamese cross-border FSW population in Hekou County of Yunnan Province has a high rate of sexually transmitted infections.The proportion of seeking medical treatment among FSW having symptoms related to sexually transmitted diseases is low.It is necessary to guide the Vietnamese cross-border FSW to seek formal medical treatment.

关 键 词：女性性工作者 性传播疾病 HIV求医行为 

分 类 号：R184[医药卫生—流行病学]