北京市东城区娱乐场所女性性工作者艾滋病和丙肝防治知识知晓率及其影响因素  

Awareness rate and influencing factors of AIDS and hepatitis C prevention among female sex workers in entertainment establishments in Dongcheng district of Beijing city

作　　者：刘壮 王媛媛[1] 田飞[1] 姜琪琪 Liu Zhuang;Wang Yuanyuan;Tian Fei(The Dongcheng District Center for Disease Control and Prevention of Beijing City,Beijing 100050)

机构地区：[1]北京市东城区疾病预防控制中心,北京100050

出　　处：《基层医学论坛》2023年第7期123-125,135,共4页The Medical Forum

摘　　要：目的了解北京市东城区娱乐场所女性性工作者(FSW)艾滋病和丙肝防治知识知晓情况,探讨其影响因素,为艾滋病和丙肝知识宣教工作提供依据。方法采用分层整群抽样方法,调查收集FSW艾滋病知晓情况、丙肝晓情况、高危行为等信息,采集静脉血检测人类免疫缺陷病毒(HIV)和丙型肝炎病毒(HCV)。结果共调查271人,艾滋病知识知晓率为92.98%,低档场所FSW艾滋病知晓率(88.37%)低于中档场所FSW艾滋病知晓率(95.13%),差异有统计学意义(P<0.05);丙肝知识知晓率54.61%,低档场所FSW丙肝知晓率(44.18%)低于中档场所FSW艾滋病知晓率(59.45%),差异有统计学意义(P<0.05);最近1个月与客人发生性行为,低档场所坚持每次使用安全套率(70.93%)低于中档场所坚持每次使用安全套率(88.11%),差异有统计学意义(P<0.05)。检出HIV阳性率为0.00%,HCV阳性率为0.74%。结论北京市东城区低中档娱乐场所FSW艾滋病、丙肝相关知识知晓率较低,尤其低档场所防治艾滋病、丙肝知识水平偏低,安全意识薄弱,安全套使用率低,应继续加强高危人群健康教育,提高其自我保护意识。Objective To understand the knowledge about AIDS and hepatitis C among female sex workers(FSW)in Dongcheng District entertainment establishments,and to explore the influencing factors,so as to provide evidence for AIDS and hepatitis C knowledge education.Methods Stratified cluster sampling was used to collect information about AIDS awareness,hepatitis C exposure and high-risk behaviors,and collect venous blood for detection of human immunodeficiency virus(HIV)and hepatitis C(HCV).Results A total of 271 people were surveyed,the awareness rate of AIDS knowledge was 92.98%,and the awareness rate of FSW AIDS in low places was 88.37%,which was lower than that of FSW AIDS in middle places(95.13%),the difference was statistically significant(P<0.05).The awareness rate of hepatitis C knowledge was 54.61%,and the awareness rate of FSW hepatitis C in low places(44.18%)was lower than that of FSW AIDS in middle places(59.45%),the difference was statistically significant(P<0.05).Having sex with guests in the last month,the condom use rate in low-grade places(70.93%)was lower than that in middle-grade places(88.11%).The dfference was statistically significant(P<0.05).The positive rates of HIV and HCV were 0.00%and 0.74%,respectively.ConclusionThe awareness rate of AIDS and hepatitis C knowledge in FSW is low in urban low and middle entertainment places,especially in low-grade places,with low level of knowledge about AIDS and hepatitis C,weak safety awareness and low condom use rate.We should continue to strengthen health education for high-risk groups and enhance self-protection awareness.

关 键 词：女性性工作者 艾滋病 丙肝 防治知识 知晓率 

分 类 号：R183[医药卫生—流行病学] R512.6[医药卫生—公共卫生与预防医学]