2016-2021年江苏省不同流动性暗娼人群艾滋病及其他性传播疾病感染因素分析  

Risk factors for HIV infection and other sexually transmitted diseases in female sex workers with different local residence time in Jiangsu,2016−2021

作　　者：陈禹衡[1] 刘晓燕[1] 史灵恩[1] 陈沄渟 傅更锋[1] Chen Yuheng;Liu Xiaoyan;Shi Lingen;Chen Yunting;Fu Gengfeng(Jiangsu Provincial Center for Disease Control and Prevention,Nanjing 210009,Jiangsu,China)

机构地区：[1]江苏省疾病预防控制中心,江苏南京210009

出　　处：《疾病监测》2023年第6期670-675,共6页Disease Surveillance

摘　　要：目的了解江苏省不同流动性暗娼人群相关知识行为及其性传播疾病感染因素。方法收集2016—2021年江苏省暗娼人群哨点监测数据,并根据在当地工作时间的差别进行分层,利用SPSS 23.0统计学软件进行数据整理和分析。结果2016—2021年共监测66647人,年龄(31.5±8.6)岁。在本地工作1年以上暗娼居多(44.0%),三类人群在年龄构成比方面差异有统计学意义(χ^(2)=3393.020,P<0.05),本地工作不足6个月的暗娼外省到江苏省务工比例,高于另外两组人群,差异有统计学意义(χ^(2)=2955.473,P<0.05)。暗娼人群总体艾滋病知识知晓率(93.9%)、最近1个月坚持使用安全套比例(76.0%)以及最近1年接受过艾滋病干预服务比例(94.3%)均呈逐年上升趋势(χ^(2)=380.748、4879.812、681.008,P<0.05),检出艾滋病病毒(HIV)感染率为0.5‰,梅毒感染率为2.2%。多因素logistic回归分析结果,年龄段在40~49岁、非本省户籍、小学及以下文化水平、在本地工作不足6个月、吸毒、未坚持使用安全套、中低档次场所、缺乏艾滋病知识及未接受过艾滋病相关干预防服务是暗娼感染性传播疾病的相关因素。结论江苏省仍有部分暗娼人群存在“知行分离”现象,且安全套坚持使用率仍有待提高。应对流动性较大的暗娼人群,开展有针对性的场所干预,控制艾滋病性病疫情蔓延。Objective To understand the awareness of acquired immune deficiency syndrome(AIDS)related knowledge and the risk factors for human immunodeficiency virus(HIV)infection and other sexually transmitted diseases(STDs)in female sex workers(FSWs)with different local residence time in Jiangsu province.Methods The sentinel surveillance data in FSWs in Jiangsu from 2016 to 2021 were collected for a descriptive analysis based on the local residence duration of the FSWs with statistical software SPSS23.0.Results A total of 66647 FSWs were surveyed during 2016−2021.The mean age of FSWs was(31.5±8.6)years old.Most FSWs had local residence for more than one year(44.0%),there were significant differences in the age distribution among the three groups(χ^(2)=3393.020,P<0.05).The proportion of FSWs who had local residence for less than 6 months was higher than the other two groups,the differences were significant(χ^(2)=2955.473,P<0.05).The awareness rate of HIV/AIDS related knowledge(93.9%),the rate of consistent condom use in the last month(76.0%)and those receiving AIDS intervention services in the last year in FSWs(94.3%)all showed increasing trends year by year(χ^(2)=380.748,4879.812,681.008,all P<0.05).The infection rate of HIV was 0.5‰and the prevalence of syphilis was 2.2%.Multivariate logistic regression analysis showed that age 40–49 years old,non-local resident,lower education level of primary school or below,local residence less than 6 months,drug use,non-consistent use condoms,low and medium grade places,lower awareness of knowledge about HIV/AIDS and lack of access to HIV/AIDS prevention services were relative factors for STDs in FSWs.Conclusion Risk behaviors still existed in some FSWs in Jiangsu,indicating that consistent condom use is needed to promote in this population.It is necessary to take targeted intervention measures in FSWs with short local residence duration to contain the spread of AIDS.

关 键 词：暗娼 当地居民 哨点监测 人类免疫缺陷病毒 性传播疾病 

分 类 号：R211[医药卫生—中医学] R512.91