嘉兴市暗娼人群丙型病毒性肝炎防治知识调查  

Awareness of hepatitis C prevention and control knowledge among female sex workers in Jiaxing City

作　　者：徐芳萍 辅海平[2] 侯志刚 俞孟萍 唐娴[1] XU Fangping;FU Haiping;HOU Zhigang;YU Mengping;TANG Xian(Department of AIDS and Tuberculosis Control and Prevention,Jiaxing Center for Disease Control and Prevention,Jiaxing,Zhejiang 314050,China;Tongxiang Center for Disease Control and Prevention,Tongxiang,Zhejiang 314500,China;Jinghu District Administration for Market Regulation of Wuhu City,Wuhu,Anhui 241000,China)

机构地区：[1]嘉兴市疾病预防控制中心艾滋病结核病预防控制科,浙江嘉兴314050 [2]桐乡市疾病预防控制中心,浙江桐乡314500 [3]芜湖市镜湖区市场监督管理局,安徽芜湖241000

出　　处：《预防医学》2024年第2期119-122,共4页CHINA PREVENTIVE MEDICINE JOURNAL

基　　金：嘉兴市民生科技创新研究项目(2023AY11040)。

摘　　要：目的 了解浙江省嘉兴市暗娼人群丙型病毒性肝炎(丙肝)防治知识知晓情况及影响因素。方法 按照《全国艾滋病哨点监测实施方案》,从嘉兴市某国家级艾滋病监测点抽取从事商业性性交易的15~65岁女性为调查对象,通过问卷调查收集基本信息、丙肝防治知识知晓情况和行为信息等资料;分析暗娼人群丙肝防治知识知晓率,采用多因素logistic回归模型分析丙肝防治知识知晓情况的影响因素。结果 发放问卷430份,回收有效问卷412份,回收有效率为95.81%。调查对象年龄为(28.58±4.93)岁;未婚258人,占62.62%;非浙江省户籍344人,占83.50%;初中及以下学历212人,占51.46%;高档场所交易243人,占58.98%。丙肝防治知识知晓率为20.39%,其中“输入带有丙肝病毒的血液会感染丙肝”“街头或小店里纹身、纹眉、打耳洞可能感染丙肝”的知晓率相对较低,分别为38.83%和38.11%。多因素logistic回归分析结果显示,婚姻状况(离异或丧偶,OR=0.161,95%CI:0.054~0.482)、文化程度(高中或中专,OR=2.568,95%CI:1.446~4.560;大专及以上,OR=6.110,95%CI:2.658~14.045)和场所档次(高档,OR=2.756,95%CI:1.525~4.982)是暗娼人群丙肝防治知识知晓的影响因素。结论 嘉兴市暗娼人群丙肝防治知识知晓率低,尤其缺乏丙肝的传播途径和预后知识。Objective To investigate the awareness of hepatitis C prevention and control knowledge and its influencing factors among female sex workers (FSWs) in Jiaxing City, Zhejiang Province. Methods According to the HIV/AIDS Sen⁃ tinel Surveillance Plan, FSWs at ages of 15 to 65 years monitored by the national AIDS surveillance sentinel in Jiaxing City were recruited, and demographic information, awareness of hepatitis C prevention and control knowledge and related behaviors were collected by questionnaire surveys. Factors affecting the awareness of hepatitis C prevention and control knowledge were identified by a multivariable logistic regression model. Results A total of 430 questionnaires were allo⁃ cated, and 412 were valid, with an effective rate of 95.81%. The respondents had a mean age of (28.58±4.93) years, and included 258 unmarried FSWs (62.62%), 344 with registered residence outside Zhejiang Province (83.50%), 212 with junior high school education or below (51.46%) and 243 from high-end entertainment places (58.98%). The overall awareness of hepatitis C prevention and control knowledge among FSWs was 20.39%, and the awareness of "Transfusion of blood containing hepatitis C virus may acquire hepatitis C" (38.83%) and the awareness of "tattooing, eyebrow tattooing and ear piercing in streets or small shops may infect hepatitis C" (38.11%) were relatively low. Multivariable logis⁃ tic regression analysis identified marital status (divorced or widowed, OR=0.161, 95%CI: 0.054-0.482), educational level (high school or technical secondary school, OR=2.568, 95%CI: 1.446-4.560;junior college or above, OR=6.110, 95%CI: 2.658 -14.045) and grade of entertainment places (high-end entertainment places, OR=2.756, 95%CI: 1.525-4.982) as factors affecting the awareness of hepatitis C prevention and control knowledge among FSWs. Conclusion FSWs in Ji⁃ axing City have a low awareness of hepatitis C prevention and control knowledge, especially lacking of knowledge about the transmission routes and prognosis of hepatitis

关 键 词：暗娼人群 丙型病毒性肝炎 防治知识 知晓率 

分 类 号：R512.63[医药卫生—内科学]