2019―2022年柳州市暗娼人群AIDS哨点监测结果  

AIDS sentinel surveillance of commercial sex workers in Liuzhou City,2019-2022

作　　者：谢昌平[1] 何志雁 杨燕珍[1] 漆光紫 谭寿南 XIE Changping;HE Zhiyan;YANG Yanzhen;QI Guangzi;TAN Shounan(AIDS Prevention and Control Institute,Liuzhou Center for Disease Control and Prevention,Liuzhou 545007,China;School of Public Health and Managemen,Youjiang Medical University for Nationalities,Baise 533000,China)

机构地区：[1]柳州市疾病预防控制中心艾滋病防制所,柳州545007 [2]右江民族医学院公共卫生与管理学院,百色533000

出　　处：《中华疾病控制杂志》2023年第12期1384-1390,共7页Chinese Journal of Disease Control & Prevention

基　　金：广西重大传染病防控与生物安全应急响应重点实验室开放课题(GKLKP-KF-202201)。

摘　　要：目的分析2019―2022年柳州市暗娼人群AIDS哨点监测结果,了解该人群HIV感染的影响因素,为暗娼人群的AIDS防制工作提供科学依据。方法采用分层随机抽样法对2019―2022年柳州市暗娼人群进行调查,分析调查问卷和实验室检测结果。结果暗娼人群AIDS相关知识平均知晓率为98.88%,HIV抗体阳性率为1.31%。年龄、婚姻状况、文化程度、最近1年接受AIDS预防服务、最近1个月商业性行为使用安全套情况为暗娼人群HIV阳性的独立影响因素(均P<0.05);多因素logistic回归分析模型分析结果显示:与年龄<30岁者相比,年龄≥50岁者感染HIV风险较高(OR=28.151,95%CI:2.665~298.453,P=0.006);最近1年接受AIDS预防服务者感染HIV风险较低(OR=0.124,95%CI:0.041~0.375,P<0.001)。结论柳州市暗娼人群HIV感染率呈低水平,但仍应提高年龄较大暗娼人群的AIDS预防服务质量,创新防控干预形式,进一步加强对暗娼人群的AIDS重点干预。Objective To analyze the AIDS sentinel surveillance results of the commercial sex workers in Liuzhou from 2019 to 2022,to understand the factors influencing HIV infection in this population,and to provide a scientific basis for the HIV prevention and control of the commercial sex workers.Methods A random sampling method was used to survey the commercial sex workers in Liuzhou from 2019 to 2022,and the results of the questionnaires and laboratory tests were collated.Results The average knowledge rate of HIV-related knowledge was 98.88% and the HIV-positive rate was 1.31%.Age,marital status,education level,receipt of HIV prevention services in the last year,and condom use in the last month of commercial sex were independent influencing factors for HIV positivity in commercial sex workers(all P<0.05).Multifactorial logistic regression analysis showed that those aged≥50 years had a higher risk of HIV infection compared to those aged<30 years(OR=28.151,95%CI:2.665-298.453,P=0.006);those who received HIV prevention services in the last year had a lower risk of HIV infection(OR=0.124,95%CI:0.041-0.375,P<0.001).Conclusions The HIV prevalence rate among commercial sex workers in Liuzhou,Guangxi is low,but the quality of HIV prevention services for older commercial sex workers should still be improved.Inovative forms of prevention and control interventions should be introduced to further strengthen HIV-focused interventions for commercial sex workers.

关 键 词：HIV 暗娼 哨点监测 

分 类 号：R181[医药卫生—流行病学]