2018—2021年上海市崇明区暗娼人群哨点监测结果分析  

Analysis on surveillance results of female sex workers in Chongming District ofShanghai from 2018-2021

作　　者：姚澜 YAO Lan(Department of STD and Tuberculosis,Chongming District Center for Disease Control and Prevention of Shanghai,Shanghai,202150,China)

机构地区：[1]上海市崇明区疾病预防控制中心性结科,上海202150

出　　处：《职业与健康》2024年第3期365-369,共5页Occupation and Health

摘　　要：目的了解上海市崇明区暗娼人群艾滋病知识知晓情况、行为特征及血清学检测结果,为制定艾滋病防控策略提供参考数据。方法选取2018—2021年上海市崇明区娱乐场所中从事商业性性交易的女性为研究对象开展暗娼问卷调查、抽血,检测人类免疫缺陷病毒(human immunodeficiency virus,HIV)、梅毒和丙型肝炎病毒(hepatitis C virus,HCV)抗体。结果2018—2021年监测对象共1600名,平均年龄为(38.4±8.39)岁,历年艾滋病防治知识知晓率为94.50%、95.75%、97.50%和98.50%,呈上升趋势,差异有统计学意义(χ^(2)=11.505,P<0.05);最近1次商业性性行为安全套总使用率为92.19%,历年分别为93.50%、99.00%、90.50%和85.75%,差异有统计学意义(χ^(2)=51.33,P<0.05);总HIV抗体阳性率为0,梅毒抗体总阳性率为1.5%,HCV抗体总阳性率为0.8%。结论在上海市崇明区暗娼人群中,未发现HIV阳性者,艾滋病防治知识知晓率相对较高,但坚持使用安全套比例有待提高。需探索新的干预模式,扩大干预覆盖面、检测面,提高暗娼人群的自我保护意识。Objective To understand the status knowledge,behavior characteristics and prevalence of human immunodeficiency virus(HIV)infection among female sex workers in Chongming district of Shanghai,and provide reference data for the development of acquired immunodeficiency syndrome(AIDS)prevention and control strategies.Methods Women engaged in commercial sex trade in entertainment venues in Chongming District of Shanghai from 2018 to 2021 were selected as the research subjects.A questionnaire survey was conducted for female sex workers,and blood samples were collected for HIV,syphilis and HCV antibody testing.Results A total of 1600 subjects were monitored from 2018 to 2021,with an age of(38.4±8.39)years old.The awareness rates of AIDS prevention and control over the years were 94.5%,95.75%,97.50%and 98.50%,showing an upward trend,with statistical significance(χ^(2)=11.505,P<0.05).The total condom use rate of the last commercial sex was 92.19%,and the previous years were 93.5%,99%,90.5%and 85.75%,respectively,with statistical significance(χ^(2)=51.33,P<0.05).The total positive rate of HIV antibody was 0,the total positive rate of syphilis was 1.5%,and the total positive rate of HCV was 0.8%.Conclusion There is no HIV positive among the female sex workers in Chongming District of Shanghai,and the knowledge rate of AIDS prevention and treatment is relatively high.However,the proportion of insisting on using condoms needs to be improved and new intervention models should be explored to expand the coverage of intervention and testing,aiming to improve the self-protection awareness of female sex workers.

关 键 词：艾滋病 哨点监测 暗娼人群 

分 类 号：R181.81[医药卫生—流行病学]