2020—2022年自贡市农村地区35岁及以上低档暗娼人群艾滋病知识和安全套使用情况调查  

Survey on AIDS knowledge and condom use among low-fee female sex workers aged 35 years and above in rural areas of Zigong City from 2020 to 2022

作　　者：龚胜[1] 胡雄 何晓冬[1] 张斌[1] GONG Sheng;HU Xiong;HE Xiaodong;ZHANG Bin(Zigong Center for Disease Control and Prevention,Zigong 643000,Sichuan Province,China)

机构地区：[1]自贡市疾病预防控制中心,四川自贡643000

出　　处：《职业卫生与病伤》2025年第1期34-39,共6页Occupational Health and Damage

摘　　要：目的了解自贡市农村地区35岁及以上暗娼人群(female sex worker,FSW)艾滋病知识知晓率、安全套使用情况,为疫情的研判和防治提供线索。方法2020—2022年通过现场摸排和社会组织招募等方式,对自贡市农村地区35岁及以上低档暗娼人群进行问卷调查和人类免疫缺陷病毒(human immunodeficiency virus,HIV)检测,询问调查对象的基本信息、艾滋病知识知晓情况、安全套使用等情况。采用χ^(2)检验、Logistic回归进行统计分析,检验水准α=0.05。结果2020—2022年共调查35岁及以上FSW 845人,艾滋病知识知晓率为59.29%(501/845),知晓率随着文化程度提高呈上升趋势(χ^(2)_(趋势)=23.19,P<0.001);多因素Logistic回归发现文化程度是艾滋病知识知晓率的影响因素(P均<0.05);86.51%的35岁及以上FSW最近一次与客人发生性行为时使用了安全套,安全套的使用比例由2020年的91.71%下降到2022年的78.24%(χ^(2)_(趋势)=-22.13,P<0.001),每次都用安全套的比例为61.66%;HIV阳性10人,HIV阳性率1.18%。将是否知晓艾滋病知识、年龄、婚姻和文化程度构建多因素Logistic回归方程,结果发现是否知晓艾滋病、年龄和文化程度是每次都使用安全套的影响因素(P均<0.05)。结论自贡市35岁及以上FSW人群艾滋病知识知晓率低,不能坚持使用安全套,多种高危行为并存,在今后的防治工作中,应加强35岁及以上FSW的健康教育和行为干预,从根本上控制HIV在该人群的流行。Objective To understand the awareness rate of acquired immunodeficiency syndrome(AIDS)knowledge and condom use among female sex workers(FSW)aged 35 and above in rural areas of Zigong City,and to provide clues for epidemic analysis and disease prevention and control.Methods From 2020 to 2022,through on-site investigations and recruitment efforts by social organizations,questionnaire survey and human immunodeficiency virus(HIV)testing were conducted among low-fee FSW aged 35 years and above in rural areas of Zigong City,and the survey participants were inquired about their basic information,knowledge of AIDS,condom use,and other topics.Chi-square test and Logistic regression were used for statistical analysis,and the test level wasα=0.05.Results From 2020 to 2022,a total of 845 FSW aged 35 years and above were investigated,and the awareness rate of AIDS knowledge was 59.29%(501/845).The awareness rate increased with the improvement of education level(χ^(2)_(trend)=23.19,P<0.001).Multivariate Logistic regression showed that education level was the influencing factor of the awareness rate of AIDS knowledge(all P<0.05).86.51%of FSW aged 35 years and above used condoms when having sex with guests last time.The proportion of condom use decreased from 91.71%in 2020 to 78.24%in 2022(χ^(2)_(trend)=-22.13,P<0.001),61.66%of FSW use condoms every time.A total of 10 people were HIV positive,and the HIV positive rate was 1.18%.Multivariate Logistic regression equation was constructed based on whether to know AIDS knowledge,age,marriage and education level,and the results showed that whether to know AIDS,age and education level were the influencing factors of condom use every time(all P<0.05).Conclusions The awareness rate of AIDS knowledge among FSW population aged 35 years and above in Zigong City was low,they could not insist on using condoms,and a variety of high-risk behaviors coexist.In the future prevention and treatment work,health education and behavioral intervention of FSW aged 35 years and above should be strength

关 键 词：农村地区 35岁及以上 低档暗娼 艾滋病 知晓率 安全套 

分 类 号：R193[医药卫生—卫生事业管理]