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目的了解舟山市定海区暗娼人群对于艾滋病防治知识的知晓情况、艾滋病相关危险行为特征及人类免疫缺陷病毒(HIV)、梅毒和丙型病毒性肝炎(丙肝)的感染情况,为艾滋病综合防治和干预提供依据。方法严格按照国家哨点监测方案,2014年定海区对402名暗娼人群进行问卷调查和血清HIV、梅毒及丙肝抗体检测。结果401名暗娼人群中未检出HIV和丙肝抗体阳性者,梅毒阳性率为1.2%,不同档次场所和安全套使用频率不同之间梅毒阳性率差异有统计学意义(χ2=5.940,P=0.024;χ2=7.990,P=0.021)。艾滋病知识知晓率为97.3%,但不全面,特别是低档暗娼正确率低,本地工作时间是艾滋病知识知晓率的主要影响因素。安全套使用率较低,低档场所略高于高档场所,差异无统计学意义(P>0.05),logistic回归分析发现安全套的使用与年龄有关。最近1年接受有关预防艾滋病的服务在不同档次场所之间差异有统计学意义(P<0.001)。结论暗娼人群对艾滋病知识认知不全面,低档暗娼接受艾滋病宣传干预的可及性低,安全套使用仍处于较低水平,说明今后在加大干预力度的同时,要深入开展和普及特别是低档暗娼的艾滋病健康教育宣传和行为干预,提高防病意识,改变高危行为。
Objective To understand the HIV / AIDS prevention and treatment knowledge among HIV-positive FSWs in Dinghai District, Zhoushan City, and the risk behaviors of HIV / AIDS and HIV, syphilis and hepatitis C virus (HCV) Provide evidence. Methods In strict accordance with the national sentinel surveillance program, in 2014, 402 FSWs in Dinghai district were investigated by questionnaires and serum HIV, syphilis and hepatitis C antibody. Results The positive rate of syphilis was 1.2% in 401 FSWs, and the positive rate of syphilis was statistically significant (χ2 = 5.940, P = 0.024; χ2 = 7.990, P = 0.021). AIDS awareness rate was 97.3%, but not comprehensive, especially the low-rate commercial sex workers correct rate of low, local working hours is the main factor affecting AIDS awareness. Condom use rate is low, low-grade places slightly higher than the high-end places, the difference was not statistically significant (P> 0.05), logistic regression analysis found that the use of condoms and age. The difference in the service of AIDS prevention among the different grades in the past year was statistically significant (P <0.001). Conclusions The female FSWs do not have a complete understanding of HIV / AIDS knowledge, low access to HIV / AIDS prevention and treatment work among low-sex FSWs, and the use of condoms are still at a low level. This shows that in the future, efforts should be intensified to further develop and popularize low-sex CSWs Of AIDS health education advocacy and behavioral interventions to raise awareness of disease prevention and change high-risk behavior.