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目的了解蒙自市城市餐饮服务员艾滋病知识、行为特征和感染现状,为评价流动人口艾滋病预防控制策略提供依据。方法在2014年2、3月参加餐饮从业人员预防性健康检查人员中随机抽取405例进行艾滋病监测。结果调查对象对艾滋病的知晓率为91.60%;最近1年内有嫖娼行为、临时性伴、女性提供商业性服的比例分别为4.62%、4.94%、1.29%;与固定性伴、临时性伴、由女性提供商业性行为发生性行为时每次都使用安全套的频率都比较低(14.34%、25.00%、66.70%);是否接受安全套宣传和发放及艾滋病检测,不同户籍、文化程度、婚姻与最近1年内发生性行为安全套使用频率差异均有统计学意义(P<0.05);人类免疫缺陷病毒(HIV)抗体未检出阳性。结论城市餐饮服务员不是性传播艾滋病的高危人群,但存在有嫖娼、女性提供性服务、临时性伴等不安全性行为。应针对该人群开展岗前健康教育等活动,强化安全套使用培训及推广,扩大HIV检测咨询覆盖面,提升自我保护意识。
Objective To understand the HIV / AIDS knowledge, behavioral characteristics and infection status of catering workers in the city of Mengzi, and to provide a basis for evaluating AIDS prevention and control strategies for floating population. Methods A total of 405 cases were randomly selected from preventive health examination workers who participated in the catering industry in February and March 2014 to conduct AIDS surveillance. Results The percentage of respondents who knew about AIDS was 91.60%. In the most recent year, there were 4.62%, 4.94% and 1.29% respectively of prostitutes, temporary partners and women in commercial sexual services. The proportion of those with fixed sexual partners, temporary partners, Condom use by commercial sexual behavior by women is relatively low (14.34%, 25.00%, 66.70%) every time they have sexual intercourse; Condom promotion and distribution and AIDS testing, different household registration, educational level, marriage and the recent There was significant difference in the frequency of condom use during one year (P <0.05); HIV antibody was not detected. Conclusions City caterers are not the high risk groups for sexual transmission of AIDS, but there are unsafe behaviors such as prostitution, female sexual services and temporary partners. Pre-service health education and other activities should be conducted for this group of people to enhance training and promotion of condom use, expand coverage of HIV testing and counseling, and raise awareness of self-protection.