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目的:了解梧州市暗娼人群艾滋病、梅毒、丙肝以及高危行为的影响,为评价艾滋病、梅毒、丙肝预防和控制效果提供依据。方法:2010~2014年,每年4~7月采用整群随机抽样法抽取娱乐场所暗娼,进行面对面无关联匿名从业基本情况和艾滋病知识问卷调查并采血作HIV和梅毒抗体的检测。结果:五年共调查了8032名暗娼人群,平均年龄(31.05±7.49)岁;在婚或同居占59.60%;初中文化占70.5%;2010~2014年暗娼人群HIV抗体阳性率分别为0.34%、0.20%、0.50%、0.29%、0.17%,梅毒抗体阳性率分别为3.05%、5.63%、7.78%、5.58%、5.78%,HCV抗体阳性率分别为1.02%、0.80%、1.43%、0.59%、0.40%。结论:娱乐场所暗娼人群存在性病、艾滋病感染的风险,应加强对暗娼人群开展性病艾滋病的宣传教育工作,进一步深化开展各种形式的宣传教育以及行为干预工作。
Objective: To understand the influence of AIDS, syphilis, hepatitis C and high-risk behaviors among the female sex workers in Wuzhou City, and to provide basis for evaluating the effect of AIDS, syphilis and hepatitis C prevention and control. Methods: From 2010 to 2014, from April to July each year, a total sample random sampling method was used to collect female sex workers in entertainment venues. The questionnaire was conducted to investigate the relationship between anonymous face-to-face anonymous practitioners and HIV / AIDS knowledge and collect blood for HIV and syphilis antibody testing. Results: A total of 8032 FSWs were surveyed over the five years, with an average age of (31.05 ± 7.49) years; 59.60% of them were married or cohabiting; 70.5% of them were middle school students; and HIV antibody positive rates among FSWs from 2010 to 2014 were 0.34% The positive rates of HCV antibodies were 1.02%, 0.80%, 1.43% and 0.59%, respectively. The positive rates of syphilis antibodies were 3.05%, 5.63%, 7.78%, 5.58% and 5.78% , 0.40%. Conclusion: There is a risk of sexually transmitted diseases and HIV infection among FSWs in entertainment venues. Publicity and education on STDs and AIDS among FSWs should be strengthened, and various forms of publicity and education and behavioral interventions should be further deepened.