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目的了解甘肃省兰州市城关区娱乐场所女性性服务人员(FSW)性传播疾病感染情况及感染后的就医行为和态度,为商业性性服务人员的干预工作提供指导依据。方法对城关区高、中、低档娱乐场所的350名女性性服务人员进行一对一问卷调查,同时进行性传播疾病感染检测。结果 350名FSW艾滋病相关知识知晓率为80.29%,最近一次性服务安全套使用率为85.71%,最近一个月性服务每次使用安全套的比例为40.00%,有时使用的比例为32.86%,从未使用的比例为27.14%;性传播疾病阳性率为20.57%,其中梅毒感染率6.00%、生殖道沙眼衣原体感染率8.57%、淋病感染率6.00%;不同场所的FSW在社会人口学、商业性性行为、安全套使用及性病患病率方面存在差异。结论不同场所FSW性病患病率和求医行为存在差异,FSW仍是艾滋病干预的重点人群,特别是街头商业性性服务人员更易受到性病、艾滋病的威胁。
Objective To understand the status of sexually transmitted infections and post-infection medical behaviors among female sex workers (FSW) in entertainment facilities in Chengguan District of Lanzhou City, Gansu Province, and provide guidance for the intervention of commercial sex workers. Methods A total of 350 female sex workers in high, middle and low places of entertainment in Chengguan District were surveyed one by one, and sexually transmitted infections were detected at the same time. Results The awareness rate of AIDS-related knowledge among 350 FSWs was 80.29%, that of the most recent one-time condom service was 85.71%, that of the condom using 40% of the condom per month for the most recent month, and sometimes 32.86%, never used Of the total cases was 27.14%. The positive rate of sexually transmitted diseases was 20.57%, including syphilis infection rate 6.00%, genital tract Chlamydia trachomatis infection rate 8.57% and gonorrhea infection rate 6.00%. The FSW in different places was significantly higher in social demography and commercial sex , Condom use and the prevalence of STDs. Conclusions There are differences in the prevalence of FSW venereal diseases and seeking medical treatment in different places. FSW is still a key group of AIDS interventions. Especially, commercial commercial sex workers on the streets are more susceptible to STDs and AIDS.