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目的通过对天津市暗娼和嫖客两类艾滋病主要高危人群的监测,摸清其HIV感染的危险因素。方法2007年8月1日至2007年10月1日采用连续抽样的方法现场同时采集天津市收教所收教的暗娼和男性嫖客人群静脉血进行HIV和梅毒检测,并通过问卷了解有关行为因素。结果共监测178名暗娼和186名嫖客,均未检出HIV感染者;暗娼中检出梅毒阳性20例,感染率为11.24%,嫖客人群检出梅毒阳性3例,感染率为1.61%。暗娼和嫖客对艾滋病知识的总知晓率分别为54.57%和90.32%,差异有统计学意义(P<0.01)。暗娼和嫖客人群最近一次商业性性行为中安全套使用率分别为76.7%、76.9%。结论两类高危人群均存在感染HIV的危险因素,应加大综合干预力度。
Objective To monitor the risk factors of HIV infection by monitoring the two major categories of HIV / AIDS in Shenzhen, including sex workers and clients. Methods From August 1, 2007 to October 1, 2007, a continuous sampling method was used to collect HIV and syphilis from venous blood collected from Tianjin receiving schools and female clients. The questionnaires were used to investigate the relevant behavioral factors . Results A total of 178 female sex workers and 186 clients were detected. None of the HIV-infected persons were detected. Among the female sex workers, 20 were positive for syphilis, with an infection rate of 11.24%. 3 were confirmed as positive for syphilis among clients. The infection rate was 1.61%. The total awareness rates of HIV / AIDS among female sex workers and their clients were 54.57% and 90.32%, respectively, with significant differences (P <0.01). The recent condom use rates among commercial sex workers and female sex workers were 76.7% and 76.9% respectively. Conclusions There are risk factors of HIV infection in two kinds of high-risk groups, and the comprehensive intervention should be strengthened.