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目的了解浙江省温州市鹿城区娱乐场所女性性服务者艾滋病(AIDS)相关知识水平、行为学特征及艾滋病病毒(HIV)抗体、乙肝病毒表面抗原(HBsAg)、梅毒感染状况。方法2008年对温州市鹿城区娱乐场所女性性服务者进行匿名问卷调查和血清标本采集,收集目标人群的人口学资料、艾滋病相关知识、安全套使用、求医行为等相关信息。结果403名调查对象未婚者占55.09%,平均年龄(23.2±4.2)岁,20～30岁年龄段占70.47%,初中及以下文化程度者占63.03%。艾滋病相关知识平均知晓率为76.83%。首次性行为年龄(20.3±2.5)岁,最近1周平均客人数2.8人,最近1个月与客人发生性行为时每次都使用安全套的比例为59.31%,与固定性伴安全套每次使用率为30.28%。检出HIV抗体阳性1例,阳性率为0.25%;梅毒抗体阳性6例,阳性率为1.49%;HBsAg阳性26例,阳性率为6.45%。结论娱乐场所女性性服务者对艾滋病知识掌握不全面,感染和传播HIV的危险行为有多性伴、性交频次多、无保护性性行为等,需要深入持久地采取综合干预措施,才能有效控制艾滋病性病在这一人群中传播和蔓延。
Objective To understand the level of AIDS related knowledge, behavioral characteristics and HIV antibody, hepatitis B virus surface antigen (HBsAg) and syphilis infection among female sex workers in entertainment venues in Lucheng District of Wenzhou City, Zhejiang Province. Methods In 2008, anonymous questionnaires and serum samples were collected from female sex workers in entertainment venues in Lucheng District of Wenzhou City to collect demographic data, AIDS related knowledge, condom use and medical treatment behaviors of the target population. Results Of the 403 respondents, 55.09% were unmarried, with an average age of (23.2 ± 4.2) years, 70.47% of those aged 20-30, and 63.03% of those with a junior high school education or below. The average awareness rate of AIDS-related knowledge was 76.83%. The first sexual activity was (20.3 ± 2.5) years old, the average number of guests in the last week was 2.8. In the last month, the proportion of condom users who used the same sex with each sex was 59.31% 30.28%. One case of positive HIV antibody was detected, the positive rate was 0.25%. Six cases were positive for syphilis antibody, the positive rate was 1.49%. The positive rate of HBsAg was 6.45%. Conclusions Female sex workers in entertainment venues have a poor knowledge of HIV / AIDS, multiple sexual behaviors of HIV infection and HIV transmission, frequent sexual intercourse, and unprotected sexual behaviors. Comprehensive and in-depth interventions are needed in order to effectively control AIDS Sexually transmitted diseases spread in this population.