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目的了解陵水县2010年暗娼(CSW)人群对艾滋病相关知识、态度、行为及暗娼人群HIV、HCV、及梅毒的感染水平,为在当地娱乐服务场所中开展艾滋病健康教育和行为干预效果提供依据。方法制定统一的调查问卷,对全县暗娼人群娱乐场所的3个乡镇按普查的方法对所有CSW人群做匿名式问卷调查,采用Epidata3.1录入数据,利用SPSS11.5软件统计分析数据。结果共调查CSW人群421人,年龄最小19岁,最大48岁,平均年龄为21.5岁;未婚占68.17%;经性接触传播、血液接触传播、母婴传播3个传播途径的知识知晓率分别为51.3%、85.3%、84.4%;正确使用安全套可以减少艾滋病传播的知晓率占56.5%;不同文化程度、年龄对艾滋病知识知晓率有统计学意义(P<0.0001),随文化程度的增高,综合知识知晓率增高(χ2=45.0,P<0.001)。结论陵水县暗娼人群艾滋病的基本知识总体较低;应针对不同文化程度的暗娼人群开展形式多样的艾滋病宣教活动,提高她们的艾滋病综合知识水平;加快推广安全套防艾工作,以免艾滋病在本地暗娼人群间蔓延。
Objective To understand the AIDS-related knowledge, attitude, behavior and HIV, HCV and syphilis infection among CSW population in 2010 in Lingshui County and provide the basis for carrying out AIDS health education and behavioral intervention in local entertainment venues . Methods A unified questionnaire was established. Anonymous questionnaires were conducted on all CSWs according to the census method of three townships of entertainment establishments in the county. Data were collected using Epidata 3.1 and the data were analyzed by using SPSS 11.5 software. Results A total of 421 CSW cohorts were surveyed, with the youngest being 19 years old and the oldest being 48 years old, with an average age of 21.5 years and 68.17% unmarried. The knowledge-based awareness rates of three transmission routes of sexual contact, blood contact and mother-to-child transmission were 51.3%, 85.3%, 84.4% respectively. The awareness rate of HIV / AIDS knowledge using different types of education and age was statistically significant (P <0.0001). With the increase of education level, Knowledge awareness increased (χ2 = 45.0, P <0.001). Conclusion The basic knowledge of HIV / AIDS among FSWs in Lingshui County is generally low. HIV / AIDS awareness education activities should be conducted for FSWs with different education levels so as to enhance their knowledge of HIV / AIDS; to speed up efforts to promote condom prevention and AIDS prevention to avoid HIV / AIDS among local FSWs Spread between people.