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目的了解钦州市2013-2015年女性性工作者(FSW)艾滋病知信行及性传播疾病感染的状况,为评价艾滋病干预效果及调整干预措施提供依据。方法于2013-2015年的5-7月,按照《全国艾滋病哨点监测实施方案操作手册》的要求开展监测工作,对钦州市娱乐场所的FSW进行问卷调查并采集血样做血清学检测。结果2013-2015年共调查FSW 3 151人,2013-2015年FSW的HIV阳性率分别为0.67%、0.29%、0.86%;梅毒阳性率分别为3.90%、3.90%、3.14%;HCV阳性率分别为1.05%、0.76%、0.29%。艾滋病知识知晓率分别为95.34%、97.91%、94.38%。最近一次性交易时安全套使用率分别为95.53%、97.52%、94.57%,最近一个月性交易时安全套每次使用率分别为70.41%、83.33%、81.52%。低、中、高档FSW的HIV阳性率分别为0.98%、0.15%、0.54%;梅毒阳性率分别为4.66%、2.70%、1.61%;HCV阳性率分别为0.74%、0.75%、0。艾滋病知识知晓率分别为93.87%、97.83%、99.46%。最近一次性交易时安全套使用率分别为94.24%、97.45%、98.92%,最近一个月性交易时安全套每次使用率分别为71.37%、85.16%、91.94%。结论钦州市FSW HIV感染率较低,艾滋病知识知晓率及干预覆盖率较高,安全套每次使用率较低,梅毒感染率较高,艾滋病通过FSW传播的危险性仍较大。
Objective To understand the status of HIV / AIDS and sexually transmitted infections among female sex workers (FSW) in Qinzhou in 2013-2015, and to provide basis for evaluating the effect of AIDS intervention and adjusting interventions. Methods From May to July in 2013-2015, monitoring was carried out in accordance with the “Operation Manual of National AIDS Sentinel Surveillance Implementation Program”. A questionnaire survey was conducted on the FSW of entertainment places in Qinzhou and blood samples were collected for serological testing. Results A total of 151 151 FSWs were surveyed in 2013-2015. The positive rates of HIV in FSW from 2013 to 2015 were 0.67%, 0.29% and 0.86% respectively. The positive rates of syphilis were 3.90%, 3.90% and 3.14% respectively. The positive rates of HCV were 1.05%, 0.76%, 0.29%. AIDS knowledge awareness rates were 95.34%, 97.91%, 94.38%. The most recent one-time transaction condoms utilization rates were 95.53%, 97.52%, 94.57%, the most recent one-time sex condoms per use were 70.41%, 83.33%, 81.52%. The positive rates of HIV in low, middle and high grade FSW were 0.98%, 0.15% and 0.54%, respectively. The positive rates of syphilis were 4.66%, 2.70% and 1.61% respectively. The positive rates of HCV were 0.74% and 0.75% respectively. AIDS knowledge awareness rates were 93.87%, 97.83%, 99.46%. The most recent one-time transaction condom use rates were 94.24%, 97.45%, 98.92%, the most recent one-time sex condoms were 71.37%, 85.16%, 91.94%. Conclusions HIV infection rate of FSW in Qinzhou City is lower, awareness rate of HIV / AIDS and coverage rate of HIV / AIDS are higher, condom use rate is lower, syphilis infection rate is higher, and AIDS is still more likely to spread through FSW.