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目的了解柳州市娱乐场所女性性服务工作者(FSW)艾滋病(HIV)相关知识和相关危险行为状况,为今后改进和完善干预措施提供依据。方法按国家及省级HIV综合监测方案,在柳州市区和4个县采用随机抽样方法抽取FSW 1 846名,采用一对一匿名问卷调查,并进行血清学检测。结果调查对象在婚居多,但离异或丧偶的FSW艾滋病感染率高,达8.1%;所有调查对象中共检出HIV阳性10例,阳性率0.5%;梅毒(TP)阳性102例,阳性率3.0%;丙肝(HCV)阳性10例,阳性率0.5%。FSW最近1次与客人发生性关系时安全套使用率为84.1%,仍较低;低档FSW HIV、TP感染率均高于中高档FSW。结论 FSW人群构成复杂,出现较多新问题,干预工作难度加大。
Objective To understand HIV / AIDS-related knowledge and related risky behavior among women sex workers in entertainment venues in Liuzhou City, and to provide basis for future improvement and improvement of interventions. Methods According to the national and provincial HIV comprehensive monitoring program, 1 846 FSWs were sampled by random sampling method in Liuzhou urban area and 4 counties. One to one anonymous questionnaire was used and serological tests were performed. Results Most of the surveyed subjects were married, but the prevalence of divorced or widowed FSW was 8.1%. In all surveyed subjects, HIV positive was detected in 10 cases, the positive rate was 0.5%. The positive rate of syphilis (TP) was 3.0% ; Hepatitis C virus (HCV) positive in 10 cases, the positive rate of 0.5%. The rate of condom use by FSW was 84.1%, which was still low. The prevalence of HIV / TP in low-grade FSW was higher than that of medium-high FSW. Conclusions The FSW population is complex with many new problems and the intervention is more difficult.