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目的了解固定场所和非固定场所低档暗娼的艾滋病(AIDS)相关知识行为,以探索干预模式。方法 2014年3—8月对桂林市城区及10个县从事低档暗娼活动者进行问卷调查及血清学检测。结果共计调查低档暗娼861人,其中固定场所443人,占51.45%;非固定场所418人,占48.55%。暗娼对AIDS知识总知晓率为65.27%(562/861),固定场所为69.53%,非固定场所为60.77%,差异有统计学意义(χ2=7.28,P<0.05)。固定场所中低档暗娼的人类免疫缺陷病毒(HIV)、丙型肝炎病毒(HCV)和梅毒抗体阳性率分别为1.35%、2.03%和4.97%,非固定场所中分别为1.91%、3.59%和9.57%,梅毒抗体阳性率差异有统计学意义(χ2=6.81,P<0.05)。结论与固定场所相比,非固定场所中的低档暗娼者传染性病、AIDS的危险性更高,在进行宣传教育时应予注意。
Objective To understand the AIDS-related knowledge and behaviors of low-end female sex workers in fixed and non-fixed places in order to explore intervention patterns. Methods From March to August 2014, questionnaires and serological tests were conducted on low-grade CSW among Guilin urban area and 10 counties. Results A total of 861 low-sex female sex workers were investigated, of which 443 were fixed places, accounting for 51.45%; 418 were non-fixed places, accounting for 48.55%. The total awareness of AIDS among female sex workers was 65.27% (562/861), with 69.53% in fixed places and 60.77% in non-fixed places, with significant difference (χ2 = 7.28, P <0.05). The prevalence rates of HIV, HCV and syphilis in middle and low places of commercial sex workers in fixed places were 1.35%, 2.03% and 4.97% respectively, while those in non-fixed places were 1.91%, 3.59% and 9.57 %, Syphilis antibody positive rate difference was statistically significant (χ2 = 6.81, P <0.05). Conclusion Compared with fixed places, low-end female sex workers in non-fixed places have higher risk of AIDS and AIDS, and should pay attention to publicity and education.