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目的了解某市娱乐场所暗娼人群艾滋病病毒(H IV)感染情况及艾滋病知识态度、行为特征,为制定预防策略和措施提供理论依据。方法对目标区域的娱乐场所按档次进行分层抽样,对抽得的娱乐场所内暗娼进行问卷调查和H IV、梅毒抗体检测。结果调查对象H IV抗体检测均为阴性;检出梅毒抗体阳性2例,年龄最小为16岁,初中文化占53.5%;首次性行为和首次从事暗娼活动的平均年龄分别为17.6岁和19.6岁。调查对象虽然对艾滋病知识有一定的了解,但对艾滋病深层认识仍很缺乏;其中一部分调查对象从不使用安全套。高档与低档娱乐场所暗娼人群在艾滋病知识、态度、性行为特征和安全套使用方面无统计学差异。结论考虑到暗娼艾滋病相关危险行为发生率高。应加强健康教育和安全套推广工作,以减少H IV经性行为传播。
Objective To understand the HIV/AIDS (HIV) infection status and AIDS knowledge, attitudes, and behaviors of male sex workers in a city entertainment establishment, and to provide a theoretical basis for formulating prevention strategies and measures. METHODS: Stratified sampling was performed on the entertainment areas in the target area according to grades. Questionnaire surveys were conducted on the casinos in the drawn entertainment venues and H IV and syphilis antibodies were tested. RESULTS: The HIV antibody test was negative in all subjects; 2 cases were positive for syphilis antibodies, the youngest was 16 years old, and the junior high school culture accounted for 53.5%; the average age of the first sexual activity and the first time engaged in sex act were 17.6 years and 19.6 years. Although the survey respondents have a certain understanding of AIDS knowledge, there is still a lack of deep understanding of AIDS; some of the respondents never use condoms. There were no statistically significant differences in AIDS knowledge, attitudes, sexual behavior characteristics, and condom use among sex workers in high-end and low-grade entertainment places. Conclusions Consider the high incidence of HIV-related risk behavior among sex workers. Health education and condom promotion should be strengthened to reduce H IV sexual transmission.