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通过分析石家庄市2010-2012年暗娼(FSW)人群艾滋病和性病流行状况及相关高危行为,为开展暗娼干预措施提供科学依据。本研究组采用问卷调查方式,收集石家庄市暗娼哨点检测对象相关信息,采集血样进行艾滋病、梅毒及丙型病毒性肝炎检测。采用SPSS 13.0软件进行χ2检验及方差分析,所有均为双侧检验,检验水准α=0.05。结果显示2010-2012年,石家庄市暗娼艾滋病知识知晓率分别为95.1%,96.6%,96.9%差异无统计学意义。暗娼最近一次安全套使用率分别为95.00%,96.87%,98.75%(χ2=18.581,P<0.01)。人类免疫缺陷病毒(HIV)抗体阳性率为0,梅毒阳性率分别为0.25%,1.13%,0.50%;丙型肝炎病毒(HCV)抗体阳性率分别为1.13%,0.63%,0.25%。石家庄处于HIV低流行态势,暗娼艾滋病知识知晓率及安全套使用率均较高,但暗娼文化水平较低,以及存在相关性病感染。因此,需保持干预工作的可持续性,加强对低档场所、文化水平低的暗娼人群干预。
By analyzing the prevalence of HIV / AIDS and STDs among FSWs in Shijiazhuang from 2010 to 2012 and related high-risk behaviors, we provide a scientific basis for the interventions of female sex workers. The research team adopted a questionnaire survey to collect information on the detection targets of drug abusers in Shijiazhuang and collect blood samples for AIDS, syphilis and hepatitis C virus infection. The χ2 test and analysis of variance were performed using SPSS 13.0 software, all of which were double-sided test with the test level of α = 0.05. The results show that from 2010 to 2012, awareness of HIV / AIDS among female sex workers in Shijiazhuang City was 95.1%, 96.6% and 96.9% respectively, with no significant difference. The most recent condom use rates of commercial sex workers were 95.00%, 96.87% and 98.75%, respectively (χ2 = 18.581, P <0.01). The positive rate of HIV antibody was 0, the positive rates of syphilis were 0.25%, 1.13% and 0.50% respectively. The positive rates of HCV antibodies were 1.13%, 0.63% and 0.25% respectively. Shijiazhuang is in a low HIV prevalence situation, awareness of HIV / AIDS among congenial sex workers and that of condoms are high, but the educational level of sex prostitutes is relatively low and there is a related STD infection. Therefore, it is necessary to maintain the sustainability of the intervention and to step up intervention among low-cost places and sex workers.