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目的分析宁海县暗娼人群2013-2015年艾滋病知信行情况,为在暗娼人群中开展艾滋病预防提供参考依据。方法于2013-2015年采用分层抽样方法选取高危场所,由宁海县各高危干预工作队对干预对象暗娼进行艾滋病知识、相关行为和HIV检测服务等问卷调查以及实验室检测。结果三年累计调查暗娼1 723人,以20~39岁、已婚、文化程度初中和中高档暗娼为主,三年间调查暗娼对艾滋病知识知晓率为85.08%,逐年递增,差异有统计学意义(χ2=28.292,P<0.01);调查对象最近一月内与客人发生性行为每次使用安全套的占64.60%,三年间差异无统计学意义(χ2=5.803,P>0.05);调查对象中近一年接受过安全套发放或艾滋病检测咨询服务的占调查总数的70.63%,三年间差异无统计学意义(χ2=1.389,P>0.05);三年内接受过同伴教育的占调查总数的49.39%,三年间差异无统计学意义(χ2=0.899,P>0.05);未检出HIV阳性,梅毒检出率0.46%。结论宁海县暗娼艾滋病干预效果明显,但安全套使用率、同伴教育率低,需对该人群进行持续有效覆盖范围更广泛的综合干预。
Objective To analyze the situation of HIV / AIDS among female sex workers in Ninghai County from 2013 to 2015, and to provide a reference for HIV / AIDS prevention among FSWs. Methods From 2013 to 2015, the stratified sampling method was used to select high risk places. Questionnaires and laboratory tests were conducted among HIV / AIDS HIV / AIDS related behaviors and HIV testing services by the high risk intervention work teams of Ninghai County. Results A total of 1 723 female prostitutes were surveyed over the past three years. The prevalence of HIV / AIDS among female sex workers was 85.08%, which was between 20-39 years old, married, middle school and high-grade female sex workers. The difference was statistically significant (χ2 = 28.292, P <0.01). There was 64.60% of the respondents who used the condom each time during the last month of the survey. There was no significant difference in the three years (χ2 = 5.803, P> 0.05) In the past year, 70.63% of those surveyed who received condom distribution or AIDS testing counseling accounted for 49.39% of the total number of respondents who had received peer education within three years, with no significant difference in three years (χ2 = 1.389, P> 0.05) , No significant difference in three years (χ2 = 0.899, P> 0.05); did not detect HIV positive, syphilis detection rate of 0.46%. Conclusions HIV / AIDS intervention among female sex workers in Ninghai County is obvious. However, the condom use rate and peer education rate are low, and a comprehensive and comprehensive intervention should be carried out for the population continuously and effectively.