论文部分内容阅读
目的分析天津市东丽区低档服务场所(简称低档场所)女性性工作者(FSW)艾滋病知识、行为状况,探索针对低档场所FSW人群艾滋病的有效干预措施。方法与辖区内的社会组织联合,采用整群抽样的方法对辖区内低档场所FSW进行抽样、问卷调查、采集血样并建立数据库;从《艾滋病综合防治信息系统》中获取2014年FSW哨点数据,利用SAS9.3进行二者数据的分析。结果天津市东丽区2014年低档场所FSW与同年FSW哨点比较,艾滋病各问题知晓率、总知晓率、最近1次商业性性行为安全套使用率、最近1个月坚持每次都用安全套的使用率差异均有统计学意义(均P<0.01);梅毒阳性率分别为11.27%和1.75%,差异有统计学意义(P<0.01);丙肝阳性率分别为0.98%和0.25%,差异无统计学意义(P>0.05)。结论天津市东丽区低档场所FSW对艾滋病的知晓率及安全套使用率均不高,今后应加强对这类高危人群的关注,增加对其干预的频度和力度。
Objective To analyze AIDS knowledge and behavior of female sex workers (FSW) in low-grade service establishments (low-grade places) in Dongli District of Tianjin and to explore effective interventions targeting AIDS in low-grade FSW population. METHODS: In combination with social organizations in the area, FSW sampling, questionnaire survey, blood samples collection and database construction were conducted in the low-grade sites in the area by cluster sampling method. The 2014 FSW sentinel data were obtained from “AIDS Integrated Prevention and Control Information System” Using SAS9.3 for both data analysis. Results Compared with the FSW sentinel sites of the same year in 2014 in the low-grade FSW in Dongli district of Tianjin, the awareness rates of AIDS, total awareness rate and the rate of condom use in the last commercial sexual practice were the highest in each of the past two months. The positive rates of syphilis were 11.27% and 1.75%, respectively, with significant difference (P <0.01). The positive rates of hepatitis C were 0.98% and 0.25% respectively, with no difference Statistical significance (P> 0.05). Conclusion The awareness rate of HIV / AIDS and the rate of condom use in FSW are low in the low-grade premises in Dongli District of Tianjin City. In the future, we should pay more attention to such high-risk groups and increase their frequency and intensity of intervention.