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目的了解新疆伊宁市暗娼人群艾滋病流行现状和相关危险因素,为制定综合防控措施提供参考依据。方法采用分层随机抽样法,抽取伊宁市从事商业性性交易的女性作为调查对象,每年不少于400人;使用国家哨点监测统一问卷调查艾滋病相关知识知晓情况,并检测HIV、梅毒和HCV抗体。结果 2009─2014年共监测暗娼2 400人,年龄最小13岁、最大55岁,平均年龄(25.4±7.4)岁;未婚占63.1%、新疆户籍占63.8%、汉族占74.1%、初中文化占53.7%;艾滋病防治知识总体知晓率为98.6%,最近一次发生商业性性行为时安全套总体使用率为99.3%,最近一个月发生商业性性行为时安全套每次使用率98.0%;检测HIV、梅毒和HCV抗体,阳性率分别为0.6%、2.2%和1.0%。结论伊宁市暗娼人群艾滋病相关知识知晓率及安全套使用率呈下降趋势,应调整对娱乐场所暗娼人群的干预模式,加强行为干预、规范性病诊疗工作,降低艾滋病发病率。
Objective To understand the status quo of HIV / AIDS epidemic among FSWs in Yining City, Xinjiang Uygur Autonomous Region and related risk factors so as to provide reference for formulating comprehensive prevention and control measures. Methods A stratified random sampling method was used to collect women engaged in commercial sex trade in Yining City for a survey of not less than 400 people each year. A nationwide sentinel surveillance questionnaire was used to investigate AIDS-related knowledge and to detect HIV, syphilis and HCV antibody. Results A total of 2 400 FSWs were monitored between 2009 and 2014. The youngest was 13 years old and the oldest was 55 years old, with an average age of 25.4 ± 7.4 years. Unmarried people accounted for 63.1%. Xinjiang accounted for 63.8%. Han nationalities accounted for 74.1% and junior middle schools accounted for 53.7%. %. The overall awareness rate of AIDS prevention and control knowledge was 98.6%. The overall utilization rate of condom during the last commercial sexual activity was 99.3%. The condom use rate was 98.0% when commercial sexual behavior occurred in the most recent month. HIV, syphilis and HCV antibody, the positive rates were 0.6%, 2.2% and 1.0% respectively. Conclusion The awareness rate of HIV / AIDS-related knowledge and the rate of condom use in female FSWs in Yining are declining. Intervention mode should be adjusted for female FSWs in entertainment establishments, behavioral interventions should be strengthened to standardize the diagnosis and treatment of STDs and reduce the incidence of AIDS.